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 ORCID: 0000-0003-4340-4702, 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. ISSN 1360-7863

Text (Sabatini, et al, 2024 AMH) - Published Version Available under License Creative Commons Attribution. Download (1MB)

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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:	Care Policy and Evaluation Centre
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:	18 Nov 2024 22:48
URI:	http://eprints.lse.ac.uk/id/eprint/124519

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