The sandwich generation caregivers provide simultaneous care for multiple generations. Caregiving is a dynamic process, and each generation has its unique set of needs. Moreover, studies have indicated a growing population within this group. However, despite extensive research efforts, the caregiving practices employed by the sandwich generation remain inadequately explained. Therefore, the objective of this study was to shed light on the caregiving practices offered by the sandwich generation. The grounded theory approach was selected as the conceptual framework for investigating the research objective. Purposive and snowball sampling methods were utilized to recruit 18 participants from the sandwich generation. The data collected through interviews and observations were analyzed using the 2015 version of Corbin and Strauss methodology. The findings revealed that sandwich generation caregivers are influenced by prominent personality traits, issues related to the elderly, and dependencies and interdependencies within the caregiving process. Sandwich caregivers employ a range of strategies influenced by intervening and background factors. Throughout this process, caregivers encounter both positive and negative consequences. Consequently, policymakers and planners should prioritize the establishment and expansion of support systems for caregiving.
Objectives: As the elderly population increases, the need for their care and establishing nursing homes and hiring formal caregivers becomes more significant. Caregivers are under the pressure and burden of care due to the provision of services. The current study investigates the effect of Cognitive-Behavioral Therapy (CBT)-based social work intervention on the extent of care burden among the formal caregivers of the elderly. Methods: This research was a quasi-experimental study with a pretest-posttest-follow-up design. The study’s statistical population comprised the formal caregivers of the elderly. The study sample consisted of 30 caregivers (15 men and 15 women), who were selected by convenience sampling method. The study participants received seven 90-min intervention sessions (CBT-based social work). The intervention protocol was validated by the Agree form using expert opinion evaluation. For data collection, the Zarit caregiver burden interview (short-form) was used. This scale has been validated by Rajabi Mashhadi et al. (2014) in Iran. Results: The care burden score of the explored participants was 24.20, within the average level. The repeated-measures analysis of variance revealed that the presented intervention provided a significant difference between the two stages of pretest and posttest in physical (P=0.004) and psychological (P=0.05) dimensions. Also, the changes in the study variables remained constant until the follow-up stage. Discussion: The obtained data indicate that the provided CBT-based social work intervention with the dimensions of identifying and accessing supportive resources, modifying attitude, and relaxation training can reduce the burden of care in physical, psychological, and general aspects among the study subjects. Therefore, more use of this intervention by specialists can affect the care burden of formal caregivers. The present research results also highlight the necessity for the attention of nursing home officials, social policymakers, and professionals active in the field of elderly care.
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