ArticleAlzheimer's & dementia (New York, N. Y.)
Mental health counseling for caregivers is associated with a slower rate of health-care use in people with dementia.
Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Mental health counseling for caregivers is associated with a slower rate of health-care use in people with dementia.Alzheimer's & dementia (New York, N. Y.)Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundCaregiver support interventions can reduce depression symptoms for caregivers of persons living with cognitive impairment and dementia (PwCI). However, few studies have assessed the effect of caregiver counseling support on the health-care use of the PwCI. The objective of this study was to assess if caregiver participation in mental health counseling can slow health-care use in PwCI.
methodsThe analysis included all PwCI with cognitive impairment identified through the electronic health records as seen in either the Wake Forest Memory Counseling Program (MCP), providing mental health counseling, and/or the Kulynych Geriatric Consult Clinic (KGCC), providing memory assessment and care, between August 1, 2016, and February 28, 2020. Health-care use (emergency department [ED] use and hospitalization) pre- and post-index date were compared between PwCI who received only medical care (MC) and those who received both medical and mental health care (MC+MHC) using a mixed effects logistic regression model adjusted for age, sex, race, ethnicity, KGCC visit type, and primary diagnosis. Hypothesis testing was accomplished with two-sided Wald tests, and odds ratios (ORs) were used to characterize effect sizes.
resultsCompared to the 1 year pre-index visit, PwCI who received medical care (MC) only experienced an increase in ED visits (OR 1.73,
conclusionProviding mental health counseling to caregivers in addition to medical care for the PwCI may reduce ED visits among PwCI. Highlights: This study tests whether caregiver participation in mental health counseling can slow health-care use in the person living with dementia (PLWD).PLWDs who received medical only visits experienced an increase in emergency department (ED) visits compared to those who received both medical and mental health care.Providing mental health counseling to caregivers in addition to medical care for the PLWD may reduce ED visits among PLWD.
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