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Our aim was to develop a robust and inclusive, globally applicable framework of caregiver\u2010informed support needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In partnership with Alzheimer's Disease International and Roche, we conducted qualitative online semi\u2010structured interviews with 34 family caregivers from the Global North (UK, US) and Global South (Brazil, South Africa) in the COVID\u201019 context. Participant\u2010generated photographs helped encourage discussions of hidden contextual issues. Iterative inductive narrative analysis of interviews and photographs was carried out with input from global and national charity and industry sectors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified a framework of four cross\u2010cultural caring approaches with implications for support: (1) <jats:italic>Empathising<\/jats:italic>, using emotion\u2010focused strategies to develop strong expertise and coping skills, with time specific information, psychosocial and peer support needs. (2) <jats:italic>Organising<\/jats:italic>, using problem\u2010focused strategies, with strong narratives of expertise and advocacy which benefited from early structured information and professional confirmation. (3) <jats:italic>Non\u2010identifying<\/jats:italic> caregiving, where daily aspects of caring occurred without specialist knowledge and expertise, and caregivers sought assistance in managing disease\u2010related support. (4) <jats:italic>Reluctance<\/jats:italic>, where struggling with unwanted caring responsibilities meant caregivers looked to professionals to carry out daily care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings move beyond the \u2018coping\u2010effectiveness\u2019 framework of support to suggest a novel \u2018role\u2010needs\u2019 framework. Our approach supports inclusive ways of tailoring support to fit individual caregiver circumstances globally.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.6141","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T05:10:00Z","timestamp":1726636200000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Role\u2010Needs Framework: Rethinking Support for Informal Caregivers for Alzheimer's Across the Global South and Global North"],"prefix":"10.1002","volume":"39","author":[{"given":"Fauzia","family":"Knight","sequence":"first","affiliation":[{"name":"Psychology, School of Social Sciences University of Westminster  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damien","family":"Ridge","sequence":"additional","affiliation":[{"name":"Psychology, School of Social Sciences University of Westminster  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Loveday","sequence":"additional","affiliation":[{"name":"Psychology, School of Social Sciences University of Westminster  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Weidner","sequence":"additional","affiliation":[{"name":"Alzheimer's Disease International  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jannice","family":"Roeser","sequence":"additional","affiliation":[{"name":"Hoffmann\u2010La Roche Ltd  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candida","family":"Halton","sequence":"additional","affiliation":[{"name":"Studio Health  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3416-468X","authenticated-orcid":false,"given":"Tina","family":"Cartwright","sequence":"additional","affiliation":[{"name":"Psychology, School of Social Sciences University of Westminster  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,17]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"251","article-title":"Current and Future Worldwide Prevalence of Dependency, Its Relationship to Total Population, and Dependency Ratios","volume":"82","author":"Harwood R. 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