Evidence map›Paper›PMID 36917135›Full record

ArticleJournal of the American Geriatrics Society2023

"Out of the clear blue sky she tells me she loves me": Connection experiences between caregivers and people with dementia.

Alissa Bernstein Sideman, Jennifer Merrilees, Sarah Dulaney, Rachel Kiekhofer, Tamara Braley, Kirby Lee, Winston Chiong, Bruce Miller, Stephen J Bonasera, Katherine L Possin

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Long-term effects of collaborative dementia care on quality of life and caregiver well-being.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  2. Article
  3. Caregivers' positive emotional language predicts their depression trajectories after dementia caregiving ends.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Alissa Bernstein SidemanPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, California, USA.
Jennifer MerrileesDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, California, USA.
Sarah DulaneyDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, California, USA.
Rachel KiekhoferDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, California, USA.
Tamara BraleyDivision of Geriatrics, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Kirby LeeDepartment of Clinical Pharmacy, University of California, San Francisco, California, USA.
Winston ChiongDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, California, USA.
Bruce MillerGlobal Brain Health Institute, Department of Neurology, University of California, San Francisco, California, USA.
Stephen J BonaseraDivision of Geriatrics, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Katherine L PossinGlobal Brain Health Institute, Department of Neurology, University of California, San Francisco, California, USA.

Funding

Research Education ComponentP30AG062422 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Gil Dan Rabinovici · 2019 to 2026
$36.9M
The Care Ecosystem Response to COVID-19: Accelerating Research on Dementia Care that Meets the Needs of Caregivers and Persons with Dementia during COVID-19R01AG074710 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POSSIN, KATHERINE LAUREL · 2022 to 2024
$9.1M
The Care Ecosystem: Navigating patients and caregivers through stages of dementia careR01AG056715 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POSSIN, KATHERINE LAUREL · 2017 to 2021
$6.0M
Mapping the Dynamics of Caregiver Burden in Alzheimer's DiseaseK01AG059840 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SIDEMAN, ALISSA BERNSTEIN · 2020 to 2024
$652k
NIA NIH HHS K01 AG059840NIA NIH HHS P30 AG062422NIA NIH HHS R01 AG056715NIA NIH HHS R01 AG074710
6 · The paper itself

Abstract

backgroundDementia can impede the relationship and connection between the person with dementia (PWD) and their caregiver. Yet, caregiving in dementia also offers opportunities for connection, which has implications for caregiver and PWD well-being. In this qualitative study, we describe and characterize ways caregivers felt connected to the person with dementia they care for.

methodsWe conducted a telephone-based survey with caregivers of people with dementia. For this paper, we analyzed responses to an open-ended question focused on when caregivers feel most connected to the person they are caring for. Responses were analyzed and coded and themes were identified through an iterative process involving a multidisciplinary team of researchers and clinicians.

results437 caregivers participated in this study. We identified two domains of connection: activity-based and emotion-based connections. Within activity-based connections, the following themes emerged: everyday activities; reminiscing; activities of caregiving; novel experiences; and time with family and friends. Within emotional connections, the following themes emerged: expressions of love, appreciation, and gratitude; physical affection; sharing an emotion or emotional experience; and times when the PWD seems like "themself" again.

conclusionsFindings provide insights into ways caregivers experience a sense of connection with the person they care for. There is a call to shift away from focusing on reducing stress and toward optimizing positive experiences as a way to better support caregivers' health and well-being. Interventions that leverage these insights to foster caregiver - PWD connection could lead to better health and well-being for both members of the dyad. The amplification of a positive experience may be particularly important for caregivers who are struggling with limited support or respite. Clinicians may be interested in using a question about connection as a way to more fully understand a caregiver's current experience.

Indexed as

DementiaLoveCaregiversEmotionsFemaleHumansPersonal Satisfactioncaregivingconnectiondementiaqualitative research

Identifiers

PMID36917135
PMCPMC10500033

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.