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- Title
Factors Associated with the Caregivers' Desire to Institutionalize Persons with Dementia: A Cross-Sectional Study.
- Authors
Vandepitte, Sophie; Putman, Koen; Van Den Noortgate, Nele; Verhaeghe, Sofie; Mormont, Eric; Van Wilder, Lisa; De Smedt, Delphine; Annemans, Lieven
- 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.
- Subjects
TREATMENT of dementia; PSYCHOLOGICAL adaptation; DEMENTIA patients; INSTITUTIONAL care; LEARNING; RESPITE care; JOB performance; MULTIPLE regression analysis; EDUCATIONAL attainment; BEHAVIOR disorders; BURDEN of care; CAREGIVER attitudes; INDEPENDENT living; CROSS-sectional method
- Publication
Dementia & Geriatric Cognitive Disorders, 2018, Vol 46, Issue 5/6, p298
- ISSN
1420-8008
- Publication type
Article
- DOI
10.1159/000494023