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Table 6 Frequency of care partner impacts

From: Assessing what matters most to patients with or at risk for Alzheimer’s and care partners: a qualitative study evaluating symptoms, impacts, and outcomes

Impact, n (%)

AD classification

Total (n = 24)

Group 4 (n = 12)

Group 5 (n = 12)

Daily responsibilities are impacted (e.g., needs to supervise and drive patient more, roles have changed, daily chores [e.g., cooking] have been impacted)

12 (100.0)

12 (100.0)

24 (100.0)

 Constant supervision of patient is required

10 (83.3)

7 (58.3)

17 (70.8)

Mood or emotions have changed

11 (91.7)

8 (66.7)

19 (79.2)

 Feeling bad or guilty more frequently

5 (41.7)

2 (16.7)

7 (29.2)

Social activities have decreased (e.g., time with friends for lunch/dinner/something fun, parties/celebrations, and family events has decreased)

10 (83.3)

9 (75.0)

19 (79.2)

Leisure activities have decreased or ceased (e.g., hobbies, travel, going out to eat, or volunteering has decreased or ceased)

8 (66.7)

10 (83.3)

18 (75.0)

Responsibilities for patient’s bills or money management have increased/financial burden has increased

9 (75.0)

9 (75.0)

18 (75.0)

Othera

10 (83.3)

8 (66.7)

18 (75.0)

Assistance with patient’s self-care, cooking, and medications has increased (e.g., showering, making sure patient takes medication, toileting, cooking)

7 (58.3)

9 (75.0)

16 (66.7)

 Assistance with toileting has increased (e.g., taking patient to bathroom, reminding him or her to use the bathroom, cleans up accidents related to incontinence)

1 (8.3)

4 (33.3)

5 (20.8)

Physical health has suffered (e.g., sleep, diet, exercise, weight gain)

7 (58.3)

9 (75.0)

16 (66.7)

Prevention of patient driving has become necessary

6 (50.0)

8 (66.7)

14 (58.3)

Reminders to the patient are more frequent (e.g., reminding more frequently to eat, take medications, and shower and that he/she has appointments)

9 (75.0)

4 (33.3)

13 (54.2)

Repeating to the patient has become more frequent

8 (66.7)

5 (41.7)

13 (54.2)

Patient welfare has become an increasing concern (safety concerns [e.g., starting a fire, wandering, house flooding] or fears or the patient being taken advantage of have increased)

9 (75.0)

4 (33.3)

13 (54.2)

Working or schooling has become impossible or more challenging (e.g., stopped working or decreased hours due to needing to supervise patient, needs to take off more from work/use vacation time/sick days to care for patient, needs to coordinate patient’s care when at work, needs to shift work hours to provide care for patient/needs a flexible job, needs to work or study at home, having trouble finding time to continue schooling)

7 (58.3)

5 (41.7)

12 (50.0)

Planning and making decisions on behalf of the patient has become necessary

8 (66.7)

3 (25.0)

11 (45.8)

Moving in/living with the patient was required in order to provide more assistance

3 (25.0)

3 (25.0)

6 (25.0)

Use of locks, alarms, location-tracking apps, and/or cameras to keep patient safe/prevent disasters (e.g., fires and floods) has become necessary

2 (16.7)

3 (25.0)

5 (20.8)

In-home professional help is employed

1 (8.3)

3 (25.0)

4 (16.7)

Future plans and arrangements have been made (e.g., estate planning, retirement, living arrangements, financial plans)

2 (16.7)

2 (16.7)

4 (16.7)

  1. Note: Both patients and care partners in group 4 were asked about impacts; because patients were not able to reliably report on impacts, impacts to only care partners in group 4 are shown. Impacts shown are those reported by care partners in groups 4 and 5 who were asked to describe the impact of AD on their own lives and not the impact of AD on their care recipients. Data shown are the number and percentage of individuals endorsing an impact in each group and overall
  2. aThe “other” category included impacts such as having more general responsibility/picking up the slack (n = 3 [group 4]); concerns about getting AD as well (n = 2: group 4, n = 1; group 5, n = 1); needing to walk the patient through instructions (n = 2 [group 4]; n = 1 [group 5]); being harder for the patient to attend the care partner’s child’s activities (n = 1 [group 4]); being busy/having no time due to needing to go to doctor’s appointments (n = 1 [group 4]); trying to keep the patient calm (n = 1 [group 4]); developing routine at home/ways to keep the patient more organized (n = 1 [group 4]); monitoring changes per the Alzheimer’s Association list and reporting to doctors (n = 1 [group 4]); needing to be unselfish (n = 1 [group 4]); avoiding communication (n = 1 [group 4]); not being able to get the patient to agree to certain things (n = 1 [group 4]); feeling tired (n = 1 [group 4]); leaving the house messy (n = 1 [group 4]); having to answer questions from the patient that he or she previously would have known the answer to (n = 1 [group 4]); feeling as though they are a child again who needs to report to their parent, who is the care recipient (n = 1 [group 4]); feeling resentful of other sibling who does not help with caregiving (n = 1 [group 4]); needing help from brother, children, and friends for caretaking (n = 1 [group 4]); doing anything he or she can to make the patient happy and get the most out of life (n = 1 [group 4]); having a more scheduled lifestyle (n = 1 [group 4]); losing weight/becoming healthier (n = 1 [group 4]); unable to visit romantic partner who lives in another state (n = 1 [group 4]); finding it harder to interact with the patient due to him or her misinterpreting things (n = 1 [group 5]); finding it harder to do activities together as a family/children need to be more independent (n = 1 [group 5]); and feeling that things are unpredictable (n = 1 [group 5])