How does carer management style influence the performance of activities of daily living in people with dementia?

Camino De La Llosa, Julieta ORCID: https://orcid.org/0000-0002-6721-8675, Kishita, Naoko ORCID: https://orcid.org/0000-0001-8453-2714, Bregola, Allan, Rubinsztein, Judy, Khondoker, Mizanur ORCID: https://orcid.org/0000-0002-1801-1635 and Mioshi, Eneida (2021) How does carer management style influence the performance of activities of daily living in people with dementia? International Journal of Geriatric Psychiatry, 36 (12). pp. 1891-1898. ISSN 0885-6230

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Abstract

Introduction: People with Dementia (PwD)'s performance of activities of daily living (ADLs) has been associated with apathy, cognitive deficits, carers' depression and burden. However, it is not known if the carers' management style affects ADL performance, particularly alongside PwD's cognitive deficits and apathy. Thus, the aim of this study was to explore the contribution of intrinsic (cognition, apathy) and extrinsic (carer management styles) dementia factors to ADL performance. Methods: PwD (n = 143) were assessed on global cognition (ACE-III); apathy (CBI-R); ADLs (Disability Assessment for Dementia-DAD). Carers' (n = 143) criticism, encouragement and active-management styles were assessed with the Dementia Management Strategy Scale (DMSS). Multiple linear regression analysis investigated contributions of carer styles, cognition, apathy (independent variables) on ADLs (dependent variable). Results: The best model explaining the variance of the DAD scores included cognition (β = 0.413, t (142) = 4.463, p = 0.001), apathy (β = –0.365, t (142) = –5.556, p = 0.001), carer criticism (β = –0.326, t (142) = –2.479, p = 0.014) and carer encouragement styles (β = 0.402, t (142) = 2.941, p = 0.004) accounting for 40% of the variance of the DAD scores. Conclusions: This novel study demonstrated that PwD's level of apathy and the carer's use of criticism negatively affected ADL performance while PwD's cognitive abilities and carer encouragement style improved ADL performance. These findings have critical implications for the development of novel multi-component non-pharmacological interventions to maintain function and delay disease progression in dementia, as well as direct relevance to current carers and families.

Item Type:	Article
Uncontrolled Keywords:	alzheimer's disease,activities of daily living,apathy,carer management style,cognition,dementia,geriatrics and gerontology,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2717
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	07 Aug 2021 00:12
Last Modified:	28 Apr 2024 06:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/81018
DOI:	10.1002/gps.5607

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