Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease
American Journal of Psychiatry and Neuroscience
Volume 7, Issue 1, March 2019, Pages: 12-18
Received: Mar. 22, 2019; Accepted: May 15, 2019; Published: Jun. 12, 2019
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Authors
Jocelyn Shealy McGee, Garland School of Social Work, Baylor University, Waco, Texas, USA
Dennis R. Myers, Garland School of Social Work, Baylor University, Waco, Texas, USA
Haley Groce, Garland School of Social Work, Baylor University, Waco, Texas, USA
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Abstract
There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examine if disease pre-progression rate (PPR) influenced time to NHP; and explore the interaction between disease severity at first use of HCBS and PPR on time to NHP. Findings suggested that earlier introduction of HCBS delayed time to NHP in a univariate model (p = 0.03), but not when covariates were adjusted (p = 0.39); faster PPR resulted in earlier NHP in both univariate (p < 0.001) and covariate adjusted models (p < 0.01); and earlier introduction of HCBS delayed time to NHP (even when PPR was taken into consideration). Implications are discussed.
Keywords
Dementia, Alzheimer’s, Nursing Home Placement, Community Services
To cite this article
Jocelyn Shealy McGee, Dennis R. Myers, Haley Groce, Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease, American Journal of Psychiatry and Neuroscience. Vol. 7, No. 1, 2019, pp. 12-18. doi: 10.11648/j.ajpn.20190701.13
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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