Mitigating Caregiver Distress in South Western Ontario: Perspectives on Role, Community, and Care

Can J Aging. 2024 Mar;43(1):114-123. doi: 10.1017/S0714980823000430. Epub 2023 Aug 11.

Abstract

The former South West Local Health Integration Network (SW LHIN) of Ontario, which is in a predominantly rural region, regularly reports the lowest rates of caregiver distress in the province. Caregivers from rural communities regularly face challenges related to the access, applicability, and availability of supports and services, This qualitative case study describes perspectives of caregiving from the region, and explores how role construction and expectations of caregivers might both mitigate distress and influence service support use. Thematic analysis identified five themes: anticipated care, gendered caring, service support assumptions, confidence in community, and the "line in the sand": care decisions for evolving needs. Using the lens of caregiver identity theory, the findings suggest that these caregivers conceptualize identity as an extension of their primary role, to include caregiving obligations and responsibilities. We also noted a steadfast confidence in community and perceived service support assumptions across the region, with no notable rural-urban divide.

Keywords: aging; aidance; caregiver distress; caregiver identity theory; caregiving; communauté; community; détresse des aidants; identité de rôle; role identity; rural aging; théorie de l’identité de l’aidant; vieillissement; vieillissement en milieu rural.

MeSH terms

  • Caregivers*
  • Humans
  • Ontario
  • Qualitative Research