A communication phenotype for varying information needs among caregivers of persons with dementia.

Background and Objectives Informal caregivers of persons with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) have limited knowledge of the disease, yet they have immense responsibility, such as medication administration, managing symptoms, assisting with activities of daily...

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Publicado en:Gerontologist Vol. 66; no. 7; pp. 1 - 10
Autores principales: Alpert, Jordan M, Rothberg, Michael B, Paasche-Orlow, Michael K, Hashmi, Ardeshir Z, Perez-Protto, Silvia, Fox, Jacqueline, Criswell, Victoria, Wittenberg, Elaine
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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      pub: Oxford University Press / USA
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        10.1093/geront/gnag091
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        atl: A communication phenotype for varying information needs among caregivers of persons with dementia.
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          Alpert, Jordan M
          Rothberg, Michael B
          Paasche-Orlow, Michael K
          Hashmi, Ardeshir Z
          Perez-Protto, Silvia
          Fox, Jacqueline
          Criswell, Victoria
          Wittenberg, Elaine
        affil:
          Center for Value-Based Care Research, Cleveland Clinic, Cleveland, Ohio, United States
          Division of General Internal Medicine, Tufts Medical Center, Boston, Massachusetts, United States
          Center for Geriatric Medicine, Cleveland Clinic, Cleveland, Ohio, United States
          Department of Intensive Care and Resuscitation, Cleveland Clinic, Cleveland, Ohio, United States
          Neurological Institute, Cleveland Clinic, Cleveland, Ohio, United States
          Department of Communication Studies, California State University, Los Angeles, Los Angeles, California, United States
      su:
        Medical personnel
        Qualitative research
        Interviewing
        Content analysis
        Psychological well-being
        Communication
        Psychology of caregivers
        Needs assessment
        Information-seeking behavior
        Patients' families
        Alzheimer's disease
        Research funding
        Services for caregivers
        Information needs
        Thematic analysis
        Research methodology
        Dementia
        Caregiver attitudes
      sug:
        subj:
          Medical personnel
          Qualitative research
          Interviewing
          Content analysis
          Psychological well-being
          Communication
          Psychology of caregivers
          Needs assessment
          Information-seeking behavior
          Patients' families
          Alzheimer's disease
          Research funding
          Services for caregivers
          Information needs
          Thematic analysis
          Research methodology
          Dementia
          Caregiver attitudes
      keyword:
        caregivers
        Caregiving
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        https://dx.doi.org/10.1093/geront/gnag091
        inLanguage:en
        phenotype
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42082387/
        caregivers
        Caregiving
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        https://dx.doi.org/10.1093/geront/gnag091
        inLanguage:en
        phenotype
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42082387/
      ab: Background and Objectives Informal caregivers of persons with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) have limited knowledge of the disease, yet they have immense responsibility, such as medication administration, managing symptoms, assisting with activities of daily living, and making end-of-life decisions. Our objective was to explore information seeking among informal caregivers to learn about their information needs. Research Design and Methods We interviewed informal caregivers of persons with AD/ADRD who passed away in the last 2 years. Interviews occurred from July 2024 to June 2025 in a large academic health system. We analyzed information needs of AD/ADRD caregivers using an adapted version of the Four States of Information Needs conceptual framework. We used a deductive-inductive approach, beginning with the existing framework, and then refining it with inductive observations. Results Twenty-seven informal caregivers were interviewed (median age 65 years; 77.8% female; 81.5% white; care provided for a median of 5 years; 63.0% were the patient's child). Four phenotypes were revealed: (a) Proactive Caregivers, who were assertive communicators and motivated to seek information in advance, (b) Activated Caregivers, who had less knowledge than Proactive Caregivers, but communicated with staff and took preemptive measures, (c) Responsive Caregivers, who were overwhelmed and rarely communicated their needs to clinical staff, and (d) Reflective Caregivers, who identified information gaps, but did not always attempt to rectify them. Discussion and Implications The needs of informal caregivers vary. Potentially, clinicians can recognize caregivers' phenotypes and adapt the support they provide to improve the caregiver experience.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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