The Effect of Physical and Cognitive Impairments on Caregiving

Bibliographic Data

ID9100433
AuthorsEric Jutkowitz (0000-0002-1735-8434, Department of Health Services, Policy and Practice, Brown University School of Public Health, corresponding author), Pedro Gozalo (0000-0002-7063-1196, Department of Health Services, Policy and Practice, Brown University School of Public Health, corresponding author), Amal N Trivedi (0000-0002-9695-4727, Brown University, corresponding author), Amal Trivedi (Department of Health Services, Policy and Practice, Brown University School of Public Health), Lauren Mitchell (0000-0002-7900-1924, Center for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System), Joseph E Gaugler (0000-0003-4797-485X, University of Minnesota)
Year2020
Volume58
Issue7
Pages601-609
Publication date2020-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001323
PMID32287048
OpenAlexW3015609942
LanguageEN
Citations received2
References cited33

BACKGROUND: Many older adults receive caregiving; however, less is known about how a change in a care recipient's functional activity limitations [instrumental activities of daily living (IADL) and basic activities of daily living (ADL)] as well as their cognitive impairment influence the amount of caregiving received. METHODS: Using the Health and Retirement Study (2002-2014) we identified community-dwelling respondents with Alzheimer disease and related dementias (ADRD; n=674), cognitive impairment no dementia (CIND; n=530), and no cognitive impairment (n=6126). We estimated a series of two-part regression models to identify the association between care recipients' level of cognitive impairment, change in total number of IADL/ADL limitations and amount of caregiving received. RESULTS: Persons with ADRD received 235.8 (SD=265.6) monthly hours of care compared with 26.0 (SD=92.6) and 6.0 (SD=40.7) for persons with CIND and no cognitive impairment, respectively. An increase in one IADL/ADL limitation resulted in persons with ADRD and CIND receiving 4.90 (95% confidence interval: 3.40-6.39) and 1.43 (95% confidence interval: 0.17-2.69) more hours of caregiving than persons with no cognitive impairment. Increases in total IADL/ADL limitations were associated with persons with ADRD, but not CIND, receiving more days of caregiving and having more caregivers than persons with no cognitive impairment. CONCLUSIONS: Compared with persons with no cognitive impairment, increases in IADL/ADL limitations disproportionally increases the caregiving received for persons with ADRD. Policies and programs must pay attention to functional impairments among those living with ADRD

Activities of daily living · Alzheimer's disease · Cognition · Cognitive impairment · Confidence interval · Dementia · Disease · Physical therapy · Psychiatry · Dementia and Cognitive Impairment Research · Geriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving · Medicine · Psychology · Gerontology

Tools

Open DOIOpen Access