No abstract

Throughout the life course, all family members can expect to find themselves in some type of caregiving role. Individuals may find themselves providing care for a child or for an older family member who needs assistance. With the increase in life expectancy and the shrinking family size, individuals may find themselves spending time providing care to older family members. Despite the fact that caregiving related issues are well researched in the field of gerontology, the developmental experiences of grandchildren caregivers and the meanings of their caregiving experiences have not been explored in previous empirical work.Influenced by symbolic interactionism theory and the life course and life-span perspectives, the research questions that guide this study are: What is the nature of caregiving from the perspectives of grandchildren in the grandparent-grandchild relationship? What meanings do grandchildren give to the caregiving role? A qualitative study was conducted to examine the experiences of adult grandchildren (21-29 years old) who were currently providing some type of care-related activity for at least one grandparent. Face-to-face semi-structured interviews, lasting 30-80 minutes, with 17 grandchildren caregivers were conducted one time to examine the participants' caregiving experience. All interviews were completed at a location of the participants' choice. Interviews were tape-recorded and tapes were transcribed verbatim to aid in data analysis. Grandchildren caregivers' experiences illustrate variation with the reasons for providing care and the amount of time engaged in care related activities. Grandchildren were assisting with instrumental activities of daily living and activities of daily living.Reasons for providing care included grandparents' chronic illness or gradual aging, a crisis or event that left grandparents needing assistance, and because they had been providing care since they were young children. The amount of time grandchildren engaged in care related activities ranged from daily to several hours a week during summer and winter breaks. Grandchildren caregivers reported that family values, making iii grandparents happy, and preparing for the future were how they made sense of their role.Grandchildren experienced benefits and drawbacks from assisting grandparents and discussed how parents served as mediators and distracters to their caregiving role.Grandchildren caregivers exhibited the ability to adapt to caregiving situations and develop coping mechanisms that allowed them to be successful caregivers. Service professionals may want to include grandchildren caregivers in established support groups, caregiver programs, and enhance caregiver resources to support the generational needs of grandchildren caregivers in their 20s.iv To my grandparents, with love

Shared site intergenerational programs (SSIP) unite disparate age groups in quasi-kin relationships and meet the care needs of multiple generations of families. SSIPs can effectively support development through intergenerational relationships. However, many programs prove unsustainable. The authors conducted a case study of an established SSIP serving frail older adults and preschool-aged children using surveys and interviews from parents, family caregivers, and older adult clients with dementia. Benefits included appreciation for diversity, formation of close intergenerational relationships, and enhanced client self-esteem. Challenges related to developmental differences and need for greater communication with families. SSIPs can benefit individuals, families, and human services organizations.

The objective of this study was to determine whether adult day service use was related to decreases in primary caregiving hours (i.e., the time caregivers spent on activities of daily living/instrumental activities of daily living and behavior problems for care recipients) and care recipient function for these domains. Three-month longitudinal data from the Adult Day Care Collaborative Study (N = 400) were used. Adult day service users reported greater decreases in hours spent on behavior problems when compared to nonusers, even after controlling for baseline differences between the two groups. In addition, adult day service users reported decreased frequency of behavior problems in their relatives who attended adult day programs. The findings suggest that adult day services, if used over time, are effective in restructuring caregiving time and may offer potential benefits not only to family caregivers but to community-residing older adults who have dementia as well.

The findings suggest that adult day services are potentially effective in restructuring caregiving time and providing respite to family members.