To address some remaining questions in the extant family caregiving literature, the present study examined a specific care-recipient (CR) problematic behavior that could be the most critical to family caregiver (CG) emotional and physical well-being--CR-resistance or uncooperative behaviors vis-Ã -vis the CG. In order to provide detailed descriptions of CR-resistance and to determine the impact of CR-resistance on CG emotional and physical well-being, the present study applied a sequential quantitative-qualitative mixed method design approach with 8-day diary survey data on 63 family CGs and follow-up semi-structured interview data from 19 of those CGs.The quantitative data documented and revealed significant within- and between-person variance in CR-resistance. Hierarchical Linear Modeling (HLM) analyses results further revealed that neither the mean level nor the daily fluctuation of CR-resistance across 8 survey days by themselves appeared to have a significant impact on CG emotional or physical health. However, the combination of having relatively high mean level and daily fluctuation of CR-resistance brought had a significant impact on CG physical health; when CGs with relatively high mean level CR-resistance faced more than their usual amount of CR-resistance on a given day, they reported increases in physical health symptoms.The qualitative inductive thematic analyses revealed that based on the context in which CR-resistance occurred and the occurrence patterns, CR-resistance experiences could be divided into four types, and these four types of CR-resistance seem to pose different types and/or magnitude of impact on CG emotional well-being.Furthermore, informed by Social Cognitive Theory and Stress Theory, the present study also examined CG personal, interpersonal, and social resources as possible moderators of the link between CR-resistance and CG emotional/physical well-being. HLM analyses results revealed that CG sense of efficacy, community/professional service utilization, and family disagreement regarding care played significant moderating roles. The qualitative thematic analyses clearly suggested that specific CG cognitive resources--particularly those that were transferred and/or generalized from the CG's past professional or personal experiences--have a strong influence on CG resilience in the face of CR-resistance. The moderating results were interpreted light of theoretical frameworks and extant literature. Implications and future directions are discussed.
| Identifer | oai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/194742 |
| Date | January 2011 |
| Creators | Shirai, Yumi |
| Contributors | Koerner, Susan Silverberg, Koerner, Susan Silverberg, Butler, Emily, Tomasa, Lynne, Wilhelm, Mari |
| Publisher | The University of Arizona. |
| Source Sets | University of Arizona |
| Language | English |
| Detected Language | English |
| Type | text, Electronic Dissertation |
| Rights | Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. |
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