Effects of the NYU caregiver intervention-adult child on residential care placement

Joseph E. Gaugler; Mark Reese; Mary S. Mittelman

doi:10.1093/geront/gns193

Effects of the NYU caregiver intervention-adult child on residential care placement

Joseph E. Gaugler, Mark Reese, Mary S. Mittelman

Research output: Contribution to journal › Article › peer-review

56 Scopus citations

Abstract

Purpose: This study determined whether the NYU Caregiver Intervention, adapted in Minnesota for adult child caregivers (NYUCI-AC), prevented or delayed residential care placement for persons with dementia. Design and Methods: A single-blinded randomized controlled trial design was used. One hundred and seven adult child caregivers of persons with dementia were randomly assigned to the NYUCI-AC treatment group who received individual and family counseling, support group referral, and ad hoc consultation or a contact control group. Participants were asked to complete structured assessments quarterly during Year 1 and every 6 months thereafter for a minimum of 2 years. Results: Two thirds (66%) of adult child caregivers in the control condition admitted their parent to a residential care setting compared with 37% in the treatment condition. Logistic regression and Cox proportional hazards models found that NYUCI-AC participants were significantly less likely (p < .05) to admit their parents to a residential care setting and delayed their parents' time to admission significantly longer (228.36 days longer on average) than those in the control group. Implications: The multicomponent NYUCI-AC offered adult children the psychosocial support required to continue providing care to cognitively impaired parents at home.

Original language	English (US)
Pages (from-to)	985-997
Number of pages	13
Journal	Gerontologist
Volume	53
Issue number	6
DOIs	https://doi.org/10.1093/geront/gns193
State	Published - Dec 2013

Bibliographical note

Funding Information:
This research was supported by grant R01 AG01022066. This project was also supported by grant number 1UL1RR033183 from the National Center for Research Resources (NCRR) and by grant number 8 UL1 TR000114-02 from the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) to the University of Minnesota Clinical and Translational Science Institute (CTSI).

Keywords

Alzheimer's disease
Caregiving
Institutionalization
Intervention
Nursing home admission

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abstract = "Purpose: This study determined whether the NYU Caregiver Intervention, adapted in Minnesota for adult child caregivers (NYUCI-AC), prevented or delayed residential care placement for persons with dementia. Design and Methods: A single-blinded randomized controlled trial design was used. One hundred and seven adult child caregivers of persons with dementia were randomly assigned to the NYUCI-AC treatment group who received individual and family counseling, support group referral, and ad hoc consultation or a contact control group. Participants were asked to complete structured assessments quarterly during Year 1 and every 6 months thereafter for a minimum of 2 years. Results: Two thirds (66%) of adult child caregivers in the control condition admitted their parent to a residential care setting compared with 37% in the treatment condition. Logistic regression and Cox proportional hazards models found that NYUCI-AC participants were significantly less likely (p < .05) to admit their parents to a residential care setting and delayed their parents' time to admission significantly longer (228.36 days longer on average) than those in the control group. Implications: The multicomponent NYUCI-AC offered adult children the psychosocial support required to continue providing care to cognitively impaired parents at home.",

keywords = "Alzheimer's disease, Caregiving, Institutionalization, Intervention, Nursing home admission",

author = "Gaugler, {Joseph E.} and Mark Reese and Mittelman, {Mary S.}",

note = "Funding Information: This research was supported by grant R01 AG01022066. This project was also supported by grant number 1UL1RR033183 from the National Center for Research Resources (NCRR) and by grant number 8 UL1 TR000114-02 from the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) to the University of Minnesota Clinical and Translational Science Institute (CTSI).",

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AU - Reese, Mark

AU - Mittelman, Mary S.

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N2 - Purpose: This study determined whether the NYU Caregiver Intervention, adapted in Minnesota for adult child caregivers (NYUCI-AC), prevented or delayed residential care placement for persons with dementia. Design and Methods: A single-blinded randomized controlled trial design was used. One hundred and seven adult child caregivers of persons with dementia were randomly assigned to the NYUCI-AC treatment group who received individual and family counseling, support group referral, and ad hoc consultation or a contact control group. Participants were asked to complete structured assessments quarterly during Year 1 and every 6 months thereafter for a minimum of 2 years. Results: Two thirds (66%) of adult child caregivers in the control condition admitted their parent to a residential care setting compared with 37% in the treatment condition. Logistic regression and Cox proportional hazards models found that NYUCI-AC participants were significantly less likely (p < .05) to admit their parents to a residential care setting and delayed their parents' time to admission significantly longer (228.36 days longer on average) than those in the control group. Implications: The multicomponent NYUCI-AC offered adult children the psychosocial support required to continue providing care to cognitively impaired parents at home.

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KW - Caregiving

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KW - Nursing home admission

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Effects of the NYU caregiver intervention-adult child on residential care placement

Abstract

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