PMID: 8940320Dec 4, 1996Paper

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

JAMA : the Journal of the American Medical Association
Mary S MittelmanB Levin

Abstract

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). Randomized controlled intervention study. Outpatient research clinic in the New York City metropolitan area. Referred, volunteer sample of 206 spouse-caregivers of AD patients who enrolled in the study during a 3 1/2-year period. All patients were living at home at baseline and had at least 1 relative living in the area. 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. Time from enrollment of caregivers in the study to placement of the AD patients in a nursing home. 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 place...Continue Reading

Citations

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