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ERIC Number: EJ697003
Record Type: Journal
Publication Date: 2005-Apr
Pages: 9
Abstractor: Author
Reference Count: N/A
ISSN: ISSN-0016-9013
Early Community-Based Service Utilization and Its Effects on Institutionalization in Dementia Caregiving
Gaugler, Joseph E.; Kane, Robert L.; Kane, Rosalie A.; Newcomer, Robert
Gerontologist, v45 n2 p177 Apr 2005
Purpose: The present study attempts to determine whether utilizing community-based long-term-care services early in the dementia caregiving career delays time to nursing home placement (adjusting for severity of dementia). Design and Methods: With a reliance on data from 4,761 dementia caregivers recruited from eight catchment areas in the United States and followed over a 3-year period, a Cox proportional hazards model was conducted that considered key components of the stress process (e.g., context of care, primary objective and subjective stressors, and resources), duration, and community-based long-term-care use. Results: Ah analysis of interaction terms in the Cox regression model found that those individuals who utilized in-home help services earlier in their dementia caregiving careers were more likely to delay institutionalization. Implications: The findings suggest the practical importance and cost-effectiveness implications of early community-based service use, and they emphasize the role of timing when one is conceptualizing the proliferation of stress in the dementia caregiving career.
Gerontological Society of America, 1030 15th Street, NW, Suite 250, Washington, DC 20005-1503. Web site:
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: United States