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  1. A family intervention to delay nursing home placement of patients with Alzheimer disease : A randomized controlled trial.

    Article - En anglais

    Objective

    - To determine the long-term effectiveness of comprehensive support and counseling for spouse-caregivers and families in postponing or preventing nursing home placement of patients with Alzheimer disease (AD).

    Design

    - Randomized controlled intervention study.

    Setting

    - Outpatient research clinic in the New York City metropolitan area.

    Participants

    - Referred, volunteer sample of 206 spouse-caregivers of AD patients who enrolled in the study during a 31/2-year period.

    All patients were living at home at baseline and had at least 1 relative living in the area.

    Intervention

    - Caregivers in the treatment group were provided with 6 sessions of individual and family counseling within 4 months of enrollment in the study and were required to join support groups.

    In addition, counselors were available for further counseling at any time.

    Main Outcome Measure

    - Time from enrollment of caregivers in the study to placement of the AD patients in a nursing home.

    Results

    - Using Kaplan-Meier survival analysis, we estimated that the median time (weighted average of estimates for male and female caregivers) from baseline to nursing home placement of AD patients was 329 days longer in the treatment group than in the control group (z=2.29 ; P=02).

    The relative risk (RR) from a Cox proportional hazard model of nursing home placement (intent-to-treat estimate) after adjusting for caregiver sex, patient age, and patient income was 0.65 (95% confidence interval [Cl], 0. (...)

    Mots-clés Pascal : Démence Alzheimer, Milieu familial, Aidant, Soin, A domicile, Evaluation, Vieillard, Homme, Etats Unis, Amérique du Nord, Amérique, Programme sanitaire, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative

    Mots-clés Pascal anglais : Alzheimer disease, Family environment, Caregiver, Care, At home, Evaluation, Elderly, Human, United States, North America, America, Sanitary program, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0072526

    Code Inist : 002B17G. Création : 21/05/1997.