Searchable Title

NHA-Burden and NHA-Depression Prognostic Tools (appears in: Identifying At-Risk Dementia Caregivers Following Institutionalization: The Nursing Home Admission-Burden and Nursing Home Admission-Depression Prognostic Tools). Copyright: Gaugler, J. E.; Mittelman, M. S.; Hepburn, K.; Newcomer, R.

Reference Type

Journal Article

Authors, Section

Gaugler, J. E.; Mittelman, M. S.; Hepburn, K.; Newcomer, R.

Title, Section

NHA-Burden and NHA-Depression Prognostic Tools (appears in: Identifying At-Risk Dementia Caregivers Following Institutionalization: The Nursing Home Admission-Burden and Nursing Home Admission-Depression Prognostic Tools). Copyright: Gaugler, J. E.; Mittelman, M. S.; Hepburn, K.; Newcomer, R.

Publication Year

2014

Journal Title

Journal of Applied Gerontology

Volume

33

Issue

5

Pages

624-46

Availability

online

PMID

PMID: 24965720

DOI

10.1177/0733464812454008

Abstract

The current study developed prognostic tools to identify dementia caregivers at-risk for clinically relevant burden or depressive symptoms following nursing home admission (NHA) of their family members. A retrospective, longitudinal design was used that included 1,610 dementia caregivers who provided data prior to and up to 6 months following nursing home admission. Response operant characteristic (ROC) curves were constructed to test and validate two prognostic tools: the NHA-Burden and NHA-Depression tools. An ROC curve yielded a sensitivity of 77% and a specificity of 62.5% at a cutoff score of 5.41 for the NHA-Burden Prognostic tool. A second ROC curve indicated a sensitivity of 75.4% and a specificity of 62.5% at a cutoff score of 7.45 for the NHA-Depression tool. Clinicians may wish to utilize cutpoints on the NHA-Burden and NHA-Depression tools to ensure that more persons who are at-risk for clinically significant burden or depression during NHA are identified.

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