Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease

Background. Anosognosia is common in patients with Alzheimer's disease (AD) and it is frequently related with an increase of time of care demand. Objective. The aim of the study was to examine the effect of anosognosia on the total costs of informal care in patients with AD. Methods. This was a...

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Autores: Turró-Garriga, Oriol, Garre Olmo, Josep, Reñé Ramírez, Ramon, Calvó Perxas, Laia, Gascón-Bayarri, Jordi, Conde Sala, Josep Lluís
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/107151
Acceso en línea:https://hdl.handle.net/2445/107151
Access Level:acceso abierto
Palabra clave:Malaltia d'Alzheimer
Cuidadors
Alzheimer's disease
Caregivers
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spelling Consequences of anosognosia on the cost of caregivers' care in Alzheimer's DiseaseTurró-Garriga, OriolGarre Olmo, JosepReñé Ramírez, RamonCalvó Perxas, LaiaGascón-Bayarri, JordiConde Sala, Josep LluísMalaltia d'AlzheimerCuidadorsAlzheimer's diseaseCaregiversBackground. Anosognosia is common in patients with Alzheimer's disease (AD) and it is frequently related with an increase of time of care demand. Objective. The aim of the study was to examine the effect of anosognosia on the total costs of informal care in patients with AD. Methods. This was a prospective longitudinal study with community-dwelling AD patients. Anosognosia, the number of hours of informal care and the use of support services (p.e. home-care services, day care centers, etc.) were recorded at baseline and after 24 months. The cost of informal caregiving was calculated as 'market price'. Results. At baseline the prevalence of anosognosia was 54.3% (n=221), and 43.9% were classified as mild-AD. The average time spent on care was 5 hours/day ±2.4 (IADL: 1.3 h/d ±1.4 and BADL: 3.6 h/d ±1.5). Thirty percent of the patients used home care services, and 25.1% attended a day care center. Patients with anosognosia were more likely to use support services and received more time of care than did their asymptomatic peers. The presence of anosognosia increased the use of the support services after 24-months, including institutionalization. The mean cost of support services was 490.4 /month (SD=413.1 ; range=25-2,212.38 ), while the overall cost of care (support services plus informal care) was 1,787 /month (SD=972.4 ), ranging from 834.1 in mild-AD patients without anosognosia, to 2,424.8 in severe-AD patients with incident anosognosia. Conclusions. Anosognosia was associated with an increased number of hours of informal care, and a greater use of support services, regardless of the severity of the dementia, which lead to an increase of the total family-care costs.IOS Press2017201720162017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion10 p.application/pdfhttps://hdl.handle.net/2445/107151Articles publicats en revistes (Cognició, Desenvolupament i Psicologia de l'Educació)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3233/JAD-160419Journal of Alzheimer's Disease, 2016, vol. 54, num. 4, p. 1551-1560https://doi.org/10.3233/JAD-160419(c) Turró-Garriga, O. et al., 2016info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1071512026-05-29T05:05:01Z
dc.title.none.fl_str_mv Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
title Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
spellingShingle Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
Turró-Garriga, Oriol
Malaltia d'Alzheimer
Cuidadors
Alzheimer's disease
Caregivers
title_short Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
title_full Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
title_fullStr Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
title_full_unstemmed Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
title_sort Consequences of anosognosia on the cost of caregivers' care in Alzheimer's Disease
dc.creator.none.fl_str_mv Turró-Garriga, Oriol
Garre Olmo, Josep
Reñé Ramírez, Ramon
Calvó Perxas, Laia
Gascón-Bayarri, Jordi
Conde Sala, Josep Lluís
author Turró-Garriga, Oriol
author_facet Turró-Garriga, Oriol
Garre Olmo, Josep
Reñé Ramírez, Ramon
Calvó Perxas, Laia
Gascón-Bayarri, Jordi
Conde Sala, Josep Lluís
author_role author
author2 Garre Olmo, Josep
Reñé Ramírez, Ramon
Calvó Perxas, Laia
Gascón-Bayarri, Jordi
Conde Sala, Josep Lluís
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Malaltia d'Alzheimer
Cuidadors
Alzheimer's disease
Caregivers
topic Malaltia d'Alzheimer
Cuidadors
Alzheimer's disease
Caregivers
description Background. Anosognosia is common in patients with Alzheimer's disease (AD) and it is frequently related with an increase of time of care demand. Objective. The aim of the study was to examine the effect of anosognosia on the total costs of informal care in patients with AD. Methods. This was a prospective longitudinal study with community-dwelling AD patients. Anosognosia, the number of hours of informal care and the use of support services (p.e. home-care services, day care centers, etc.) were recorded at baseline and after 24 months. The cost of informal caregiving was calculated as 'market price'. Results. At baseline the prevalence of anosognosia was 54.3% (n=221), and 43.9% were classified as mild-AD. The average time spent on care was 5 hours/day ±2.4 (IADL: 1.3 h/d ±1.4 and BADL: 3.6 h/d ±1.5). Thirty percent of the patients used home care services, and 25.1% attended a day care center. Patients with anosognosia were more likely to use support services and received more time of care than did their asymptomatic peers. The presence of anosognosia increased the use of the support services after 24-months, including institutionalization. The mean cost of support services was 490.4 /month (SD=413.1 ; range=25-2,212.38 ), while the overall cost of care (support services plus informal care) was 1,787 /month (SD=972.4 ), ranging from 834.1 in mild-AD patients without anosognosia, to 2,424.8 in severe-AD patients with incident anosognosia. Conclusions. Anosognosia was associated with an increased number of hours of informal care, and a greater use of support services, regardless of the severity of the dementia, which lead to an increase of the total family-care costs.
publishDate 2016
dc.date.none.fl_str_mv 2016
2017
2017
2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/107151
url https://hdl.handle.net/2445/107151
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3233/JAD-160419
Journal of Alzheimer's Disease, 2016, vol. 54, num. 4, p. 1551-1560
https://doi.org/10.3233/JAD-160419
dc.rights.none.fl_str_mv (c) Turró-Garriga, O. et al., 2016
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Turró-Garriga, O. et al., 2016
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10 p.
application/pdf
dc.publisher.none.fl_str_mv IOS Press
publisher.none.fl_str_mv IOS Press
dc.source.none.fl_str_mv Articles publicats en revistes (Cognició, Desenvolupament i Psicologia de l'Educació)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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