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Nonpharmacological therapies and provision of aids in outpatient dementia networks in Germany: utilization rates and associated factors

Wübbeler, Markus ; Thyrian, Jochen René ; Michalowsky, Bernhard ; Hertel, Johannes ; Laporte Uribe, Franziska ; Wolf-Ostermann, Karin ; Schäfer-Walkmann, Susanne ; Hoffmann, Wolfgang

Journal of multidisciplinary healthcare, 2015-05, Vol.8 (default), p.229-236 [Peer Reviewed Journal]

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  • Title:
    Nonpharmacological therapies and provision of aids in outpatient dementia networks in Germany: utilization rates and associated factors
  • Author: Wübbeler, Markus ; Thyrian, Jochen René ; Michalowsky, Bernhard ; Hertel, Johannes ; Laporte Uribe, Franziska ; Wolf-Ostermann, Karin ; Schäfer-Walkmann, Susanne ; Hoffmann, Wolfgang
  • Subjects: Care and treatment ; Usage ; Research ; Demographic aspects ; Alternative medicine ; Dementia ; Caregivers ; Studies ; Health care ; Activities of daily living ; Health services ; Institutionalization ; Occupational therapy ; Interdisciplinary aspects ; Alzheimers disease ; Sociodemographics ; integrated care ; collaborative care ; aid ; Original Research
  • Is Part Of: Journal of multidisciplinary healthcare, 2015-05, Vol.8 (default), p.229-236
  • Description: Nonpharmacological therapies and the provision of aids are described to be supportive in the treatment of persons with dementia (PWDs). These aim to maintain individuals' participation in daily activities as long as possible, to slow the progression of their disease, and to support their independent living at home. However, there is a lack of knowledge about the utilization of therapies and aids among community-dwelling PWDs. The aims of the study were a) to describe the utilization of nonpharmacological therapies and aids among community-dwelling PWDs and b) to analyze the factors associated with utilization. As part of a cross-sectional study of n=560 caregivers of PWDs in dementia networks throughout Germany, we assessed sociodemographics, clinical variables, and the utilization of nonpharmacological therapies (physiotherapy [PT], occupational therapy [OT]), and aids (sensory, mobility, and others), using face-to-face interviews and questionnaires. Approximately every fourth PWD received PT and every seventh PWD received OT. Sensory aids were utilized by 91.1%, personal hygiene aids by 77.2%, mobility aids by 58.6%, and medical aids by 57.7% of the sample. Regression analysis revealed that the utilization of PT and medical aids was associated with comorbidities (odds ratio [OR] 1.17 and OR 1.27, respectively) and that the utilization of OT and sensory aids was associated with age (OR 1.06 and OR 0.95, respectively). The utilization of nonpharmacological therapies and aids among community-dwelling people served by dementia networks is more frequent than that reported for people in other settings. This result indicates that PWDs in integrated care models such as dementia networks receive better health care.
  • Publisher: New Zealand: Informa UK Limited
  • Language: English
  • Identifier: ISSN: 1178-2390
    EISSN: 1178-2390
    DOI: 10.2147/jmdh.s80560
    PMID: 26056468
  • Source: © ProQuest LLC All rights reserved

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