AN INTERVENTION THAT DELAYS INSTITUTIONALIZATION OF ALZHEIMERS-DISEASE PATIENTS - TREATMENT OF SPOUSE-CAREGIVERS

被引:217
作者
MITTELMAN, MS [1 ]
FERRIS, SH [1 ]
STEINBERG, G [1 ]
SHULMAN, E [1 ]
MACKELL, JA [1 ]
AMBINDER, A [1 ]
COHEN, J [1 ]
机构
[1] NYU,DEPT PSYCHOL,NEW YORK,NY 10003
关键词
CAREGIVER INTERVENTION; TREATMENT CONTROL STUDY; ALZHEIMERS DISEASE; LONGITUDINAL FOLLOW-UP;
D O I
10.1093/geront/33.6.730
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Spouse-caregivers of Alzheimer's disease patients were randomly assigned to either a treatment group (individual and family counseling, support group participation, and ad hoc consultation) or a control group (only routine support). In the first year after intake, the treatment group had less than half as many nursing home placements as the control group. This suggests that a comprehensive counseling program can reduce the socioeconomic impact of Alzheimer's disease. Nursing home placement also was affected by the patient's need for assistance with activities of daily living, patient income, and the age of the patients and caregivers.
引用
收藏
页码:730 / 740
页数:11
相关论文
共 40 条
[1]   A COMMUNITY-BASED FAMILY PATIENT GROUP PROGRAM FOR ALZHEIMERS-DISEASE [J].
ARONSON, MK ;
LEVIN, G ;
LIPKOWITZ, R .
GERONTOLOGIST, 1984, 24 (04) :339-342
[2]   A PROSPECTIVE-STUDY OF LONG-TERM CARE INSTITUTIONALIZATION AMONG THE AGED [J].
BRANCH, LG ;
JETTE, AM .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1982, 72 (12) :1373-1379
[3]   DEMENTIA - THE EXPERIENCE OF FAMILY CAREGIVERS [J].
CHENOWETH, B ;
SPENCER, B .
GERONTOLOGIST, 1986, 26 (03) :267-272
[4]   EDUCATION TO ASSIST SPOUSES IN COPING WITH ALZHEIMERS-DISEASE - A CONTROLLED TRIAL [J].
CHIVERTON, P ;
CAINE, ED .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1989, 37 (07) :593-598
[5]   THINGS I HAVE LEARNED (SO FAR) [J].
COHEN, J .
AMERICAN PSYCHOLOGIST, 1990, 45 (12) :1304-1312
[6]  
Cohen J., 1983, APPL MULTIPLE REGRES, P490
[7]   CLIENT-RELATED RISK-FACTORS OF NURSING-HOME ENTRY AMONG ELDERLY ADULTS [J].
COHEN, MA ;
TELL, EJ ;
WALLACK, SS .
JOURNALS OF GERONTOLOGY, 1986, 41 (06) :785-792
[8]   PREDICTORS OF INSTITUTIONALIZATION AMONG CAREGIVERS OF PATIENTS WITH ALZHEIMERS-DISEASE [J].
COLERICK, EJ ;
GEORGE, LK .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1986, 34 (07) :493-498
[9]  
*DUK UNIV CTR STUD, 1978, MULT FUNCT ASS OARS
[10]  
FLEISS JL, 1986, J PSYCHIAT RES, V20, P145