Short-term residential care for dementia patients: predictors for utilization and expected quality from a family caregiver's point of view.
BACKGROUND
Short-term residential care (SRC) has proved to be effective in reducing the burden on family caregivers of dementia patients. Nevertheless, little is known about the factors which influence its usage or the expectations of family caregivers regarding quality. In this paper we address the following questions: (i) which variables of the care situation, the caregivers and their attitudes act as predictors for the utilization of SRC facilities? (ii) What are the views of caregivers about the quality of SRC?


METHODS
The cross-sectional study was carried out as an anonymous written survey of family caregivers of dementia patients in four regions of Germany. With a 20% response it was possible to analyze the quantitative and qualitative data from 404 and 254 family caregivers respectively. Predictors for utilization were evaluated using binary logistic regression analysis. The answers to questions of quality were evaluated using qualitative content analysis.


RESULTS
Significant predictors for the utilization of SRC are the assessment of the helpfulness of SRC and the caregiver's knowledge of the accessibility of SRC facilities. Family caregivers who had already used SRC most frequently expressed the wish for "good care" in SRC facilities, followed by a program of suitable activities for dementia patients.


CONCLUSIONS
In order to increase the rate of utilization, family caregivers must be convinced of the relevant advantages of using SRC facilities. The staff should be trained in caring for dementia patients and appropriate activities should be available.
Donath
Carolin
C
Medical Psychology and Medical Sociology, Clinic for Psychiatry and Psychotherapy, Erlangen University Hospital, Erlangen, Germany. carolin.donath@uk-erlangen.de
Winkler
Angelika
A
Grässel
Elmar
E
D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000453:epidemiology / Q000451:nursing* / Q000523:psychology; D017028:Caregivers / Q000523:psychology*; D003258:Consumer Behavior; D017281:Cost of Illness; D005260:Female; D005858:Germany; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007380:Intermediate Care Facilities / Q000706:statistics & numerical data* / Q000600:supply & distribution; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data; D011787:Quality of Health Care; D012044:Regression Analysis; D012144:Respite Care / Q000706:statistics & numerical data* / Q000600:supply & distribution; D014600:Utilization Review / Q000706:statistics & numerical data