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. 2026 Jan 15;13:1751524. doi: 10.3389/fpubh.2025.1751524

Table 2.

Themes, subthemes/codes and categories.

Themes Subthemes Codes/categories Socio-ecological resilience/social role theory mapping
Burdens of rural family caregiving
  1. No time for personal care

  2. Feelings of guilt and helplessness

  3. Giving up on career goals and aspirations

  4. Marital devotion

  5. Lack of social services and support

  1. Fatigue, lack of sleep and appetite, mental exhaustion, multiple tasks to finish, Managing multiple caregiving and personal responsibilities

  2. Anger, role conflict, helplessness, hopelessness, guilt for not being able to provide enough care, and grief.

  3. Not working, turn down employment,

  4. Love, sacrifice, devotion, commitment

  5. Lack of paid caregivers, unaffordable care, lack of access, long distances

a. Individual level/Interpersonal level/role expectations/strain
b. Individual level /Interpersonal level/Role conflict/strain
c. Individual level /Societal/policy level/Role expectations/Division of labor
d. Individual level /Interpersonal level/Gender roles/Socialization/Role expectation
e. Community, Societal and Policy Level /Interpersonal level/Division of labor/Role strain
Caregiver coping and self-care strategies
  1. Use of social media

  2. Online church meetings and meditation apps

  3. Participation in voluntary services

  4. Owning a pet

  1. Emails, sending text messages, Facebook

  2. Virtual church meetings, meditation apps, loneliness

  3. Gardening, walking, mindfulness, exercise camping, cooking, farm horses and animals

  4. Pets give company, pets are sweet, pets are around

a. Individual level /Interpersonal level/Role expectation/Socialization
b. Individual level /community level/Role expectation/socialization
c. Individual level /community level/Role strain relief/socialization
d. Individual level /Interpersonal level/role strain relief/socialization