{"data":{"id":"10.25384/sage.c.4044626.v1","type":"dois","attributes":{"doi":"10.25384/sage.c.4044626.v1","prefix":"10.25384","suffix":"sage.c.4044626.v1","identifiers":[],"alternateIdentifiers":[],"creators":[{"name":"Hansen, Bryan R","nameType":"Personal","givenName":"Bryan R","familyName":"Hansen","affiliation":[],"nameIdentifiers":[]},{"name":"Hodgson, Nancy A","nameType":"Personal","givenName":"Nancy A","familyName":"Hodgson","affiliation":[],"nameIdentifiers":[]},{"name":"Gitlin, Laura N","nameType":"Personal","givenName":"Laura N","familyName":"Gitlin","affiliation":[],"nameIdentifiers":[]}],"titles":[{"title":"African-American caregivers’ perspectives on aggressive\n                    behaviors in dementia"}],"publisher":"Figshare","container":{},"publicationYear":2018,"subjects":[{"subject":"110308 Geriatrics and Gerontology","subjectScheme":"FOR"},{"subject":"FOS: Clinical medicine","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"111099 Nursing not elsewhere classified","subjectScheme":"FOR"},{"subject":"FOS: Health sciences","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"},{"subject":"111708 Health and Community Services","subjectScheme":"FOR"},{"subject":"160512 Social Policy","subjectScheme":"FOR"},{"subject":"FOS: Political science","schemeUri":"http://www.oecd.org/science/inno/38235147.pdf","subjectScheme":"Fields of Science and Technology (FOS)"}],"contributors":[],"dates":[{"date":"2018-03-27","dateType":"Created"},{"date":"2018-03-27","dateType":"Updated"},{"date":"2018","dateType":"Issued"}],"language":null,"types":{"ris":"GEN","bibtex":"misc","citeproc":"article","schemaOrg":"Collection","resourceType":"Collection","resourceTypeGeneral":"Collection"},"relatedIdentifiers":[{"relationType":"IsSupplementTo","relatedIdentifier":"10.1177/1471301218765946","relatedIdentifierType":"DOI"},{"relationType":"IsIdenticalTo","relatedIdentifier":"10.25384/sage.c.4044626","relatedIdentifierType":"DOI"}],"relatedItems":[],"sizes":[],"formats":[],"version":null,"rightsList":[{"rights":"CC BY 4.0","rightsUri":"https://creativecommons.org/licenses/by/4.0"}],"descriptions":[{"description":"PurposeAlthough African-American dementia caregivers report less upset and more\n                        confidence managing aggressive behaviors when compared to whites, their\n                        contextual experience remains unclear and this study explores that\n                        context.MethodsSemi-structured interviews with 13 African-American family caregivers were\n                        analyzed using content analysis.ResultsTwo themes emerged, “It’s the disease…not the\n                        person” and “You got to pick your battles.”\n                        “It’s the disease…not the person,” reframing\n                        aggressive behavior, included three sub-themes. Sometimes the person with\n                        dementia seemed like a stranger but caregivers remembered “In there\n                        somewhere is that person.” Aggressive behavior made this perspective\n                        difficult as they reported, “Sometimes it’s hard not to take\n                        it personal.” Premorbid dyadic conflict made caregiving difficult but\n                        caregivers remembered they were “Not who they were then.”\n                        “You got to pick your battles,” reflecting cognitive and\n                        behavioral strategies, also included three sub-themes. Participants\n                        prioritized caregiving over other commitments by reminding themselves\n                        “I got to do what I gotta do.” Preventing aggressive behaviors\n                        was most successful when “We didn’t argue…we\n                        didn’t insist” and caregivers remembered “Don’t\n                        put her in a position to fail” when involving the person with\n                        dementia in activities.ImplicationsAfrican-American caregivers described substantial challenges when confronted\n                        by aggressive behaviors. Strategies employed by caregivers enabled them to\n                        maintain a caring perspective and the person with dementia to maintain calm.\n                        Interventions that help caregivers manage aggressive behaviors may benefit\n                        by considering the challenges, cultural values, and effective strategies\n                        used by African-Americans.","descriptionType":"Abstract"}],"geoLocations":[],"fundingReferences":[],"xml":"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