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Vol. 29, No. 2, 2010
Issue release date: April 2010
Section title: Original Research Article
Dement Geriatr Cogn Disord 2010;29:115–122
(DOI:10.1159/000275569)

Predicting Gains in Dementia Caregiving

Liew T.M. · Luo N. · Ng W.Y. · Chionh H.L. · Goh J. · Yap P.
aDepartment of Geriatric Medicine, bGeriatric Centre, cDepartment of Medical Social Service, Alexandra Hospital, dDepartment of Epidemiology and Public Health, eCentre for Health Services Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore

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Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: 12/31/2009
Published online: 2/11/2010

Number of Print Pages: 8
Number of Figures: 1
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM

Abstract

Background: Caregiver gain is an important yet less-explored phenomenon. Being conceptually distinct from burden, factors associated with burden and gain can differ. This study aims to explore factors associated with the experience of gains in dementia caregiving. Method: Cross-sectional study involving caregivers recruited from a tertiary hospital dementia clinic and the local Alzheimer’s Association. Caregivers completed a questionnaire containing the following scales: gain in Alzheimer’s care Instrument (GAIN), General Health Questionnaire (GHQ-28), Dementia Management Strategies Scale (DMSS), Revised Memory and Behavioral Problems Checklist (RMBPC) and Zarit Burden Interview (ZBI). Demographic information for the person with dementia (PWD) and the caregiver was also recorded. Initial screening with univariate analyses (t tests, ANOVAs, Pearson’s correlations) was performed to identify significant (p < 0.05) variables, which were then entered into a multiple regression model to identify variables associated with gain. Result: The final sample comprised 334 caregivers with a mean age of 51.5 years (SD = 10.9, range = 22–85), the majority of whom where Chinese (94.6%) females (71%). Mean GAIN score was 30 (SD = 6.6, range = 7–40). Regression analysis identified 3 factors significantly associated with gains (adjusted R2 32.3%): mental well-being of the caregiver, use of active management as a caregiving strategy, and participation in caregiver educational and support group programmes. Conclusion: The results have important implications for caregiver interventions. Interventions should target maintaining mental well-being, encouraging participation in educational and support programmes, and teaching appropriate coping and dementia specific management strategies to derive good outcomes.


  

Author Contacts

Dr. Philip Yap
Department of Geriatric Medicine, Alexandra Hospital
378 Alexandra Road
Singapore 159964 (Singapore)
Tel. +65 6472 2000, Fax +65 6379 3996, E-Mail philip_yap@alexhosp.com.sg

  

Article Information

Accepted: December 31, 2009
Published online: February 11, 2010
Number of Print Pages : 8
Number of Figures : 1, Number of Tables : 4, Number of References : 34

  

Publication Details

Dementia and Geriatric Cognitive Disorders

Vol. 29, No. 2, Year 2010 (Cover Date: April 2010)

Journal Editor: Chan-Palay V. (New York, N.Y.)
ISSN: 1420-8008 (Print), eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM


Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: 12/31/2009
Published online: 2/11/2010

Number of Print Pages: 8
Number of Figures: 1
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM


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