Activities of Daily Living in Mexican American Caregivers: The Key to Continuing Informal Care

Bronwynne Evans, Michael J. Belyea, David Coon, Ebere Ume

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


La familia drives elder care in Mexican-American (MA) families, but nursing home placement can result from day-to-day caregiving demands that increase caregiver difficulty with activities of daily living (ADLs). Using life course perspective, this article describes the initial data wave of 31 MA caregivers from a descriptive, longitudinal, mixed-methods study of 110 MA caregivers and care recipients over 15 months in their caregiving trajectories. Fifteen of 31 caregivers consistently indicated "no help needed" on the Katz ADL, whereas all but one reported "help needed" during semistructured interviews with cultural brokers. In addition to the discrepancy between results on the Katz ADL and interviews, findings include consideration of nursing home placement by moderately acculturated caregivers and minimization of their illnesses by caregivers. Additional methods of MA caregiver assessment may be needed due to the questionable accuracy of the Katz ADL; additional research should explore minimization and acculturation in MA caregivers.

Original languageEnglish (US)
Pages (from-to)439-466
Number of pages28
JournalJournal of Family Nursing
Issue number4
StatePublished - Nov 2012


  • Mexican-American
  • activities of daily living
  • family caregivers
  • minimization

ASJC Scopus subject areas

  • Community and Home Care
  • Family Practice


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