An intervention that delays institutionalization of Alzheimer's disease patients: treatment of spouse-caregivers.
Spouse-caregivers of Alzheimer's disease patients were randomly assigned to either a treatment group (individual and family counseling, support group participation, and ad hoc consultation) or a control group (only routine support). In the first year after intake, the treatment group had less than half as many nursing home placements as the control group. This suggests that a comprehensive counseling program can reduce the socioeconomic impact of Alzheimer's disease. Nursing home placement also was affected by the patient's need for assistance with activities of daily living, patient income, and the age of the patients and caregivers.
Mittelman
M S
MS
Aging and Dementia Research Center, New York University Medical Center (THN 314), NY 10016.
Ferris
S H
SH
Steinberg
G
G
Shulman
E
E
Mackell
J A
JA
Ambinder
A
A
Cohen
J
J
D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000451:nursing*; D017028:Caregivers / Q000523:psychology*; D003376:Counseling; D005260:Female; D006801:Humans; D007326:Institutionalization; D008297:Male; D008875:Middle Aged; D012944:Social Support