{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:45:28Z","timestamp":1777549528097,"version":"3.51.4"},"reference-count":78,"publisher":"SAGE Publications","issue":"7-8","license":[{"start":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T00:00:00Z","timestamp":1522022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG041781"],"award-info":[{"award-number":["R01AG041781"]}],"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":["R01AG049692"],"award-info":[{"award-number":["R01AG049692"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015981","name":"Johns Hopkins School of Nursing","doi-asserted-by":"crossref","award":["Ellen Levi Zamoiski Fellowship"],"award-info":[{"award-number":["Ellen Levi Zamoiski Fellowship"]}],"id":[{"id":"10.13039\/100015981","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000909","name":"John A. Hartford Foundation","doi-asserted-by":"publisher","award":["John A. Hartford National Center for Gerontologica"],"award-info":[{"award-number":["John A. Hartford National Center for Gerontologica"]}],"id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dementia"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Although African-American dementia caregivers report less upset and more confidence managing aggressive behaviors when compared to whites, their contextual experience remains unclear and this study explores that context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured interviews with 13 African-American family caregivers were analyzed using content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two themes emerged, \u201cIt\u2019s the disease\u2026not the person\u201d and \u201cYou got to pick your battles.\u201d \u201cIt\u2019s the disease\u2026not the person,\u201d reframing aggressive behavior, included three sub-themes. Sometimes the person with dementia seemed like a stranger but caregivers remembered \u201cIn there somewhere is that person.\u201d Aggressive behavior made this perspective difficult as they reported, \u201cSometimes it\u2019s hard not to take it personal.\u201d Premorbid dyadic conflict made caregiving difficult but caregivers remembered they were \u201cNot who they were then.\u201d \u201cYou got to pick your battles,\u201d reflecting cognitive and behavioral strategies, also included three sub-themes. Participants prioritized caregiving over other commitments by reminding themselves \u201cI got to do what I gotta do.\u201d Preventing aggressive behaviors was most successful when \u201cWe didn\u2019t argue\u2026we didn\u2019t insist\u201d and caregivers remembered \u201cDon\u2019t put her in a position to fail\u201d when involving the person with dementia in activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>African-American caregivers described substantial challenges when confronted by aggressive behaviors. Strategies employed by caregivers enabled them to maintain a caring perspective and the person with dementia to maintain calm. Interventions that help caregivers manage aggressive behaviors may benefit by considering the challenges, cultural values, and effective strategies used by African-Americans.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1471301218765946","type":"journal-article","created":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T10:11:18Z","timestamp":1522059078000},"page":"3036-3058","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["African-American caregivers\u2019 perspectives on aggressive behaviors in dementia"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6116-295X","authenticated-orcid":false,"given":"Bryan R","family":"Hansen","sequence":"first","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy A","family":"Hodgson","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura N","family":"Gitlin","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,26]]},"reference":[{"key":"bibr1-1471301218765946","doi-asserted-by":"publisher","DOI":"10.1177\/153331759601100603"},{"key":"bibr2-1471301218765946","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2012.02.001"},{"key":"bibr3-1471301218765946","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2015.02.003"},{"key":"bibr4-1471301218765946","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.12095"},{"key":"bibr5-1471301218765946","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12549"},{"key":"bibr6-1471301218765946","unstructured":"Brown A. 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