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"I Just Glove up and Do What Has to Be Done": A Mixed-Methods Exploration of Dementia Care Challenges and Care Management Strategies
Journal article   Open access   Peer reviewed

"I Just Glove up and Do What Has to Be Done": A Mixed-Methods Exploration of Dementia Care Challenges and Care Management Strategies

Amanda N Leggett, Natasha Nemmers, Sophia Tsuker, Laura N Gitlin and Helen C Kales
International journal of environmental research and public health, v 23(2), 254
17 Feb 2026
PMID: 41752334
url
https://doi.org/10.3390/ijerph23020254View
Published, Version of Record (VoR)Open Access Discount via Drexel Libraries Read and Publish Program 2026CC BY V4.0 Open

Abstract

behavioral and psychological symptoms of dementia dementia caregiving dementia management strategies memory activities of daily living
Family care partners for persons living with dementia (PLwD) adopt a variety of care management strategies to navigate care. We utilize a convergent parallel mixed-methods design to integrate family care partners' descriptions of care challenges and associated management approaches. Primary family care partners for PLwD (n = 100) were interviewed about their management of a care challenge (qualitative), the PLwD's function, behavior and cognition (quantitative), and their management strategies (qualitative/quantitative). Care challenges and strategies were compared across qualitative content analysis and t-tests. Care partners providing more functional (r = 0.34, < 0.01) and cognitive (r = 0.30, < 0.01) care used more active management strategies, whereas care partners providing greater behavioral care (r = 0.34, < 0.001) reported more criticism, with similar themes seen qualitatively. Active management may be required when dementia severity increases, yet criticism may emerge with greater behavioral severity. Because criticism is associated with more negative outcomes, future interventions should help care partners practice more adaptive behavioral management.

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