Home Care for Dementia Patients

Vernooij‐Dassen, Myrra; Huygen, Frans; Felling, A.J.A.; Persoon, Jean

doi:10.1111/j.1532-5415.1995.tb05829.x

Cited by 23 publications

(23 citation statements)

References 10 publications

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“…Considering that not all interactions are emotionally supportive, special attention is needed, in training practitioners, to ensure that they gain supportive skills and that they implement supportive interactions, such as showing empathy with the difficulties of caregiving, These suggestions are consistent with the guidelines provided by Bengtson and Kuypers in their family-support model [6]. An intervention based on this model, carried out by especially trained home helps, yielded encouraging results [52].…”

Section: Discussionmentioning

confidence: 67%

Predictors of sense of competence in caregivers of demented persons

Vernooij‐Dassen¹,

Persoon²,

Felling

1996

Social Science & Medicine

118

111

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Section: Discussionmentioning

confidence: 67%

Predictors of sense of competence in caregivers of demented persons

Vernooij‐Dassen¹,

Persoon²,

Felling

1996

Social Science & Medicine

118

111

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“…Despite the developments of reality orientation in the 1980s, family care studies dominated the international literature. These were largely located in North America and Australia (Brodaty & Gresham, 1989;Mittelman, Ferris, Shulman, Steinberg, & Levin, 1996;Teri, Logsdon, Uomoto, & McCurry, 1997;Zarit, Anthony, & Boutselis, 1987), with the exceptions of a study from the UK (Hinchcliffe, Hyman, Blizard, & Livingston, 1995) and another from the Netherlands (Vernooij-Dassen, Huygen, Felling, & Persoon, 1995). RCTs of intervention for people with dementia were hard to identify, with just one study of cognitive stimulation noted in France (Breuil et al, 1994).…”

Section: Psychosocial Intervention Research: a Historical Perspectivementioning

confidence: 99%

“…One obvious difficulty for psychosocial research in general and European research in particular was a lack of investment compared with the pharmaceutical industry. Also, RCTs were easily missed if published in a language other than English (Gu¨nther, Fuchs, Schett, Meise, & Rhomberg, 1991) or were difficult to evaluate if published as short reports (Vernooij-Dassen et al, 1995). Furthermore, replication was difficult since intervention protocols were not available, either because they were not clearly defined or not available as manuals or because protocols were not translated from one language to another.…”

Section: Psychosocial Intervention Research: the Past Decadementioning

confidence: 99%

Psychosocial interventions in dementia care research: The INTERDEM manifesto

Moniz-Cook

Vernooij‐Dassen

Woods

et al. 2011

Aging & Mental Health

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135

124

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“…Thus 58 pairs actually received the intervention. In contrast to the control group N 65, the experimental group received emotional and practical support from home helps especially trained to deal with caregiver problems according to the family support model (Bengtson and Kuypers, 1985) during 4 hours a week (Vernooij-Dassen et al, 1995).…”

Section: Duration Of Dementia This Was Assessed In Monthsmentioning

confidence: 99%

Predictors of Change and Continuity in Home Care for Dementia Patients

Vernooij‐Dassen¹,

Felling

Persoon

1997

Int. J. Geriat. Psychiatry

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Objective. To investigate predictors of change in the sense of competence of primary caregivers and continuity in home care for dementia patients. Design. A prospective longitudinal study with a follow‐up period of 10 months. Setting. Dementia patients living in the community selected by Dutch general practitioners. Subjects. Pairs of demented patients and their primary caregivers (N=138). Main outcome measures. Sense of competence: a 27‐item scale (α=0.79) based on issues derived from the family crisis model and the Burden Interview. Continuity in home care is determined by the number of patient's admissions to a nursing or retirement home. Results. Regression analysis revealed that a change in the caregiver's sense of competence was independently predicted by characteristics of the patient, the primary caregiver and the professional social network. A decreased sense of competence was associated with a longer duration of dementia and the patient's more agitated behaviour, the caregiver's higher initial sense of competence and being a female caregiver sharing a household with the demented patient. A positive influence on the change in the sense of competence was found when these females received a professional intervention consisting of support for the caregiver. Reporting to be a Catholic or a Protestant compared with not being religiously involved positively influenced the change in sense of competence. Logistic regression analysis identified that continuity in home care was predicted by characteristics of the demented patient and the professional social network of the patient. Predictors of continuation of home care were: lower severity of dementia, patient's higher ADL impairment, the intervention and involvement of regular home help. Institutionalization was more likely when the patient's behaviour was more apathetic and a district nurse was involved in the care. Conclusions. Caregiver characteristics influenced the change in sense of competence but did not influence the risk for institutionalization. Findings suggest that health professionals should pay attention to the negative consequences of agitated behaviour and to the most vulnerable group, females sharing a household with the demented patient.

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Home Care for Dementia Patients

Cited by 23 publications

References 10 publications

Predictors of sense of competence in caregivers of demented persons

Predictors of sense of competence in caregivers of demented persons

Psychosocial interventions in dementia care research: The INTERDEM manifesto

Predictors of Change and Continuity in Home Care for Dementia Patients

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