Factors associated with care-resistant behavior in the National Alzheimer’s Coordinating Center’s Uniform Dataset

Bratches, Reed W. R., Backhouse, Tamara ORCID: https://orcid.org/0000-0001-8194-4174, Barr, Paul J., Lee, Cheryl, Puga, Frank and Jablonski, Rita A. (2024) Factors associated with care-resistant behavior in the National Alzheimer’s Coordinating Center’s Uniform Dataset. Alzheimer's and Dementia. ISSN 1552-5260

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Abstract

INTRODUCTION: Little is known about the factors associated with care-resistant behavior in community-dwelling persons living with dementia. METHODS: Regression modeling of 41,143 responses to a standardized questionnaire from the National Alzheimer’s Coordinating Center’s Uniform Dataset. RESULTS: In the fully-adjusted mixed-effects regression model, collinearity was low, with no VIF above 1.15. Moderate ( aOR = 1.59; 95%CI: 1.50,1.69) and severe (aOR=1.95; 95%CI: 1.82,2.09) dementia severity; and Black/African American (aOR = 1.64; 95%CI: 1.47,1.82), Hispanic ethnicity (aOR 1.13; 95%CI: 1.00, 1.28), frontotemporal (aOR 1.29; 95%CI: 1.12,1.49) and Lewy Body dementia (aOR 1.15; 95%CI: 1.02,1.29) diagnosis type were associated with a higher odds of care-resistant behavior. Female sex (aOR 0.85; 95%CI: 0.80,0.91) and higher education (aOR 0.9, 95%CI: 0.84,0.97) were associated with a lower odds of care-resistant behavior. DISCUSSION: Interventions to manage care-resistant behaviors should consider sociocultural factors as well as type of dementia diagnosis to limit caregiver strain and burden.

Item Type:	Article
Uncontrolled Keywords:	care-resistant behavior,dementia diagnosis,disparities,epidemiology,health policy,developmental neuroscience,clinical neurology,geriatrics and gerontology,cellular and molecular neuroscience,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/2700/2713
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	20 Dec 2024 01:12
Last Modified:	07 Jan 2025 02:17
URI:	https://ueaeprints.uea.ac.uk/id/eprint/98041
DOI:	10.1002/alz.14451

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