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Four styles for ot audience cotton 2


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Four styles for ot audience cotton 2

  1. 1. Caregiving StylesMary A Corcoran PhD, OT/LProfessor and Associate DeanGeorge Washington University
  2. 2. Why Study Caregiving Styles? “If you’ve seen onecaregiver, you’ve seen one caregiver”
  3. 3. The Caregiving Style StudiesSpouses (68) 5 years National Institute on AgingAdult children (33) 1 year Virginia Commonwealth, ARDRAF
  4. 4. Mixed Methods Design• QUAL-quant • Grounded theoryFocusing on qualitative analysis today
  5. 5. Data• Qualitative • Long interview (250+ total hours) • Videotapes (33+ total hours)• Quantitative • Sociodemographics • Measures of well-being
  6. 6. Qualitative Analytic ApproachThree iterative tasks Coding Describe what is going on Categories Identify larger “parts” Theme Develop a theory of caregiving style
  7. 7. Getting from Codes to CategoriesCoding – unlinked descriptions of dataCategories – arrange codes as hierarchies Hierarchies of what?
  8. 8. BeliefsMeanings Actions Style
  9. 9. Categories: Elements of StyleBeliefs  What is …?Meanings  The role signifies …?Actions  Caregiving gets done by …?
  10. 10. Action: Taking Care of SelfLooking at data as a whole, caregivers take care of self by Reducing demands of role Doing something important Getting healthy Staying connected
  11. 11. Taking Care of Self No Has strategies strategies Does not Does not Meets meet meet needs needs needs
  12. 12. Three groupsCompare and contrast throughaxial coding Causes Consequences Context Conditions
  13. 13. Example: Exercise andConditions No exercise CR not Help OK alone CR OKExercise alone
  14. 14. Example: Exercise andConsequences
  15. 15. Four Caregiving StylesFacilitating Directing Balancing Advocating
  16. 16. Caregiver Priorities Facilitating Directing Emotional Physical health, health of identity of CR CR Balancing Advocating Maintaining Managing the status others to quo support CR
  17. 17. Caregiver Strategies Facilitating Directing Anything that Verbal involves self Balancing Environmental Advocating controls, Vigilance and supervision, advocacy repetitive activities
  18. 18. Caregiver Interactions Directing Facilitating Limited or Cooperative none Advocating Balancing Range with Parallel purpose of assessment
  19. 19. Caregiver Needs Facilitating Directing Recognizes Recognizes but needs doesn’t limited to address work own needs Balancing Advocating Has help Has help and meets and meets own needs own needs
  20. 20. Caregiver Emotions Facilitating Directing Worries Frustrated about ability and to provide stressed best care Balancing Advocating Generally Generally satisfied satisfied with care with care provision provision
  21. 21. Conclusion• Caregivers may - demonstrate a mix of styles - change over time; circumstances• Understanding priorities of caregiver regarding self and care recipient is key
  22. 22. Caveats• Styles are a guide, not a prescription• Theory - Requires further testing
  23. 23. ReferenceCorcoran, M.A. (2011). Caregiving Styles: ACognitive and Behavioral Typology AssociatedWith Dementia Family Caregiving. TheGerontologist 51, 4, 463-472.doi:10.1093/geront/gnr002