title: Adult daughters providing post-stroke care to a parent: a qualitative study of the impact that role overload has on lifestyle, participation and family relationships.
abstract: OBJECTIVE
  To qualitatively explore daughters' experiences with and response to holding multiple roles while providing post-stroke care to a parent.
  
  
  METHODS
  Qualitative study using a descriptive approach. Semi-structured interviewing was used. Interviews were recorded, transcribed and analyzed to develop themes.
  
  
  METHODS
  General community of a metropolitan city.
  
  
  METHODS
  Twenty-three adult daughters caring for a community-dwelling parent who had suffered a stroke.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Not applicable.
  
  
  RESULTS
  Role overload is a salient issue for daughter caregivers. This overload is best captured by the analogy of "juggling" multiple role demands and responsibilities. Two key themes suggest that role overload resulting from parent care affects daughters': 1) valued relationships (e.g. challenges develop in their relationship with children and partner); and 2) ability to participate in valued activities (e.g. reduced involvement in leisure activities and restricted employment).
  
  
  CONCLUSIONS
  Future support efforts should help daughters manage the caregiving role in light of other responsibilities. This can mitigate overload-related strain in valued relationships and decreased participation in valued activities, thereby contributing to better health and well-being for daughter caregivers.
authors.affiliation: Graduate Department of Rehabilitation Sciences, University of Toronto, Canada.
authors.forename: Marina
authors.initials: M
authors.lastname: Bastawrous
authors.affiliation: Division of Health Care & Outcomes Research, Toronto Western Research Institute, Canada.
authors.forename: Monique A
authors.initials: MA
authors.lastname: Gignac
authors.affiliation: Division of General Internal Medicine and Clinical Epidemiology, Toronto General Research Institute, Canada.
authors.forename: Moira K
authors.initials: MK
authors.lastname: Kapral
authors.affiliation: Graduate Department of Rehabilitation Sciences, University of Toronto, Canada Department of Occupational Science & Occupational Therapy, University of Toronto, Canada jill.cameron@utoronto.ca.
authors.forename: Jill I
authors.initials: JI
authors.lastname: Cameron
mesh_terms: D000328:Adult; D032721:Adult Children; D017028:Caregivers; D017281:Cost of Illness; D005195:Family Relations; D005260:Female; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D010290:Parents; D036301:Qualitative Research; D058992:Social Participation; D020521:Stroke / Q000628:therapy
keywords: Caring; daughter; lifestyle change; qualitative study; role performance; stroke