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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Hung, Yu-Hsuan Wang, Wen-Fu Chang, Ming-Che Jhang, Kai-Ming |
| Abstract | Background This study aimed to explore the association between adherence of collaborative care model and short-term deterioration of BPSD after controlling patient and caregiver factors. Methods This retrospective case–control study enrolled 276 participants who were newly diagnosed with dementia and BPSD. A dementia collaborative care team interviewed patients and caregivers to form a care plan and provided individualized education or social resource referrals. A multivariate logistic regression model with backward selection was used to test factors associated with BPSD deterioration, defined as worse neuropsychiatric inventory (NPI) scores 1 year after joining the care model. Results Male sex (odds ratio [OR] = 0.45; 95% confidence interval [CI] = 0.25–0.84) and higher clinical dementia rating scale sum of boxes scores (CDR-SOB) (OR = 0.90; 95% CI = 0.83–0.98) were protective factors, whereas spouse caregivers and withdrawals from the care model (OR = 3.42; 95% CI = 1.28–9.15) were risk factors for BPSD deterioration. Conclusions Our study showed that both patient and caregiver factors were associated with deterioration of BPSD. The case manager-centered dementia collaborative care model is beneficial for the management of BPSD. Healthcare systems may consider implementing a case management model in clinical dementia care practice. |
| Related Links | https://bmcgeriatr.biomedcentral.com/counter/pdf/10.1186/s12877-023-04024-8.pdf |
| Ending Page | 8 |
| Page Count | 8 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14712318 |
| DOI | 10.1186/s12877-023-04024-8 |
| Journal | BMC Geriatrics |
| Issue Number | 1 |
| Volume Number | 23 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2023-05-31 |
| Access Restriction | Open |
| Subject Keyword | Geriatrics Gerontology Aging Rehabilitation Behavioral and psychological symptoms of dementia (BPSD) Case management Dementia collaborative care Joint of Commission of Taiwan (JCT) Disease-Specific Care (DSC) certification program Geriatrics/Gerontology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Geriatrics and Gerontology |
| Journal Impact Factor | 3.4/2023 |
| 5-Year Journal Impact Factor | 4.1/2023 |
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