PURPOSE: The present study attempts to determine whether utilizing community-based long-term-care services early in the dementia caregiving career delays time to nursing home placement (adjusting for severity of dementia). DESIGN AND METHODS: With a reliance on data from 4,761 dementia caregivers recruited from eight catchment areas in the United States and followed over a 3-year period, a Cox proportional hazards model was conducted that considered key components of the stress process (e.g., context of care, primary objective and subjective stressors, and resources), duration, and community-based long-term-care use. RESULTS: An analysis of interaction terms in the Cox regression model found that those individuals who utilized in-home help services earlier in their dementia caregiving careers were more likely to delay institutionalization. IMPLICATIONS: The findings suggest the practical importance and cost-effectiveness implications of early community-based service use, and they emphasize the role of timing when one is conceptualizing the proliferation of stress in the dementia caregiving career.
PURPOSE: The present study attempts to determine whether utilizing community-based long-term-care services early in the dementia caregiving career delays time to nursing home placement (adjusting for severity of dementia). DESIGN AND METHODS: With a reliance on data from 4,761 dementia caregivers recruited from eight catchment areas in the United States and followed over a 3-year period, a Cox proportional hazards model was conducted that considered key components of the stress process (e.g., context of care, primary objective and subjective stressors, and resources), duration, and community-based long-term-care use. RESULTS: An analysis of interaction terms in the Cox regression model found that those individuals who utilized in-home help services earlier in their dementia caregiving careers were more likely to delay institutionalization. IMPLICATIONS: The findings suggest the practical importance and cost-effectiveness implications of early community-based service use, and they emphasize the role of timing when one is conceptualizing the proliferation of stress in the dementia caregiving career.
Authors: A Bieber; A Stephan; H Verbeek; F Verhey; L Kerpershoek; C Wolfs; M de Vugt; R T Woods; J Røsvik; G Selbaek; B M Sjölund; A Wimo; L Hopper; K Irving; M J Marques; M Gonçalves-Pereira; E Portolani; O Zanetti; G Meyer Journal: Z Gerontol Geriatr Date: 2017-06-14 Impact factor: 1.281
Authors: Geoffrey Tremont; Jennifer D Davis; Brian R Ott; Rachel Galioto; Cara Crook; George D Papandonatos; Richard H Fortinsky; Pedro Gozalo; Duane S Bishop Journal: J Am Geriatr Soc Date: 2016-12-23 Impact factor: 5.562
Authors: Fei Sun; Daniel W Durkin; Michelle M Hilgeman; Grant Harris; Joseph E Gaugler; Jana Wardian; Rebecca S Allen; Louis D Burgio Journal: Gerontologist Date: 2012-09-07