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M E de Vugt, F Stevens, P Aalten

    Tijdschrift Voor Gerontologie En Geriatrie
    |December 4, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Caregiver management strategies significantly impact dementia patient behavior and caregiver competence. Acceptance-based strategies, like Nurturers and Supporters, correlate with fewer behavioral issues and higher caregiver confidence compared to Nonadapters.

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    Area of Science:

    • Gerontology
    • Neuroscience
    • Psychology

    Background:

    • Effectiveness of caregiver management strategies on dementia patient functioning is poorly understood.
    • Identifying specific caregiver strategies can illuminate dementia behavioral problem management.

    Purpose of the Study:

    • To investigate the relationship between caregiver management strategies and behavioral disturbances in dementia patients.
    • To explore how caregiver acceptance of the situation influences their strategies and patient outcomes.

    Main Methods:

    • The MAAstricht Study of BEhaviour in Dementia (MAASBED) followed 99 dementia patients and caregivers for one year.
    • Caregiver management strategies were assessed via interviews.
    • Patient behavioral disturbances were measured using the Neuropsychiatric Inventory (NPI).

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  • Repeated measures analysis examined the link between strategies and behavior.

    • Main Results:

    • Three caregiver strategies were identified: Nonadapters, Nurturers, and Supporters, based on acceptance levels.
    • Caregiver sex, education, and personality influenced strategy choice.
    • Nonadapters reported more hyperactivity and felt less competent than Supporters.
    • Supporters reported the least hyperactivity and felt most competent.

    Conclusions:

    • Caregiver management strategies are associated with dementia behavioral problems and caregiver competence.
    • Interventions teaching effective management strategies may reduce patient behavioral issues and caregiver burden.