Identifying at-risk dementia caregivers following institutionalization: The nursing home admission-burden and nursing home admission-depression prognostic tools

Joseph E. Gaugler, Mary S. Mittelman, Kenneth Hepburn, Robert Newcomer

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)624-646
Number of pages23
JournalJournal of Applied Gerontology
Volume33
Issue number5
DOIs
StatePublished - Aug 2014

Keywords

  • Alzheimer's disease
  • caregiving
  • dementia
  • nursing homes
  • stress

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