TY - JOUR
T1 - Determinants of the desire to institutionalize in Alzheimer's caregivers
AU - Gallagher, Damien
AU - Ni Mhaolain, Aine
AU - Crosby, Lisa
AU - Ryan, Deirdre
AU - Lacey, Loretto
AU - Coen, Robert F.
AU - Walsh, Cathal
AU - Coakley, Davis
AU - Walsh, J. Bernard
AU - Cunningham, Conal
AU - Lawlor, Brian A.
PY - 2011/5
Y1 - 2011/5
N2 - Background: The desire to institutionalize is an important predictor of future institutionalization. Few studies have examined potentially modifiable caregiver characteristics which might be the focus of future interventional strategies. Methods: A total of 102 patient/caregiver dyads with Alzheimer's disease (n = 84) or mild cognitive impairment were recruited through a memory clinic. Cross-sectional analyses of a range of patients, caregivers, and context of care-related characteristics were conducted. Results: Caregiver desire to institutionalize was significantly associated with a number of potentially modifiable variables including caregiver coping style, self-efficacy, depression, burden, and the presence of an unmet service need. In a multivariate analysis, caregiver burden, depression, and nonspousal status were the only significant independent predictors of caregiver desire to institutionalize in a model which correctly classified 80.4% of caregivers. Conclusions: Interventions which seek to reduce caregiver desire to institutionalize should adopt a multifactorial approach to reduce symptoms of burden and depression in caregivers.
AB - Background: The desire to institutionalize is an important predictor of future institutionalization. Few studies have examined potentially modifiable caregiver characteristics which might be the focus of future interventional strategies. Methods: A total of 102 patient/caregiver dyads with Alzheimer's disease (n = 84) or mild cognitive impairment were recruited through a memory clinic. Cross-sectional analyses of a range of patients, caregivers, and context of care-related characteristics were conducted. Results: Caregiver desire to institutionalize was significantly associated with a number of potentially modifiable variables including caregiver coping style, self-efficacy, depression, burden, and the presence of an unmet service need. In a multivariate analysis, caregiver burden, depression, and nonspousal status were the only significant independent predictors of caregiver desire to institutionalize in a model which correctly classified 80.4% of caregivers. Conclusions: Interventions which seek to reduce caregiver desire to institutionalize should adopt a multifactorial approach to reduce symptoms of burden and depression in caregivers.
KW - Alzheimer's disease
KW - burden
KW - depression
KW - institutionalization
UR - http://www.scopus.com/inward/record.url?scp=79955802462&partnerID=8YFLogxK
U2 - 10.1177/1533317511400307
DO - 10.1177/1533317511400307
M3 - Article
AN - SCOPUS:79955802462
SN - 1533-3175
VL - 26
SP - 205
EP - 211
JO - American Journal of Alzheimer's Disease and other Dementias
JF - American Journal of Alzheimer's Disease and other Dementias
IS - 3
ER -