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Effective psychosocial intervention for family caregivers lengthens time elapsed before nursing home placement of individuals with dementia: a five-year follow-up study.

Andrén, Signe LU and Elmståhl, Sölve LU (2008) In International Psychogeriatrics 20. p.1177-1192
Abstract
ABSTRACTBackground: This study was designed to determine the effectiveness of a psychosocial intervention for family caregivers in delaying nursing home placement of individuals with dementia.Methods: The participants comprised 153 family caregivers of persons with dementia who underwent intervention and 155 family caregivers who did not. The intervention consisted of five weekly counselling sessions and a three-month conversation group. All patients with dementia underwent a standardized assessment of cognitive and functional ability. The degree of burden and the subjective health of family caregivers were assessed. Participation continued until the patient moved to a nursing home or died, or until five years of living at home had... (More)
ABSTRACTBackground: This study was designed to determine the effectiveness of a psychosocial intervention for family caregivers in delaying nursing home placement of individuals with dementia.Methods: The participants comprised 153 family caregivers of persons with dementia who underwent intervention and 155 family caregivers who did not. The intervention consisted of five weekly counselling sessions and a three-month conversation group. All patients with dementia underwent a standardized assessment of cognitive and functional ability. The degree of burden and the subjective health of family caregivers were assessed. Participation continued until the patient moved to a nursing home or died, or until five years of living at home had passed.Results: There were significant delays (6 months) in nursing home placement, and a longer time at home for persons with dementia with adult children as caregivers in the intervention group compared to the control group at follow-up (p = 0.004). A greater delay of institutionalization was found where intervention-group caregivers were daughters (p = 0.028). The proportional hazards regression showed factors associated with nursing home placement to be the family caregiver's influence on intervention (OR = 1.55, p = 0.019), caregiver gender (OR = 0.66, p = 0.033) and the patient's severity of dementia (OR = 1.45, p = 0.002).Conclusion: Family caregiver intervention for adult children was significantly associated with prolonged time to nursing home placement. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Psychogeriatrics
volume
20
pages
1177 - 1192
publisher
Cambridge University Press
external identifiers
  • wos:000260548500008
  • pmid:18606052
  • scopus:54049083402
ISSN
1741-203X
DOI
10.1017/S1041610208007503
language
English
LU publication?
yes
id
366ada07-a2d0-4d22-a5ea-efb3591efc9e (old id 1181497)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18606052?dopt=Abstract
date added to LUP
2008-08-07 13:19:24
date last changed
2017-09-03 04:51:21
@article{366ada07-a2d0-4d22-a5ea-efb3591efc9e,
  abstract     = {ABSTRACTBackground: This study was designed to determine the effectiveness of a psychosocial intervention for family caregivers in delaying nursing home placement of individuals with dementia.Methods: The participants comprised 153 family caregivers of persons with dementia who underwent intervention and 155 family caregivers who did not. The intervention consisted of five weekly counselling sessions and a three-month conversation group. All patients with dementia underwent a standardized assessment of cognitive and functional ability. The degree of burden and the subjective health of family caregivers were assessed. Participation continued until the patient moved to a nursing home or died, or until five years of living at home had passed.Results: There were significant delays (6 months) in nursing home placement, and a longer time at home for persons with dementia with adult children as caregivers in the intervention group compared to the control group at follow-up (p = 0.004). A greater delay of institutionalization was found where intervention-group caregivers were daughters (p = 0.028). The proportional hazards regression showed factors associated with nursing home placement to be the family caregiver's influence on intervention (OR = 1.55, p = 0.019), caregiver gender (OR = 0.66, p = 0.033) and the patient's severity of dementia (OR = 1.45, p = 0.002).Conclusion: Family caregiver intervention for adult children was significantly associated with prolonged time to nursing home placement.},
  author       = {Andrén, Signe and Elmståhl, Sölve},
  issn         = {1741-203X},
  language     = {eng},
  pages        = {1177--1192},
  publisher    = {Cambridge University Press},
  series       = {International Psychogeriatrics},
  title        = {Effective psychosocial intervention for family caregivers lengthens time elapsed before nursing home placement of individuals with dementia: a five-year follow-up study.},
  url          = {http://dx.doi.org/10.1017/S1041610208007503},
  volume       = {20},
  year         = {2008},
}