Abstract

AbstractCaregiver quality of life is a predictor of physical/psychological caregiving abilities. The purpose of this study was to determine older adult and caregiver health-related quality of life and caregiver self-efficacy for surrogate decision-making. Mixed methods analyses were used for data collected from African American caregivers of African American older adults with dementia (N=65). Caregivers rated their own health-related quality of life and self-efficacy for surrogate decision-making. They also rated their older adult’s health-related quality of life. A subsample (n=18) were interviewed. Caregivers rated their own health-related quality of life as high. They rated their older adults’ health-related quality of life as well as their own self-efficacy for surrogate decision-making as high. Caregivers described challenges and triumphs related to quality of life and decision-making. Older adults’ health-related quality of life that is comparable to caregivers’ perceptions of their role as a capable caregiver/decision-maker creates complex interplay whereby decisions are made.

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