Does vigilance in decision-making matter for dementia family caregivers?

Sarah B. Wackerbarth, Yelena N. Tarasenko

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Objectives: Family responsibilities and social expectations often prompt conflict in caregivers’ decision-making processes. Janis and Mann's (1977) conflict model describes vigilance as high-quality decision-making resulting in optimal outcomes. The purpose of our research was threefold: (1) to describe decision styles in a population of family caregivers of persons with dementia; (2) to examine the socio-economic characteristics associated with caregivers who are more likely to be vigilant decision-makers; and (3) to assess differences in caregiving experiences between vigilant and non-vigilant caregivers. Method: Our analysis was based on 639 survey respondents recruited from a university-affiliated memory disorders clinic. Results: Our typical caregiver was Caucasian non-Hispanic, was currently married, and had two children. Approximately half of our sample used a ‘pure vigilant’ decision style. Vigilance was associated with more positive and fewer negative caregiving outcomes. Conclusion: Supporting caregivers to become vigilant decision-makers is a functionally viable intervention that could significantly improve the caregiving experience.

Original languageEnglish
Pages (from-to)692-699
Number of pages8
JournalAging and Mental Health
Issue number5
StatePublished - May 4 2018

Bibliographical note

Publisher Copyright:
© 2017 Informa UK Limited, trading as Taylor & Francis Group.


  • Janis and Mann conflict theory
  • caregivers
  • decision support techniques
  • decision-making
  • dementia
  • family

ASJC Scopus subject areas

  • Psychiatric Mental Health
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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