Centre for Policy on Ageing



Caregiving and institutionalization of cognitively impaired older people — utilizing dynamic predictors of change
Author(s)	Joseph E Gaugler, Robert L Kane, Rosalie A Kane
Journal title	The Gerontologist, vol 43, no 2, April 2003
Pages	pp 219-229
Keywords	Dementia ; Family care ; Admission [nursing homes] ; Correlation ; Longitudinal surveys ; United States of America.
Annotation	Reliable predictors of nursing home entry were investigated in a sample of 3,944 older Americans with dementia living at home at baseline. Strengths of the analysis included a multi-regional recruitment strategy, incorporation of salient caregiver characteristics, and study over a 3-year timespan that allowed for the modelling of change in important variables (e.g. care recipient functional status or caregiving indicators) when time to institutionalisation is predicted. Data were derived from the control sample of the Medicare Alzheimer's Disease Demonstration Evaluation (MADDE). Although several results were consistent with previous findings, caregiving indicators (i.e. burden and self-rated health) and community-based service use were significant predictors of earlier placement. Change in caregiver instrumental activities of daily living (IADLs) and care recipient ADLs were also related to expedited institutionalisation. (RH).
Accession Number	CPA-030515221 A
Classmark	EA: P6:SJ: LHB:QKH: 49: 3J: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.