Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease

McGee, Jocelyn

doi:10.11648/j.ajpn.20190701.13

Cited by 2 publications

(2 citation statements)

References 38 publications

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“…Additionally, it has been suggested that caregiver burden may impact mortality rates in persons with dementia [ 12 ], although the reasons are not clear. Preliminary evidence suggests that the caregivers of persons with dementia who do not receive community-based social support (i.e., homemaker and home health services) may experience greater burden, making time to placement in long-term care settings such as nursing homes sooner than the caregivers who receive this support [ 13 ]. Some research suggests that there are higher mortality rates among persons with dementia the first year they are placed in a long-term care setting as compared to living in their own home [ 14 , 15 ].…”

Section: Caregiver Stress and Burdenmentioning

confidence: 99%

“…Geriatrics 2024, 9, 38 2 of 13 Burden among family caregivers has been associated with physical (e.g., sleep difficulties, cardiovascular disease, reduced immune response, etc. ), emotional (e.g., mental health difficulties), social and lifestyle changes (e.g., relationship challenges, lower social engagement) [5,6], and spiritual struggles [7,8].…”

Section: Caregiver Stress and Burdenmentioning

confidence: 99%

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Hope Mediates Stress to Reduce Burden in Family Caregivers of Persons with Alzheimer’s Disease

McGee,

Polson,

Myers

et al. 2024

Geriatrics

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The experience of burden among family caregivers of persons with Alzheimer’s disease and other forms of dementia may be deleterious for their health and well-being. Little is known, however, about the degree to which internal positive psychological resources, such as hope, influence burden perceptions in this population. The current study is novel in that it examined how multiple dimensions of hope, hope–agency and hope–pathway, influenced burden in a sample of one-hundred and fifty-five family caregivers of persons with Alzheimer’s disease. The stress process model was used as the theoretical framework for variable specification in this study. Hope was conceptualized using Snyder and colleagues’ hope theory. Supporting our first hypothesis, we found that burden was negatively associated with hope–agency, r = −0.33, p < 0.001 and hope–pathway, r = −0.24, p < 0.01. Multiple regression was used to determine if hope–agency and hope–pathway independently contributed to burden. Analysis revealed that hope–agency but not hope–pathway influenced burden when other key variables were taken into consideration. Findings from mediation analysis affirmed that hope–agency had a small but significant mediation effect between stress and burden in this sample. This study provides evidence for the relevance of assessing multiple dimensions of hope when working with caregivers of persons with Alzheimer’s. Although replication studies are warranted, the current study confirms a need for further development and refinement of hope-bolstering behavioral interventions which may mediate stress and burden in this population. These interventions should be systematically assessed for efficacy and effectiveness via implementation studies in real-world settings.

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