TY - JOUR

T1 - Do caregiver profiles predict the use of dementia care services?

T2 - Findings from the Actifcare study

AU - Kerpershoek, Liselot

AU - Woods, Robert

AU - Wolfs, Claire

AU - Verhey, Frans

AU - Jelley, Hannah

AU - Bieber, Anja

AU - Stephan, Astrid

AU - Michelet, Mona

AU - Selbaek, Geir

AU - Handels, Ron

AU - Wimo, Anders

AU - Hopper, Louise

AU - Irving, Kate

AU - Marques, Maria J.

AU - Gonçalves-Pereira, Manuel

AU - Portolani, Elisa

AU - Zanetti, Orazio

AU - de Vugt, Marjolein

AU - Consortium Actifcare, null

PY - 2020/2/1

Y1 - 2020/2/1

N2 - Objectives: Previously developed dementia caregiver profiles defined by caregiver age and burden, have been associated with caregiver quality of life, depression and perseverance time. The current aim was to investigate whether these caregiver profiles could predict subsequent service use. In addition, non-personal (e.g. meals on wheels) and supportive services (e.g. Alzheimer café) in early dementia were investigated as predictors.Methods: A total of 451 dyads of people with dementia and their informal caregivers from eight European countries were followed for one year. People were included if they did not use formal (personal) care but were expected to do so within 1 year. Logistic regression analyses were used with four clusters of service use as dependent variables (home social care, home personal care, day care and admission). The independent variables were caregiver profiles, and non-personal and supportive services at baseline.Results: Caregiver profiles were significant predictors of service use; those experiencing high strain were more likely to use formal care. The use of low-intensity, less intrusive services at baseline significantly predicted the use of home personal care and admission at follow-up. The use of day care at follow-up was predicted by the baseline use of supportive services.Conclusion: Caregiver profiles are valuable predictors for service use: this knowledge can aid professionals in ensuring optimal access to services, which is important for maintaining independence at home. In addition, the use of supportive and less intrusive, non-personal services in the early stages of dementia is to be advised.

AB - Objectives: Previously developed dementia caregiver profiles defined by caregiver age and burden, have been associated with caregiver quality of life, depression and perseverance time. The current aim was to investigate whether these caregiver profiles could predict subsequent service use. In addition, non-personal (e.g. meals on wheels) and supportive services (e.g. Alzheimer café) in early dementia were investigated as predictors.Methods: A total of 451 dyads of people with dementia and their informal caregivers from eight European countries were followed for one year. People were included if they did not use formal (personal) care but were expected to do so within 1 year. Logistic regression analyses were used with four clusters of service use as dependent variables (home social care, home personal care, day care and admission). The independent variables were caregiver profiles, and non-personal and supportive services at baseline.Results: Caregiver profiles were significant predictors of service use; those experiencing high strain were more likely to use formal care. The use of low-intensity, less intrusive services at baseline significantly predicted the use of home personal care and admission at follow-up. The use of day care at follow-up was predicted by the baseline use of supportive services.Conclusion: Caregiver profiles are valuable predictors for service use: this knowledge can aid professionals in ensuring optimal access to services, which is important for maintaining independence at home. In addition, the use of supportive and less intrusive, non-personal services in the early stages of dementia is to be advised.

KW - Dementia

KW - caregiver profiles

KW - informal caregiver

KW - service use

U2 - 10.1080/13607863.2018.1544215

DO - 10.1080/13607863.2018.1544215

M3 - Article

VL - 24

SP - 272

EP - 279

JO - Aging and Mental Health

JF - Aging and Mental Health

SN - 1360-7863

IS - 2

ER -