Sociodemographic aspects and health care-related outcomes: a latent class analysis of informal dementia care dyads.
Background: Studies revealed the importance to assess dementia care dyads, composed of persons with dementia and their primary informal caregivers, in a differentiated way and to tailor support services to particular living and care circumstances. Therefore, this study aims first to identify classes...
| Publicado en: | BMC Health Services Research Vol. 21; no. 1; pp. 1 - 16 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
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BioMed Central
7/23/2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151541185&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151541185 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726963 1CHS jtl: BMC Health Services Research issn: 14726963 maglogo: N pubinfo: dt: 7/23/2021 vid: 21 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 151541185 151541185 NLM34301241 10.1186/s12913-021-06708-6 NLM34301241 151541185 ppf: 1 ppct: 15 formats: tig: atl: Sociodemographic aspects and health care-related outcomes: a latent class analysis of informal dementia care dyads. aug: au: Wiegelmann, Henrik Wolf-Ostermann, Karin Brannath, Werner Arzideh, Farhad Dreyer, Jan Thyrian, Rene Schirra-Weirich, Liane Verhaert, Lisa affil: Institute for Public Health and Nursing Research, Health Sciences Bremen, University of Bremen, Grazer Straße 4, 28359, Bremen, Germany sug: subj: Quality of Life Dementia Therapy Health Care Delivery Probability Caregivers Child Adult Aged Male Cross Sectional Studies Middle Age Female Interview Guides Questionnaires Child: 6-12 years Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Male Female ab: Background: Studies revealed the importance to assess dementia care dyads, composed of persons with dementia and their primary informal caregivers, in a differentiated way and to tailor support services to particular living and care circumstances. Therefore, this study aims first to identify classes of dementia care dyads that differ according to sociodemographic, care-related and dementia-specific characteristics and second, to compare these classes with regard to healthcare-related outcomes.Methods: We used data from the cross-sectional German DemNet-D study (n = 551) and conducted a latent class analysis to investigate different classes of dementia care dyads. In addition, we compared these classes with regard to the use of health care services, caregiver burden (BIZA-D), general health of the informal caregiver (EQ-VAS) as well as quality of life (QoL-AD) and social participation (SACA) of the person with dementia. Furthermore, we compared the stability of the home-based care arrangements.Results: Six different classes of dementia care dyads were identified, based on best Bayesian Information Criterion (BIC), significant likelihood ratio test (p < 0.001), high entropy (0.87) and substantive interpretability. Classes were labelled as "adult child parent relationship & younger informal caregiver", "adult child parent relationship & middle aged informal caregiver", "non family relationship & younger informal caregiver", "couple & male informal caregiver of older age", "couple & female informal caregiver of older age", "couple & younger informal caregiver". The classes showed significant differences regarding health care service use. Caregiver burden, quality of life of the person with dementia and stability of the care arrangement differed also significantly between the classes.Conclusion: Based on a latent class analysis this study indicates differences between classes of informal dementia care dyads. The findings may give direction for better tailoring of support services to particular circumstances to improve healthcare-related outcomes of persons with dementia and informal caregivers. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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