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

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

Research output: Contribution to journalArticlepeer-review

43 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 languageEnglish (US)
Pages (from-to)985-997
Number of pages13
JournalGerontologist
Volume53
Issue number6
DOIs
StatePublished - 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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