Sophie Vandepitte1, Koen Putman2, Nele Van Den Noortgate3, Sofie Verhaeghe4, Eric Mormont5,6, Lisa Van Wilder4, Delphine De Smedt4, Lieven Annemans4. 1. Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium, sophie.vandepitte@ugent.be. 2. Department of Medical Sociology, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium. 3. Department of Internal Medicine, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. 4. Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium. 5. CHU UCL Namur, Service de Neurologie, Yvoir, Belgium. 6. Université Catholique de Louvain, Institute of NeuroScience, Louvain-la-Neuve, Belgium.
Abstract
BACKGROUND/AIMS: Dementia is one of the main reasons for institutionalization among the elderly. Few studies have explored factors associated with the caregivers' (CG) desire to institutionalize (DTI) a person with dementia (PWD). The objective of this study is to identify modifiable and non-modifiable psychosocial and sociodemographic factors associated with a caregiver's DTI. METHODS: Cross-sectional data of 355 informal CG of community-dwelling PWD were analyzed. Several characteristics were identified in CG and PWD to be included in a multivariable regression model based on the purposeful selection method. RESULTS: Positively modifiable associated factors were: higher CG burden, being affected by behavioral problems, and respite care use. Positively associated non-modifiable factors were: CG older age, being professionally active, and CG higher educational level. Cohabitation and change of professional situation were negatively associated. CONCLUSION: Although no causality can be assumed, several practical recommendations can be suggested. First of all, these results reconfirm the importance of multicomponent strategies, especially support aimed at decreasing burden and in learning coping strategies. Also, CG might benefit from information about support options, such as respite care services. Finally, special attention should be given to older and working CG. In the latter, flexible and adaptive working conditions might alleviate burden and therefore reduce the DTI of the PWD.
BACKGROUND/AIMS: Dementia is one of the main reasons for institutionalization among the elderly. Few studies have explored factors associated with the caregivers' (CG) desire to institutionalize (DTI) a person with dementia (PWD). The objective of this study is to identify modifiable and non-modifiable psychosocial and sociodemographic factors associated with a caregiver's DTI. METHODS: Cross-sectional data of 355 informal CG of community-dwelling PWD were analyzed. Several characteristics were identified in CG and PWD to be included in a multivariable regression model based on the purposeful selection method. RESULTS: Positively modifiable associated factors were: higher CG burden, being affected by behavioral problems, and respite care use. Positively associated non-modifiable factors were: CG older age, being professionally active, and CG higher educational level. Cohabitation and change of professional situation were negatively associated. CONCLUSION: Although no causality can be assumed, several practical recommendations can be suggested. First of all, these results reconfirm the importance of multicomponent strategies, especially support aimed at decreasing burden and in learning coping strategies. Also, CG might benefit from information about support options, such as respite care services. Finally, special attention should be given to older and working CG. In the latter, flexible and adaptive working conditions might alleviate burden and therefore reduce the DTI of the PWD.
Authors: Megan Shepherd-Banigan; Valerie A Smith; Jennifer H Lindquist; Michael Paul Cary; Katherine E M Miller; Jennifer G Chapman; Courtney H Van Houtven Journal: Trials Date: 2020-02-14 Impact factor: 2.279
Authors: S Vandepitte; L Van Wilder; K Putman; N Van Den Noortgate; S Verhaeghe; J Trybou; L Annemans Journal: BMC Geriatr Date: 2020-01-16 Impact factor: 3.921
Authors: Simon Krutter; Dagmar Schaffler-Schaden; Roland Eßl-Maurer; Alexander Seymer; Juergen Osterbrink; Maria Flamm Journal: Health Soc Care Community Date: 2021-05-07