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

Bratches, Reed W. R., Backhouse, Tamara, 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:	06 Feb 2025 12:26
URI:	https://ueaeprints.uea.ac.uk/id/eprint/98041
DOI:	10.1002/alz.14451

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