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The effects of duration of caregiving on institutionalization
Author(s)Joseph E Gaugler, Robert L Kane, Rosalie A Kane
Journal titleThe Gerontologist, vol 45, no 1, February 2005
Pagespp 78-89
Sourcehttp://www.geron.org
KeywordsDementia ; Family care ; Transitional phase ; Admission [nursing homes] ; Longitudinal surveys ; United States of America.
AnnotationThe authors used data from the Medicare Alzheimer's Disease Demonstration Evaluation (MADDE), a 3-year, multi-regional analysis of 4,761 caregivers of individuals with dementia. They conducted multinomial logistic and Cox proportional hazards analyses to determine the moderating effects of duration on behaviour problems when institutionalisation was predicted. The Duration of care X Behaviour problems interaction was not significant in the multinomial regression or Cox hazards models. However, main effects models demonstrated that more recent caregivers were more likely to institutionalise those with dementia than respondents at different stages of the caregiving career. The results emphasise the need to: broaden scientific conceptualisations to consider duration of care as integral; refine targeting when interventions are administered early in the dementia caregiving process; and understand the patterns of attrition when caregiver adaptation is modelled over time. (RH).
Accession NumberCPA-050419203 A
ClassmarkEA: P6:SJ: 4MT: LHB:QKH: 3J: 7T

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