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Caring for an older person with dementia: Behavioral problems in the eyes of family caregivers and migrant home care workers
Liat Ayalon, Natalie Ulitsa, Anna-Eva Nebowsky, Mark Schweda, Milena von Kutzleben. Dementia, 2025-02-26
Topic: Risk, prevention and care in population studies
The present study addresses the perspectives of Israeli family caregivers and migrant care workers on behavioral problems of persons with dementia. We thematically analyzed interviews with 21 migrant home care workers and 17 family members. Three main themes reported by both family members and migrant home care workers were identified. The first theme concerned the main challenges associated with caring for a person with dementia. The second theme concerned the management of the care recipient's behavioral problems. The last theme concerned the relationship between family members and the migrant home care worker in the context of the care provided to a family member with dementia. Our findings stress that the different stakeholders have quite similar perspectives concerning what the most challenging behaviors associated with dementia are as well as ways to address them. Moreover, both family members and migrant home care workers recognize the role of family members as mediators and as those who ensure adequate working relations of the migrant care workers and thus, are directly responsible for protecting the mental and physical wellbeing of the worker. Policy stakeholders and clinicians responsible for this caregiving arrangement should use these insights to better prepare family members and migrant home care workers for this caregiving context and the challenges it brings.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Ayalon, L., Ulitsa, N., Nebowsky, A.-E., Schweda, M., & von Kutzleben, M. (2025). Caring for an older person with dementia: Behavioral problems in the eyes of family caregivers and migrant home care workers. Dementia. https://doi.org/10.1177/14713012251323661
Vancouver
Ayalon L, Ulitsa N, Nebowsky A.-E, Schweda M, von Kutzleben M. Caring for an older person with dementia: Behavioral problems in the eyes of family caregivers and migrant home care workers. Dementia. 2025. doi:10.1177/14713012251323661. PMID: 40010380.
BibTeX
@article{ayalon2025-40010380,
author = {Ayalon, Liat and Ulitsa, Natalie and Nebowsky, Anna-Eva and Schweda, Mark and von Kutzleben, Milena},
title = {{Caring for an older person with dementia: Behavioral problems in the eyes of family caregivers and migrant home care workers}},
journal = {Dementia},
year = {2025},
doi = {10.1177/14713012251323661},
pmid = {40010380},
url = {https://doi.org/10.1177/14713012251323661}
}
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Key findings
- The first theme concerned the main challenges associated with caring for a person with dementia.
- Our findings stress that the different stakeholders have quite similar perspectives concerning what the most challenging behaviors associated with dementia are as well as ways to address them.
Why it matters
This qualitative study of interviews with 21 migrant home care workers and 17 family members in Israel found that both groups had quite similar perspectives on the most challenging dementia behaviors and ways to address them. It offers insights for preparing family members and care workers, but does not test any treatment, cure or prevention for Alzheimer's disease.
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Study details
- Evidence strengthLow
How this study scored 36/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Dementia) |
| Journal's citation record | 1 / 4 | Dementia: journal h-index 92 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 5 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 3.2× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 5 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Milena von Kutzleben: h-index 11 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Bar-Ilan University: institution h-index 553 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40010380) |
| Free to read | 2 / 2 | Free to read |
| Total | 36 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
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