Friend Caregivers Among Older Adults
By
Yee To Ng
Vicki A. Freedman
Kira S. Birditt
Amanda N. Leggett
July 2, 2026
Clinical Scorecard: The Role of Peer Caregivers in Supporting Older Adults
At a Glance
Category Detail
Condition Caregiving for Older Adults
Key Mechanisms Friend caregivers provide support when family caregiving is limited or unavailable.
Target Population Older adults aged 65 years and older living with activity limitations.
Care Setting Community settings, including homes of older adults.
Key Highlights
Increase in family and friend caregivers for older adults from 18 million to 24 million. Older adults without family support are more likely to rely on friends for caregiving. Friend caregivers typically provide fewer hours of care compared to family caregivers. Health declines in older adults can influence friend caregiver involvement. Understanding friend caregiver roles can enhance care planning and delivery.
Guideline-Based Recommendations
Diagnosis
Identify older adults with limited family support who may benefit from friend caregivers.
Management
Engage friend caregivers in care planning for older adults.
Monitoring & Follow-up
Assess the involvement and capacity of friend caregivers in providing care.
Risks
Consider the potential for increased care intensity and complexity affecting friend caregiver willingness.
Patient & Prescribing Data
Older adults with limitations in daily activities.
Friend caregivers may be essential for older adults lacking family support.
Clinical Best Practices
Recognize the role of friend caregivers in the care network of older adults. Utilize data from NHATS to inform caregiver engagement strategies. Evaluate the specific tasks performed by friend caregivers to optimize care delivery.
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