Predictors of institutionalization for people with dementia living at home with a carer.
OBJECTIVE: This article examines the relationships between behaviour, psychological functioning, the caring environment and subsequent institutionalization in patients with dementia living at home with a carer. DESIGN: Longitudinal study of behaviour in dementia, with a nested case-control study to...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
1998
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| _version_ | 1826264922517929984 |
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| author | Hope, T Keene, J Gedling, K Fairburn, C Jacoby, R |
| author_facet | Hope, T Keene, J Gedling, K Fairburn, C Jacoby, R |
| author_sort | Hope, T |
| collection | OXFORD |
| description | OBJECTIVE: This article examines the relationships between behaviour, psychological functioning, the caring environment and subsequent institutionalization in patients with dementia living at home with a carer. DESIGN: Longitudinal study of behaviour in dementia, with a nested case-control study to investigate predictors of institutionalization. SETTING: Subjects with dementia, known to service, living at home with a carer. All lived in Oxfordshire, UK. PARTICIPANTS: 100 people with dementia (Alzheimer's disease and/or vascular dementia) who were living at home with a carer at the start of the study. MEASURES: At 4-monthly intervals, the carers were interviewed and the subjects with dementia were assessed cognitively. Subjects' behaviour and psychological functioning were assessed using the Present Behavioural Examination. RESULTS: The characteristics which best predicted institutionalization 1 year later were: excessive night-time activity; immobility or difficulty in walking; incontinence; being away from a carer for more than 16 hours a week; and being cared for by a female. Aggressive behaviour was not associated with an increased chance of entry into an institution 1 year later, although it was more prevalent 4 months before entering an institution. CONCLUSIONS: Both behaviour and psychological functioning and the caring environment can help in predicting which patients with dementia currently living at home will enter an institution 1 year later. These predictors are not the same as those which are the immediate cause of institutionalization. |
| first_indexed | 2024-03-06T20:15:35Z |
| format | Journal article |
| id | oxford-uuid:2c0c16d0-50d2-4cf2-b91d-1930a84cb3a2 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:15:35Z |
| publishDate | 1998 |
| record_format | dspace |
| spelling | oxford-uuid:2c0c16d0-50d2-4cf2-b91d-1930a84cb3a22022-03-26T12:34:34ZPredictors of institutionalization for people with dementia living at home with a carer.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2c0c16d0-50d2-4cf2-b91d-1930a84cb3a2EnglishSymplectic Elements at Oxford1998Hope, TKeene, JGedling, KFairburn, CJacoby, ROBJECTIVE: This article examines the relationships between behaviour, psychological functioning, the caring environment and subsequent institutionalization in patients with dementia living at home with a carer. DESIGN: Longitudinal study of behaviour in dementia, with a nested case-control study to investigate predictors of institutionalization. SETTING: Subjects with dementia, known to service, living at home with a carer. All lived in Oxfordshire, UK. PARTICIPANTS: 100 people with dementia (Alzheimer's disease and/or vascular dementia) who were living at home with a carer at the start of the study. MEASURES: At 4-monthly intervals, the carers were interviewed and the subjects with dementia were assessed cognitively. Subjects' behaviour and psychological functioning were assessed using the Present Behavioural Examination. RESULTS: The characteristics which best predicted institutionalization 1 year later were: excessive night-time activity; immobility or difficulty in walking; incontinence; being away from a carer for more than 16 hours a week; and being cared for by a female. Aggressive behaviour was not associated with an increased chance of entry into an institution 1 year later, although it was more prevalent 4 months before entering an institution. CONCLUSIONS: Both behaviour and psychological functioning and the caring environment can help in predicting which patients with dementia currently living at home will enter an institution 1 year later. These predictors are not the same as those which are the immediate cause of institutionalization. |
| spellingShingle | Hope, T Keene, J Gedling, K Fairburn, C Jacoby, R Predictors of institutionalization for people with dementia living at home with a carer. |
| title | Predictors of institutionalization for people with dementia living at home with a carer. |
| title_full | Predictors of institutionalization for people with dementia living at home with a carer. |
| title_fullStr | Predictors of institutionalization for people with dementia living at home with a carer. |
| title_full_unstemmed | Predictors of institutionalization for people with dementia living at home with a carer. |
| title_short | Predictors of institutionalization for people with dementia living at home with a carer. |
| title_sort | predictors of institutionalization for people with dementia living at home with a carer |
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