title: Identifying at-risk dementia caregivers following institutionalization: the nursing home admission-burden and nursing home admission-depression prognostic tools.
abstract: The current study developed prognostic tools to identify dementia caregivers at-risk for clinically relevant burden or depressive symptoms following nursing home admission (NHA) of their family members. A retrospective, longitudinal design was used that included 1,610 dementia caregivers who provided data prior to and up to 6 months following nursing home admission. Response operant characteristic (ROC) curves were constructed to test and validate two prognostic tools: the NHA-Burden and NHA-Depression tools. An ROC curve yielded a sensitivity of 77% and a specificity of 62.5% at a cutoff score of 5.41 for the NHA-Burden Prognostic tool. A second ROC curve indicated a sensitivity of 75.4% and a specificity of 62.5% at a cutoff score of 7.45 for the NHA-Depression tool. Clinicians may wish to utilize cutpoints on the NHA-Burden and NHA-Depression tools to ensure that more persons who are at-risk for clinically significant burden or depression during NHA are identified.
authors: University of Minnesota, Minneapolis, MN, USA gaug0015@umn.edu.
authors: Joseph E
authors: JE
authors: Gaugler
authors: New York University Medical Center, New York, NY, USA.
authors: Mary S
authors: MS
authors: Mittelman
authors: Emory University, Atlanta, GA, USA.
authors: Kenneth
authors: K
authors: Hepburn
authors: University of California, San Francisco, San Francisco, CA, USA.
authors: Robert
authors: R
authors: Newcomer
mesh_terms: D000368:Aged; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003704:Dementia / Q000175:diagnosis / Q000453:epidemiology; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology; D005192:Family Health; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data; D006707:Homes for the Aged; D006801:Humans; D007326:Institutionalization; D008297:Male; D006278:Medicare / Q000706:statistics & numerical data; D008875:Middle Aged; D009735:Nursing Homes; D011379:Prognosis; D012372:ROC Curve; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D014481:United States
keywords: Alzheimer’s disease; caregiving; dementia; nursing homes; stress