Identifying predictors of transition to a care home for people with dementia: findings from the IDEAL programme

Sabatini, Serena, Martyr, Anthony, Gamble, Laura D., Matthews, Fiona E., Thom, Jeanette M., Henderson, Catherine, Allan, Louise, Pentecost, Claire, Quinn, Catherine, Hunt, Anna and Clare, Linda (2024) Identifying predictors of transition to a care home for people with dementia: findings from the IDEAL programme. Aging & mental health. pp. 1-9. ISSN 1360-7863 (In Press)

Text (Identifying predictors of transition to a care home for people with dementia findings from the IDEAL programme) - Published Version Available under License Creative Commons Attribution. Download (2MB)

• Author

Abstract

Objectives: This study investigates factors associated with the person with dementia and the caregiverto identify those associated with an increased risk of transition to a care home.Method: IDEAL data were collected at baseline and at 12- and 24-month follow-up for 1545 peoplewith dementia and 1305 caregivers. Modified Poisson regressions with an offset for ‘person years at risk’ were used. Person with dementia factors explored were personal characteristics, cognition, health,self- and informant-rated functional ability, and neuropsychiatric symptoms. Caregiver factors explored were personal characteristics, stress, health, and quality of the dyadic relationship.Results: A 5% people moved into care. Risk of moving into a care home was higher among people with dementia who were ≥80 years, among people with Parkinson’s disease dementia or dementia with Lewy bodies, and among those without a spousal caregiver. Poorer cognition and more self-rated or informant-rated functional difficulties increased the risk of moving into care.Conclusion: Factors related to increased dementia severity and greater disability are the primary influences that place people with dementia at greater risk of moving into a care home. Strategies that help to maintain everyday functional ability for people with dementia could help delay people with dementia moving into care.

Item Type:	Article
Additional Information:	© 2024 The Author(s)
Divisions:	Personal Social Services Research Unit
Subjects:	H Social Sciences R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited:	12 Aug 2024 10:51
Last Modified:	12 Aug 2024 10:54
URI:	http://eprints.lse.ac.uk/id/eprint/124519

Actions (login required)

View Item