What is understood about late life partner relationships is largely based on long-term marriage, with little attention given to understanding the process of forming new partnerships in older adulthood. However, marked growth in cohabitation and greater awareness of living apart together (LAT) suggests a need for further investigation. The purpose of this grounded theory study was to explore how decisions about LAT are made among later-life men and women. Twenty-five participants completed life history calendars and semistructured interviews that examined how their current relationships evolved into LAT. Seven contributing factors were identified: relational and personal goals, age, caregiver burden, partner factors, relationship histories, and shifts in social mores. What participants were "doing" during the process of deciding to live apart together was working to resolve their long-held and often ingrained beliefs about romantic relationships. Three preferences for LAT emerged from this study: opposing, ambivalent, and advocating. Future directions for research are discussed.Because of increased life expectancy, singlehood, and late-life divorce, older U.S. Americans have experienced remarkable

Purpose: Social support is an important factor in reducing caregiver burden, however, accessing social support via traditional means is often challenging for family caregivers of hospice patients. Online support groups may offer an effective solution. The present study sought to understand dynamics of online social support among family and other informal (e.g., friends) caregivers of hospice cancer patients in an online social support group. The primary aim of the study was to identify types of online social support and support-seeking behaviors, with a secondary aim to understand informal hospice caregivers' preferences for social support.Method: Data used in this study were collected as part of a federally funded randomized clinical trial of an informal hospice cancer caregiver support intervention. Findings are based on directed and conventional content analysis of support group members' posts and comments-including text and images-and a sample of caregivers' exit interviews.Results: Analyses demonstrated that the majority of online support provided by group members was emotional support, followed by companionship support, appraisal support, and informational support. Instrumental support was rarely provided. Support was primarily elicited in an indirect manner through self-disclosure and patient updates, with few overt requests for support.Conclusions: Findings suggest online social support groups can be a valuable resource for informal caregivers who are in need of emotional support and lack the ability to access face-toface support groups. Clinical implications of this research to healthcare systems regarding the importance of incorporating nurses and other medical professionals as co-facilitators of online support groups are discussed.

End-of-life caregiving is a highly stressful experience often fraught with conflict and tension. However, little is known about the ways family conflict manifests for informal caregivers of home hospice patients (IHCs). Framed by relational dialectics theory, the purpose of this study was to provide nurses and other health care professionals with an empirical understanding of how IHCs experience family conflict and tensions associated with caregiving. A second aim was to determine what strategies IHCs use to manage these family conflicts. Data used in this qualitative secondary analysis were originally collected as part of a randomized clinical trial of an IHC support intervention. Based on thematic analysis of data from 25 IHCs who reported family conflict, a conceptual model of caregiver resilience

While it has been found that Internet group support interventions have a positive effect on social support and self-efficacy, the size and quality of studies are moderate, and thus, large-scale randomized controlled trials are needed for a higher level of evidence.

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