Time Until Institutionalization and Death in Patients With Dementia

The Effects of Counseling Spouse Caregivers of People With Alzheimer Disease Taking Donepezil and of Country of Residence on Rates of Admission to Nursing Homes and Mortality

“…Contrary to our previous findings that comprehensive caregiver training (7, 8) and counseling and support (10, 11) significantly delayed NH placement, by more than1.5 years in the NY study (11), no difference in time to NH admission was observed between the treatment and control groups. Although in a previous study we reported that CG training increased survival until death at five years (but not at eight) (2), we did not find an effect here.…”

The Effects of Counseling Spouse Caregivers of People With Alzheimer Disease Taking Donepezil and of Country of Residence on Rates of Admission to Nursing Homes and Mortality

“…Contrary to our previous findings that comprehensive caregiver training (7, 8) and counseling and support (10, 11) significantly delayed NH placement, by more than1.5 years in the NY study (11), no difference in time to NH admission was observed between the treatment and control groups. Although in a previous study we reported that CG training increased survival until death at five years (but not at eight) (2), we did not find an effect here.…”

Psychosocial Predictors of Dementia Caregiver Desire to Institutionalize: Caregiver, Care Recipient, and Family Relationship Factors

“…In contrast to much of the previous literature investigating predictors of institutionalization, the present study did not find evidence for increased desire to institutionalize associated with caregiver mental health (specifically depression), 4 negative reaction to care recipient behavior problems, 5,8 general health, 8 or severity of the care recipient's dementia. 12 The present study may have been limited by the use of data obtained through baseline assessment of caregivers living with their care recipients who were involved in an intervention study.…”

“…The current findings emphasize the importance of caregiver and family relationship variables in desire to institutionalize. Consistent with previous research examining predictors of institutionalization 2,4,8,11 and findings of Hamel and colleagues, 16 group differences were found in burden, with higher levels of burden seen in those desiring institutionalization relative to those intending to maintain their care recipient at home. The current study also found greater caregiver knowledge about dementia in those desiring to institutionalize, and this appears to be the first report of this finding in the literature.…”

Cognitive decline and survival in Alzheimer's disease

“…We also found that level of cognitive function at the baseline evaluation was inversely related to risk of death, consistent with some previous studies (Walsh et al, 1990;Burns et al, 1991;Evans et al, 1991;Jagger et al, 1995;Moritz et al, 1997;Ruitenberg et al, 2001) but not others (Barclay et al, 1985;Brodaty et al, 1993;Hebert et al, 1995;Bowen et al, 1996;Heyman et al, 1996;Aguero-Torres et al, 1998). The association was not particularly strong, however, which may account for some of the null findings in prior research and which mainly reflects the limitations of using cross-sectional data to characterize a condition that progresses at variable person-specific rates (Wilson et al, 2000).…”

The Effects of Counseling Spouse Caregivers of People With Alzheimer Disease Taking Donepezil and of Country of Residence on Rates of Admission to Nursing Homes and Mortality

“…Contrary to our previous findings that comprehensive caregiver training (7, 8) and counseling and support (10, 11) significantly delayed NH placement, by more than1.5 years in the NY study (11), no difference in time to NH admission was observed between the treatment and control groups. Although in a previous study we reported that CG training increased survival until death at five years (but not at eight) (2), we did not find an effect here.…”

Psychosocial Predictors of Dementia Caregiver Desire to Institutionalize: Caregiver, Care Recipient, and Family Relationship Factors

“…In contrast to much of the previous literature investigating predictors of institutionalization, the present study did not find evidence for increased desire to institutionalize associated with caregiver mental health (specifically depression), 4 negative reaction to care recipient behavior problems, 5,8 general health, 8 or severity of the care recipient's dementia. 12 The present study may have been limited by the use of data obtained through baseline assessment of caregivers living with their care recipients who were involved in an intervention study.…”

“…The current findings emphasize the importance of caregiver and family relationship variables in desire to institutionalize. Consistent with previous research examining predictors of institutionalization 2,4,8,11 and findings of Hamel and colleagues, 16 group differences were found in burden, with higher levels of burden seen in those desiring institutionalization relative to those intending to maintain their care recipient at home. The current study also found greater caregiver knowledge about dementia in those desiring to institutionalize, and this appears to be the first report of this finding in the literature.…”

Cognitive decline and survival in Alzheimer's disease

“…We also found that level of cognitive function at the baseline evaluation was inversely related to risk of death, consistent with some previous studies (Walsh et al, 1990;Burns et al, 1991;Evans et al, 1991;Jagger et al, 1995;Moritz et al, 1997;Ruitenberg et al, 2001) but not others (Barclay et al, 1985;Brodaty et al, 1993;Hebert et al, 1995;Bowen et al, 1996;Heyman et al, 1996;Aguero-Torres et al, 1998). The association was not particularly strong, however, which may account for some of the null findings in prior research and which mainly reflects the limitations of using cross-sectional data to characterize a condition that progresses at variable person-specific rates (Wilson et al, 2000).…”

The Effects of Counseling Spouse Caregivers of People With Alzheimer Disease Taking Donepezil and of Country of Residence on Rates of Admission to Nursing Homes and Mortality

“…Contrary to our previous findings that comprehensive caregiver training (7, 8) and counseling and support (10, 11) significantly delayed NH placement, by more than1.5 years in the NY study (11), no difference in time to NH admission was observed between the treatment and control groups. Although in a previous study we reported that CG training increased survival until death at five years (but not at eight) (2), we did not find an effect here.…”

Psychosocial Predictors of Dementia Caregiver Desire to Institutionalize: Caregiver, Care Recipient, and Family Relationship Factors

“…In contrast to much of the previous literature investigating predictors of institutionalization, the present study did not find evidence for increased desire to institutionalize associated with caregiver mental health (specifically depression), 4 negative reaction to care recipient behavior problems, 5,8 general health, 8 or severity of the care recipient's dementia. 12 The present study may have been limited by the use of data obtained through baseline assessment of caregivers living with their care recipients who were involved in an intervention study.…”

“…The current findings emphasize the importance of caregiver and family relationship variables in desire to institutionalize. Consistent with previous research examining predictors of institutionalization 2,4,8,11 and findings of Hamel and colleagues, 16 group differences were found in burden, with higher levels of burden seen in those desiring institutionalization relative to those intending to maintain their care recipient at home. The current study also found greater caregiver knowledge about dementia in those desiring to institutionalize, and this appears to be the first report of this finding in the literature.…”

Cognitive decline and survival in Alzheimer's disease

“…We also found that level of cognitive function at the baseline evaluation was inversely related to risk of death, consistent with some previous studies (Walsh et al, 1990;Burns et al, 1991;Evans et al, 1991;Jagger et al, 1995;Moritz et al, 1997;Ruitenberg et al, 2001) but not others (Barclay et al, 1985;Brodaty et al, 1993;Hebert et al, 1995;Bowen et al, 1996;Heyman et al, 1996;Aguero-Torres et al, 1998). The association was not particularly strong, however, which may account for some of the null findings in prior research and which mainly reflects the limitations of using cross-sectional data to characterize a condition that progresses at variable person-specific rates (Wilson et al, 2000).…”