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Caregiving burden and out-of-home mobility of cognitively impaired care-recipients based on GPS tracking
Author(s)Shirli Werner, Gail K Auslander, Noam Shoval
Journal titleInternational Psychogeriatrics, vol 24, no 11, November 2012
Pagespp 1836-1845
Sourcewww.journals.cambridge.org/ipg
KeywordsInformal care ; Stress ; Cognitive impairment ; Mobility ; Assistive technology ; Evaluation ; Israel.
AnnotationOut-of-home mobility refers to the realisation of trips outside the home, by foot or by other means of transport. Although out-of-home mobility is important for the well-being of older people with cognitive impairment, its importance for their caregivers is not clear. This Israeli study aims to clarify the relationship between caregiving burden and out-of-home mobility of care-recipients using Global Positioning Systems (GPS) technology. 76 dyads (care recipients and caregivers) were recruited from a psychogeriatric centre, where they underwent cognitive assessment, followed by psychosocial interviews at home. Care recipients received GPS tracking kits to carry for a period of four weeks, whenever they left home. Mobility data and diagnostic and psychosocial data were examined in relation to caregiver burden. The strongest predictors of burden were care recipients' lower cognitive status and more time spent walking out-of-home. An interaction was found between cognitive status and time spent walking in relation to caregiver burden. The relationship between walking and burden was stronger among caregivers of care recipients with dementia than caregivers of care recipients with no cognitive impairment or mild cognitive impairment. Care recipients' behavioural and emotional states were also positively related to caregiver burden. The findings stress the importance of maintaining older people's out-of-home mobility during cognitive decline.
Accession NumberCPA-121026117 A
ClassmarkP6: QNH: E4: C4: M: 4C: 7H6

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