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Using care navigation to address caregiver burden in dementia: A qualitative case study analysis
Author(s) -
Bernstein Alissa,
Merrilees Jennifer,
Dulaney Sarah,
Harrison Krista L.,
Chiong Winston,
Ong Paulina,
Heunis Julia,
Choi Jeff,
Walker Reilly,
Feuer Julie E.,
Lee Kirby,
Dohan Daniel,
Bonasera Stephen J.,
Miller Bruce L.,
Possin Katherine L.
Publication year - 2020
Publication title -
alzheimer's and dementia: translational research and clinical interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.49
H-Index - 30
ISSN - 2352-8737
DOI - 10.1002/trc2.12010
Subject(s) - dementia , caregiver burden , qualitative research , nursing , psychology , focus group , health care , medicine , disease , economics , economic growth , social science , pathology , marketing , sociology , business
Many caregivers of people with dementia experience burden and resulting health effects due to the intensive nature of caregiving. Phone‐ and web‐based care navigation is an innovative model of care that may be useful in addressing caregiver burden in dementia. Methods Qualitative methods (interviews, focus groups, and case study analysis) were used to identify care navigator approaches used to address caregiver burden in dementia as part of a dementia care navigation program. Results Care navigators targeted caregiver burden by focusing on strategies to reduce caregiver guilt and frustration, manage patient‐related behavior, address caregiver depression, and improve the relationship between the caregiver and person with dementia. The case studies presented demonstrate the ways that care navigators identified patient and caregiver needs and tailored their approaches to meet the specific social, cultural, economic, and geographic contexts of the dyads with which they worked. Discussion Findings provide insights into strategies used to address caregiver burden through care navigation. Care navigators who speak the same language as the caregivers with whom they work and who have an in‐depth understanding of the symptoms of different dementia syndromes may be particularly effective.

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