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Factors associated with the caregivers' desire to institutionalize persons with dementia : a cross-sectional study

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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.
Keywords
Institutionalization, Informal care, Alzheimer, SUPPORTING INFORMAL CAREGIVERS, QUALITY-OF-LIFE, ALZHEIMERS-DISEASE, RESPITE CARE, OLDER-PEOPLE, PREDICTORS, HEALTH, SCALE, MILD

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MLA
Vandepitte, Sophie et al. “Factors Associated with the Caregivers’ Desire to Institutionalize Persons with Dementia : a Cross-sectional Study.” DEMENTIA AND GERIATRIC COGNITIVE DISORDERS 46.5-6 (2018): 298–309. Print.
APA
Vandepitte, Sophie, Putman, K., Van Den Noortgate, N., Verhaeghe, S., Mormont, E., Van Wilder, L., De Smedt, D., et al. (2018). Factors associated with the caregivers’ desire to institutionalize persons with dementia : a cross-sectional study. DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 46(5-6), 298–309.
Chicago author-date
Vandepitte, Sophie, Koen Putman, Nele Van Den Noortgate, Sofie Verhaeghe, Eric Mormont, Lisa Van Wilder, Delphine De Smedt, and Lieven Annemans. 2018. “Factors Associated with the Caregivers’ Desire to Institutionalize Persons with Dementia : a Cross-sectional Study.” Dementia and Geriatric Cognitive Disorders 46 (5-6): 298–309.
Chicago author-date (all authors)
Vandepitte, Sophie, Koen Putman, Nele Van Den Noortgate, Sofie Verhaeghe, Eric Mormont, Lisa Van Wilder, Delphine De Smedt, and Lieven Annemans. 2018. “Factors Associated with the Caregivers’ Desire to Institutionalize Persons with Dementia : a Cross-sectional Study.” Dementia and Geriatric Cognitive Disorders 46 (5-6): 298–309.
Vancouver
1.
Vandepitte S, Putman K, Van Den Noortgate N, Verhaeghe S, Mormont E, Van Wilder L, et al. Factors associated with the caregivers’ desire to institutionalize persons with dementia : a cross-sectional study. DEMENTIA AND GERIATRIC COGNITIVE DISORDERS. 2018;46(5-6):298–309.
IEEE
[1]
S. Vandepitte et al., “Factors associated with the caregivers’ desire to institutionalize persons with dementia : a cross-sectional study,” DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, vol. 46, no. 5–6, pp. 298–309, 2018.
@article{8591302,
  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.},
  author       = {Vandepitte, Sophie and Putman, Koen and Van Den Noortgate, Nele and Verhaeghe, Sofie and Mormont, Eric and Van Wilder, Lisa and De Smedt, Delphine and Annemans, Lieven},
  issn         = {1420-8008},
  journal      = {DEMENTIA AND GERIATRIC COGNITIVE DISORDERS},
  keywords     = {Institutionalization,Informal care,Alzheimer,SUPPORTING INFORMAL CAREGIVERS,QUALITY-OF-LIFE,ALZHEIMERS-DISEASE,RESPITE CARE,OLDER-PEOPLE,PREDICTORS,HEALTH,SCALE,MILD},
  language     = {eng},
  number       = {5-6},
  pages        = {298--309},
  title        = {Factors associated with the caregivers' desire to institutionalize persons with dementia : a cross-sectional study},
  url          = {http://dx.doi.org/10.1159/000494023},
  volume       = {46},
  year         = {2018},
}

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