Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease

Jocelyn Shealy McGee; Dennis R. Myers; Haley Groce

doi:doi:10.11648/j.ajpn.20190701.13

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Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease

Jocelyn Shealy McGee, Dennis R. Myers, Haley Groce

Published in American Journal of Psychiatry and Neuroscience (Volume 7, Issue 1)

Received: 22 March 2019 Accepted: 15 May 2019 Published: 12 June 2019

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Abstract

There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examine if disease pre-progression rate (PPR) influenced time to NHP; and explore the interaction between disease severity at first use of HCBS and PPR on time to NHP. Findings suggested that earlier introduction of HCBS delayed time to NHP in a univariate model (p = 0.03), but not when covariates were adjusted (p = 0.39); faster PPR resulted in earlier NHP in both univariate (p < 0.001) and covariate adjusted models (p < 0.01); and earlier introduction of HCBS delayed time to NHP (even when PPR was taken into consideration). Implications are discussed.

Published in	American Journal of Psychiatry and Neuroscience (Volume 7, Issue 1)
DOI	10.11648/j.ajpn.20190701.13
Page(s)	12-18
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Dementia, Alzheimer’s, Nursing Home Placement, Community Services

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APA Style

Jocelyn Shealy McGee, Dennis R. Myers, Haley Groce. (2019). Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease. American Journal of Psychiatry and Neuroscience, 7(1), 12-18. https://doi.org/10.11648/j.ajpn.20190701.13

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ACS Style

Jocelyn Shealy McGee; Dennis R. Myers; Haley Groce. Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease. Am. J. Psychiatry Neurosci. 2019, 7(1), 12-18. doi: 10.11648/j.ajpn.20190701.13

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AMA Style

Jocelyn Shealy McGee, Dennis R. Myers, Haley Groce. Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease. Am J Psychiatry Neurosci. 2019;7(1):12-18. doi: 10.11648/j.ajpn.20190701.13

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@article{10.11648/j.ajpn.20190701.13,
  author = {Jocelyn Shealy McGee and Dennis R. Myers and Haley Groce},
  title = {Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {7},
  number = {1},
  pages = {12-18},
  doi = {10.11648/j.ajpn.20190701.13},
  url = {https://doi.org/10.11648/j.ajpn.20190701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20190701.13},
  abstract = {There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examine if disease pre-progression rate (PPR) influenced time to NHP; and explore the interaction between disease severity at first use of HCBS and PPR on time to NHP. Findings suggested that earlier introduction of HCBS delayed time to NHP in a univariate model (p = 0.03), but not when covariates were adjusted (p = 0.39); faster PPR resulted in earlier NHP in both univariate (p < 0.001) and covariate adjusted models (p < 0.01); and earlier introduction of HCBS delayed time to NHP (even when PPR was taken into consideration). Implications are discussed.},
 year = {2019}
}

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TY  - JOUR
T1  - Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease
AU  - Jocelyn Shealy McGee
AU  - Dennis R. Myers
AU  - Haley Groce
Y1  - 2019/06/12
PY  - 2019
N1  - https://doi.org/10.11648/j.ajpn.20190701.13
DO  - 10.11648/j.ajpn.20190701.13
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
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AB  - There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examine if disease pre-progression rate (PPR) influenced time to NHP; and explore the interaction between disease severity at first use of HCBS and PPR on time to NHP. Findings suggested that earlier introduction of HCBS delayed time to NHP in a univariate model (p = 0.03), but not when covariates were adjusted (p = 0.39); faster PPR resulted in earlier NHP in both univariate (p < 0.001) and covariate adjusted models (p < 0.01); and earlier introduction of HCBS delayed time to NHP (even when PPR was taken into consideration). Implications are discussed.
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Author Information

Jocelyn Shealy McGee

Garland School of Social Work, Baylor University, Waco, Texas, USA
Dennis R. Myers

Garland School of Social Work, Baylor University, Waco, Texas, USA
Haley Groce

Garland School of Social Work, Baylor University, Waco, Texas, USA

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APA Style

Jocelyn Shealy McGee, Dennis R. Myers, Haley Groce. (2019). Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease. American Journal of Psychiatry and Neuroscience, 7(1), 12-18. https://doi.org/10.11648/j.ajpn.20190701.13

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ACS Style

Jocelyn Shealy McGee; Dennis R. Myers; Haley Groce. Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease. Am. J. Psychiatry Neurosci. 2019, 7(1), 12-18. doi: 10.11648/j.ajpn.20190701.13

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AMA Style

Jocelyn Shealy McGee, Dennis R. Myers, Haley Groce. Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease. Am J Psychiatry Neurosci. 2019;7(1):12-18. doi: 10.11648/j.ajpn.20190701.13

Copy | Download

@article{10.11648/j.ajpn.20190701.13,
  author = {Jocelyn Shealy McGee and Dennis R. Myers and Haley Groce},
  title = {Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {7},
  number = {1},
  pages = {12-18},
  doi = {10.11648/j.ajpn.20190701.13},
  url = {https://doi.org/10.11648/j.ajpn.20190701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20190701.13},
  abstract = {There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examine if disease pre-progression rate (PPR) influenced time to NHP; and explore the interaction between disease severity at first use of HCBS and PPR on time to NHP. Findings suggested that earlier introduction of HCBS delayed time to NHP in a univariate model (p = 0.03), but not when covariates were adjusted (p = 0.39); faster PPR resulted in earlier NHP in both univariate (p < 0.001) and covariate adjusted models (p < 0.01); and earlier introduction of HCBS delayed time to NHP (even when PPR was taken into consideration). Implications are discussed.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Community Services, Progression Rate, and Nursing Home Placement In Persons with Alzheimer’s Disease
AU  - Jocelyn Shealy McGee
AU  - Dennis R. Myers
AU  - Haley Groce
Y1  - 2019/06/12
PY  - 2019
N1  - https://doi.org/10.11648/j.ajpn.20190701.13
DO  - 10.11648/j.ajpn.20190701.13
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 12
EP  - 18
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20190701.13
AB  - There are many factors influencing when a person with Alzheimer’s disease (AD) or another dementia is placed in a nursing home (NHP). The aims of this study were to determine if introducing home and community-based services (HCBS) at different stages of disease severity influenced time to NHP in a sample of persons living with AD (n = 1210); examine if disease pre-progression rate (PPR) influenced time to NHP; and explore the interaction between disease severity at first use of HCBS and PPR on time to NHP. Findings suggested that earlier introduction of HCBS delayed time to NHP in a univariate model (p = 0.03), but not when covariates were adjusted (p = 0.39); faster PPR resulted in earlier NHP in both univariate (p < 0.001) and covariate adjusted models (p < 0.01); and earlier introduction of HCBS delayed time to NHP (even when PPR was taken into consideration). Implications are discussed.
VL  - 7
IS  - 1
ER  -

Copy | Download