{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T01:46:24Z","timestamp":1783043184160,"version":"3.54.6"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:00:00Z","timestamp":1741046400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Ki Sub Joung Innovative Junior Faculty Pilot Award in Aging and Palliative Care"},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG078410"],"award-info":[{"award-number":["K23AG078410"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30AG086562"],"award-info":[{"award-number":["P30AG086562"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000064","name":"National Center for Complementary and Alternative Medicine","doi-asserted-by":"publisher","award":["K24AT011760"],"award-info":[{"award-number":["K24AT011760"]}],"id":[{"id":"10.13039\/100000064","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>Shared stressors are co-experienced by dyad members and increase each\u2019s psychological distress. This study analyzes dyadic qualitative data with dually eligible (i.e., Medicare and Medicaid beneficiaries) residents and their care partners during a subacute\/postacute skilled nursing facility (SNF) stay. We aimed to (1) identify shared stressors that affect both dyad members and (2) explore differences between dyad relationship types.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>Seventeen dyads (N\u2005=\u200534 individuals) participated in semistructured interviews during a SNF stay, separately. There were no exclusion criteria based on relationship type. The dyadic framework method was used to analyze dyads as a single unit, rather than the sum of separate narratives.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The sample consisted of adult child (n\u2005=\u20059, 53%), friend (n\u2005=\u20056, 35%), sibling (n\u2005=\u20051, 6%), and parent (n\u2005=\u20051, 6%) care partners. Four themes emerged, providing insight into shared stressors: (1) balancing autonomy and support; (2) long-term care decision-making; (3) cognitive concerns requiring attention; and (4) preexisting relationships. Care roles and shared stressors were mostly similar across relationship types; although, some inter-dyad differences were noted in decision-making processes and interpersonal dynamics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>This study identified multiple shared stressors that occur during SNF stays, as dyads must navigate changes to autonomy-support structures as well as the care environment, caregiving role, and existing relationship, together. We discuss implications for research, practice, and policy, including dyadic psychological intervention; care partner training for psychological, behavioral, and case management; cognitive symptom assessment, education, and management; and support for long-term care decision-making and transitions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnaf094","type":"journal-article","created":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T02:08:22Z","timestamp":1741140502000},"source":"Crossref","is-referenced-by-count":1,"title":["Navigating a Skilled Nursing Facility Stay Together: A Dyadic Qualitative Study of Dually Eligible Patients and Care Partners"],"prefix":"10.1093","volume":"65","author":[{"given":"Evan","family":"Plys","sequence":"first","affiliation":[{"name":"Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital , Boston, Massachusetts,","place":["USA"]},{"name":"Department of Psychiatry, Harvard Medical School , Boston, 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