Related Experiment Video
Updated: Aug 19, 2025
12:18
A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
7.6K
Predicting Hospice Transitions in Dementia Caregiving Dyads: An Exploratory Machine Learning Approach
Suzanne S Sullivan1, Wei Bo2, Chin-Shang Li1
1School of Nursing, University at Buffalo, Buffalo, New York, USA.
Innovation in Aging
|December 1, 2022
Summary
Hospice care access for individuals with dementia is influenced by health, socioeconomic factors, and caregiver support. Machine learning models identified key predictors for hospice utilization over three years.
Area of Science:
- Gerontology
- Health Services Research
- Dementia Care
Background:
- Hospice programs support individuals with serious illnesses and their caregivers, facilitating aging in place and end-of-life care at home.
- Existing research on dementia care transitions is often cross-sectional, lacking longitudinal data on hospice uptake, access, and equity.
Purpose of the Study:
- To analyze longitudinal factors influencing hospice utilization among persons with dementia and their caregivers.
- To identify social determinants of health and quality-of-life indicators impacting hospice care access.
Main Methods:
- Secondary data analysis using the National Health and Aging Trends Study and National Study of Caregiving (2015-2018).
- Employed machine learning techniques including correlation matrix analysis, principal component analysis, random forest (RF), and information gain ratio (IGR).
Main Results:
- Information Gain Ratio identified predictors of hospice use: diabetes, regular physician, good memory, not using food stamps, no chewing/swallowing issues, and health not limiting life enjoyment.
- Random Forest identified predictors: caregiver age, dementia patient's income, census division, monthly caregiver support days, and health not limiting life enjoyment.
Conclusions:
- Exploratory models provide a foundation for precision health approaches in serious illness care.
- Further research is needed to understand barriers to hospice care for individuals with dementia who do not utilize these services.
More Related Videos
09:47Author Spotlight: Advancing Alzheimer's Research – Exploring Early Detection and Multi-Omics Approaches
Published on: December 15, 2023
1.2K
04:09Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
Published on: October 10, 2018
8.3K
Related Concept Videos
01:25Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
01:29Documentation in Long-Term and Home Healthcare Setting
957
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
957
01:30Dementia
153
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
153
01:21Cancer Survival Analysis
413
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
413
01:21Kubler Ross's Stages of Dying
237
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
237
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.6K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.6K