ArticleAging & mental health2018
Incongruent perceptions of the care values of hospitalized persons with dementia: a pilot study of patient-family caregiver dyads.
Article in Aging & mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- Mobilisation Alarm Use in Hospitals and Alignment With Person-Centred Practice: A Qualitative Study.Journal of advanced nursing · 2026Article
- Advance Care Planning in the Context of Dementia: Defining Concordance.The Gerontologist · 2024Review
- Article
- Promoting Advance Care Planning for Persons with Dementia: Study Protocol for the LEAD (Life-Planning in Early Alzheimer's and Other Dementias) Clinical Trial.OBM integrative and complimentary medicine · 2023Article
- Observational
- The Remote Assessment and Dynamic Response Program: Development of an In-Home Dementia-Related Care Needs Assessment to Improve Well-Being.Innovation in aging · 2022Article
- Factors influencing quality of life in African-American dementia dyads.Aging & mental health · 2021Article
- Care Values in Dementia: Patterns of Perception and Incongruence Among Family Care Dyads.The Gerontologist · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveMany difficult decisions are made in the inpatient hospital setting regarding the daily care of persons with dementia (PWDs). Incongruent perceptions of the PWD's care values limit the family caregiver's ability to make surrogate decisions. The objectives of this pilot study were to describe and identify determinants of incongruent perceptions in the hospital setting.
methodsUsing multilevel modeling (MLM), we examined cross-sectional data collected from 42 PWD-family caregiver dyads.
resultsThere was a significant amount of incongruence, on average, for all four subscales representing the PWD's care values: autonomy = -0.33 (p < .001); burden = -.49 (p < .001); safety/quality of care = -.26 (p < .001); and social interactions = -.21 (p = .004). Family caregivers (CG) rated the importance of care values to the PWD as lower than the PWD rated the importance. Determinants of greater incongruence included higher relationship strain and fewer positive dyadic interactions.
conclusionOur findings reveal significant levels of incongruence in perceptions of the PWD's values among dementia care dyads in the hospital setting. Our analysis suggests a potential impact of relationship variables on incongruence. Further research is needed around this overlooked interpersonal context for supporting the dementia care dyad in the hospital setting.
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