Acceptance Theory of Family Caregiving


caregiver burden
family caregiving

How to Cite

Feliciano, A., Feliciano, E., Palompon, D., & Gonzales, F. (2022). Acceptance Theory of Family Caregiving. Belitung Nursing Journal, 8(2), 86–92.
Google Scholar

Link to Google Scholar

Accepted for publication: 2022-02-12
Peer reviewed: Yes

Related articles in

Search Relations - Article by Author(s)

Share this article on:


Acceptance of roles in the care of older adults by a family caregiver depends on factors emanating from commitment to familial relationships, widespread cultural expectation, and debt of gratitude. This study aims to develop a theory that explains the acceptance of the role of caregiving of the older adults by the family caregiver necessary to predict behavioral adaptation and control caring phenomenon that favors successful meeting of caring expectation across trajectory phases and transitions. A deductive axiomatic approach to theory generation was utilized, resulting in four axioms that served as bases for four propositions. Acceptance Theory of Family Caregiving implies that older adults who expect their children to take care of them as they age have cultural influence and that the acceptance of the role will determine the caregiver’s acceptance of consequences in the form of physical, economical, psychological, and spiritual aspects. In terms of preparedness, family members who accept the possibility of the decline of their older adults are more likely to be assume caregiving roles efficaciously. In the process that family members face in this so-called trajectory caregiving process, resources play a significant role. The developed theory suggests that the care of the older adult in the family caregiving process is determined by the acceptance of role assumption by the family caregiver across trajectory phases. This study highlights the vital implication of acceptance of role assumption to the outcomes of the caregiving process with respect to older adult care, prevention of family caregiver burden, and establishment of strong familial and social relationships.


Copyright (c) 2022 Alfredo Feliciano, Evelyn Feliciano, Daisy Palompon, Ferdinand Gonzales

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Article Metrics

Total views 1736 [Abstract: 838 | PDF: 890 | XML: 8 ]


Download data is not yet available.

PlumX Metrics

Declaration of Conflicting Interest

All authors declare no potential conflict of interest.


All authors would like to thank Cebu Normal University and Angeles University Foundation for the support and encouragement in this academic scholar study.

Authors’ Contributions

AF conceptualized, designed, analyzed, literature searched, and drafted the study. EF contributed to conceptualization, edited, formatted, and prepared the final manuscript draft. DP likewise contributed to conceptualization and analysis, reviewed, and supported concepts with intellectual content and literature search. FG additionally analyzed data with intellectual content and literature search. All authors substantially contributed with equal efforts until approval of the final article and acknowledged that all those entitled to authorship are listed as authors until publication.

Data Availability

Not applicable.


Ainamani, H. E., Alele, P. E., Rukundo, G. Z., Maling, S., Wakida, E. K., Obua, C., & Tsai, A. C. (2020). Caring for people with dementia in rural Uganda: Qualitative study of caregiving burden experienced by informal and formal caregivers. Journal of Global Health Reports, 4.

Bekhet, A. K., & Garnier-Villarreal, M. (2020). Effects of p[ositive thinking on dementia caregivers’ burden and care-recipients’ behavioral problems. Western Journal of Nursing Research, 42(5), 365-372.

Bell, J. F., Whitney, R. L., & Young, H. M. (2019). Family caregiving in serious illness in the United States: Recommendations to support an invisible workforce. Journal of the American Geriatrics Society, 67(S2), S451-S456.

Camak, D. J. (2015). Addressing the burden of stroke caregivers: A literature review. Journal of Clinical Nursing, 24(17-18), 2376-2382.

Committee on Family Caregiving for Older Adults; Board on Health Care Services; Health and Medicine Division; National Academies of Sciences, E., and Medicine. (2016). In R. Schulz & J. Eden (Eds.), Families caring for an aging America. National Academies Press (US).

Donovan, R., Williams, A., Stajduhar, K., Brazil, K., & Marshall, D. (2011). The influence of culture on home-based family caregiving at end-of-life: A case study of Dutch reformed family care givers in Ontario, Canada. Social Science & Medicine, 72(3), 338-346.

Gaugler, J. E., Pestka, D. L., Davila, H., Sales, R., Owen, G., Baumgartner, S. A., Shook, R., Cunningham, J., & Kenney, M. (2018). The complexities of family caregiving at work: A mixed-methods study. The International Journal of Aging and Human Development, 87(4), 347-376.

Gilbert, S. M., Nemeth, L., Amella, E., Edlund, B., & Burggraf, V. (2018). Adult children and the transition of aging parents. Issues in Mental Health Nursing, 39(5), 374-381.

Gitlin, L. N. (2019). Whose responsibility is it? balancing individual, family, and societal needs for supporting seriously ill older adults. Journal of the American Geriatrics Society, 67(Suppl 2), S457-S460.

Han, A., Yuen, H. K., & Jenkins, J. (2021). Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis. Journal of Health Psychology, 26(1), 82-102.

Harvath, T. A., Mongoven, J. M., Bidwell, J. T., Cothran, F. A., Sexson, K. E., Mason, D. J., & Buckwalter, K. (2020). Research priorities in family caregiving: process and outcomes of a conference on family-centered care across the trajectory of serious illness. The Gerontologist, 60(Supplement_1), S5-S13.

Hashemi-Ghasemabadi, M., Taleghani, F., Yousefy, A., & Kohan, S. (2016). Transition to the new role of caregiving for families of patients with breast cancer: A qualitative descriptive exploratory study. Supportive Care in Cancer, 24(3), 1269-1276.

Hickman, R., Zdrodowska, M. A., Kellner, S., Cersonsky, T. E. K., Trujillo Diaz, D., Louis, E. D., & Monin, J. K. (2020). The “Caring Giver”: Emotional caregiving in the setting of essential tremor. Research on Aging, 42(2), 83-91.

Jehangir, A., Collier, A., Shakhatreh, M., Malik, Z., & Parkman, H. P. (2019). Caregiver burden in gastroparesis and GERD: Correlation with disease severity, healthcare utilization and work productivity. Digestive Diseases and Sciences, 64(12), 3451-3462.

Kaplan, D. B., & Berkman, B. J. (2021). Family caregiving for older adults.

Kellner, S., Morgan, S., Gutierrez, J., Collins, K., Rohl, B., Migliore, F., Cosentino, S., Huey, E. D., Louis, E. D., & Monin, J. K. (2017). Perceived embarrassment and caregiver burden in essential tremor caregivers. Journal of the Neurological Sciences, 383, 205-210.

Kivunja, C. (2018). Distinguishing between theory, theoretical framework, and conceptual framework: A systematic review of lessons from the field. International Journal of Higher Education, 7(6), 44-53.

Kristanti, M. S., Kusmaryanto, K., & Effendy, C. (2021). Common ethical dilemmas of family caregivers of palliative patients in Indonesia. Belitung Nursing Journal, 7(3), 246-250.

Levy, S. G. (2017). An axiomatic approach to human behavior. Universal Journal of Psychology, 5(2), 88-94.

Liu, S., Liu, J., Wang, X.-D., Shi, Z., Zhou, Y., Li, J., Yu, T., & Ji, Y. (2018). Caregiver burden, sleep quality, depression, and anxiety in dementia caregivers: A comparison of frontotemporal lobar degeneration, dementia with Lewy bodies, and Alzheimer's disease. International Psychogeriatrics, 30(8), 1131-1138.

Lou, Q., Liu, S., Huo, Y. R., Liu, M., Liu, S., & Ji, Y. (2015). Comprehensive analysis of patient and caregiver predictors for caregiver burden, anxiety and depression in Alzheimer's disease. Journal of Clinical Nursing, 24(17-18), 2668-2678.

Luichies, I., Goossensen, A., & der Meide, H. v. (2021). Caregiving for ageing parents: A literature review on the experience of adult children. Nursing Ethics, 28(6), 844-863.

Nguyen, H., Nguyen, T., Tran, D., & Hinton, L. (2021). “It’s extremely hard but it’s not a burden”: A qualitative study of family caregiving for people living with dementia in Vietnam. PloS One, 16(11), e0259788.

Nguyen, T., & Levkoff, S. (2020). “What Will Come Will Come”: The Journey of adjustment and acceptance on the path of dementia care among Vietnamese family caregivers. Qualitative Health Research, 30(10), 1529-1545.

OMalley, K. A., & Qualls, S. H. (2020). Validation of a comprehensive measure of the family caregiver experience: The Caregiver Reaction Scale. Clinical Gerontologist, 1-11.

Paguirigan, M. R. B. (2019). Services for the older persons. In G. T. Cruz, C. J. P. Cruz, & Y. Saito (Eds.), Ageing and health in the Philippines (pp. 149-160). Economic Research Institute for ASEAN and East Asia.

Paré, G., & Kitsiou, S. (2017). Methods for literature reviews. In F. Lau & C. Kuziemsky (Eds.), Handbook of eHealth evaluation: An evidence-based approach [Internet]. University of Victoria.

Pinto, C., Geraghty, A. W. A., Yardley, L., & Dennison, L. (2021). Emotional distress and well-being among people with motor neurone disease (MND) and their family caregivers: A qualitative interview study. BMJ Open, 11(8), e044724.

Potter, E. C., Roberto, K. A., Brossoie, N., & Blieszner, R. (2017). Decisions, decisions: African American families’ responses to mild cognitive impairment. Research on Aging, 39(4), 476-500.

Reinhard, S. C., Feinberg, L., & Choula, R. (2011). The challenges of family caregiving: What experts say needs to be done. Washington, District of Columbia: AARP Public Policy Institute.

Revenson, T., Griva, K., Luszczynska, A., Morrison, V., Panagopoulou, E., Vilchinsky, N., & Hagedoorn, M. (2016). Caregiving in the illness context. UK: Palgrave Macmillan.

Robinson, C. A., Bottorff, J. L., Pesut, B., & Zerr, J. (2020). Development and implementation of the family caregiver decision guide. Qualitative Health Research, 30(2), 303-313.

Sakakibara, K., Kabayama, M., & Ito, M. (2015). Experiences of “endless” caregiving of impaired elderly at home by family caregivers: A qualitative study. BMC Research Notes, 8(1), 1-11.

Scheibl, F., Farquhar, M., Buck, J., Barclay, S., Brayne, C., & Fleming, J. (2019). When frail older people relocate in very old age, who makes the decision? Innovation in Aging, 3(4), igz030.

Schulz, R., Beach, S. R., Czaja, S. J., Martire, L. M., & Monin, J. K. (2020). Family caregiving for older adults. Annual Review of Psychology, 71, 635-659.

Solomon, D. N., Hansen, L., & Baggs, J. G. (2018). It’s all about the relationship: Cognitively intact mother–daughter care dyads in hospice at home. The Gerontologist, 58(4), 625-634.

Thomas, P. A., Liu, H., & Umberson, D. (2017). Family relationships and well-being. Innovation in Aging, 1(3), igx025.

Ursavas, F. E., Karayurt, Ö., & İşeri, Ö. (2014). Nursing approach based on Roy Adaptation Model in a patient undergoing breast conserving surgery for breast cancer. The Journal of Breast Health, 10(3), 134-140.

Utley, R., Kristina Henry, D. N. P., & Smith, L. (2017). Frameworks for advanced nursing practice and research: Philosophies, theories, models, and taxonomies. New York: Springer Publishing Company.

Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system