A. Patients’ characteristics* | Total population n = 195 Mean (SD) or n (%) | Group | |
---|---|---|---|
Intervention n = 98 Mean (SD) or n (%) | Control n = 97 Mean (SD) or n (%) | ||
Sociodemographic data | |||
Age (years) | 82.03 (5.88) | 81.94 ( 6.38) | 82.12 (5.36) |
1: < 75 years | 22 (11.28%) | 81.94 (5,88) | 82.12 (5.36) |
2: [75–85[ years | 108 (55.38%) | 13 (13.27%) | 9 (9.28%) |
3: ≥ 85 years | 65 (33.33%) | 49 (50.00%) | 59 (60.82%) |
Women | 132 (67.69%) | 66 (67.35%) | 66 (68.04%) |
Educational level | |||
Elementary or no formal | 51 (26.15%) | 20 (20.41%) | 31 (31.96%) |
Primary school certificate or less | 60 (30.77%) | 36 (36.73%) | 24(24.74%) |
Secondary education/high school | 51 (26.15%) | 25 (25.51%) | 26 (26.80%) |
Bachelor’s degree and higher | 33 (16.92%) | 17 (17.35%) | 16 (16.49%) |
Professional activity in the past | 173 (88.72%) | 88 (89.80%) | 85 (87.63%) |
Living in a marital status | 111 (56.92%) | 56 (57.14%) | 55 (56.70%) |
Alzheimer’s disease | 161 (82.56%) | 87 (88.78%) | 74 (76.29%) |
Mixed dementia (AD and vascular) | 34 (17.44%) | 11 (11.22%) | 23 (23.71%) |
MMSE mean (SD) | 17.65 (4.11) | 18.12 (4.04) | 17.16 (4.14) |
Stage of severity (MMSE) | |||
[21–26] | 51 (26.15%) | 30 (30.61%) | 21 (21.65%) |
[15;20] | 77 (39.49%) | 38 (38.78%) | 39 (40.21%) |
[11–15] | 67 (34.36%) | 30 (30.61%) | 37 (38.14%) |
Time elapsed since diagnosis (months), (n = 176) | 14.57 (19.25) | 12.44 (18.97) | 16.80 (19.39) |
Comorbidities CIRS-G | 9.91 (3.85) | 9.30 (3.82) | 10.53 (3.80) |
Functional autonomy | |||
ADL | 5.33 (0.89) | 5.42 (0.79) | 5.23 (0.97) |
Score < 6/6 (at least one incapacity) | 101 (51.79%) | 46 (46.94%) | 55 (56.70%) |
IADL (n = 193) | 1.61 (1.23) | 1.63 (1.24) | (1.22) |
Score 0–1 (≥ 4 incapacities) | 102 (52.85%) | 52 (54.17%) | 50 (51.55%) |
Gait and balance one leg balance < 5 s (n = 184) | 121 (65.76%) | 60 (64.52%) | 61 (67.03%) |
Visual impairment | 111 (56.92%) | 56 (57.14%) | 55 (56.70%) |
Hearing impairment | 40 (20.51%) | 17 (17.35%) | 23 (23.71%) |
Quality of life hetero-assessed by caregivers (n = 185) | 28.61 (5.24) | 29.33 (5.12) | 27.84 (5.27) |
Quality of life self-assessed by patients (n = 145) | 33.93 (6.03) | 33.66 (5.53) | 34.24 (6.59) |
Behavioural and psychological symptoms | |||
NPI total score (n = 178) | 21.77 (18.40) | 22.25 (18.82) | 21.26 (18.05) |
Delusions | 43 (22.05%) | 17 (17.35%) | 26 (26.80%) |
Hallucinations (n = 194) | 38 (19.59%) | 13 (13.40%) | 25 (25.77%) |
Agitation or aggressiveness (n = 193) | 105 (54.40%) | 50 (51.02%) | 55 (57.89%) |
Depression/dysphoria (n = 194) | 116 (59.79%) | 59 (60.82%) | 57 (58.76%) |
Anxiety (n = 194) | 140 (72.16%) | 74 (75.51%) | 66 (68.75%) |
Euphoria | 41 (21.03%) | 23 (23.47%) | 18 (18.56%) |
Apathy | 115 (58.97%) | 51 (52.04%) | 64 (65.98%) |
Disinhibition, (n = 190) | 51 (26.84%) | 20 (20.83%) | 31 (32.98%) |
Irritability (n = 194) | 125 (64.43%) | 61 (62.24%) | 64 (66.67%) |
Aberrant motor activity (n = 194) | 40 (20.62%) | 21 (21.43%) | 19 (19.79%) |
Sleep disorders (n = 192) | 73 (38.02%) | 35 (36.08%) | 38 (40.00%) |
Eating disorders (n = 192) | 76 (39.58%) | 37 (38.54%) | 39 (40.63%) |
Pharmacological therapies | |||
Acetylcholinesterase inhibitors or NMDA receptor blocker | 96 (49.23%) | 43 (43.88%) | 53 (54.64%) |
Psychotropes | 46 (23.59%) | 25 (25.51%) | 21 (21.65%) |
Antipsychotic drug | 5 (2.56%) | 1 (1.02%) | 4 (4.12%) |
Anxiolytics | 19 (9.74%) | 8 (8.16%) | 11 (11.34%) |
Sedative | 8 (4.10%) | 7 (7.14%) | 1 (1.03%) |
Antidepressant therapy | 26 (13.33%) | 14 (14.29%) | 12 (12.37%) |
Nonpharmacological therapies | |||
Physical therapist | 27 (13.85%) | 13 (13.27%) | 14 (14.43%) |
Ergotherapist | 4 (2.05%) | 2 (2.04%) | 2 (2.06%) |
Psychologist | 1 (0.51%) | 0 (0.00%) | 1 (1.03%) |
Speech therapist | 24 (12.31%) | 19 (19.39%) | 5 (5.15%) |
Day care centre | 12 (6.15%) | 6 (6.12%) | 6 (6.19%) |
Home help (daily living activities) | 38 (19.49%) | 18 (18.37%) | 20 (20.62%) |
Domestic help (cleaning) | 23 (11.79%) | 15 (15.31%) | 8 (8.25%) |
Nurse | 58 (29.74%) | 26 (26.53%) | 32 (32.99%) |
Specialized nurse | 6 (3.08%) | 3 (3.06%) | 3 (3.09%) |
Home meal deliveries | 2 (1.03%) | 1 (1.02%) | 1 (1.03%) |
B. Caregivers’ characteristics a | Total population n = 195 | Group | |
Intervention n = 98 | Control n = 97 | ||
Sociodemographic data | |||
Age (years) | 65.75 (12.62) | 66.13 (12.59) | 65.36 (12.69) |
≤ 65 | 106 (54.36%) | 49 (50.00%) | 57 (58.76%) |
> 65 | 89 (45.64%) | 49 (50.00%) | 40 (41.24%) |
Gender = women | 126 (64.62%) | 60 (61.22%) | 66 (68.04%) |
Educational level, (n = 192 ) | |||
Primary school certificate or less | 29 (15.10%) | 14 (14.43%) | 15 (15.79%) |
Secondary education/high school | 60 (31.25%) | 30 (30.93%) | 30 (31.58%) |
Bachelor’s degree and higher | 103 (53.65%) | 53 (54.64%) | 50 (52.63%) |
Professionally active (or in the past) (n = 191) | 179 (93.72%) | 92 (94.85%) | 87 (92.55%) |
Caregiver status | |||
Child | 102 (52.31%) | 48 (48.98%) | 54 (55.67%) |
Spouse | 83 (42.56%) | 44 (44.90%) | 39 (40.21%) |
Brother or sister | 1 (0.51%) | 0 (0.00%) | 1 (1.03%) |
Nephew/niece | 3 (1.54%) | 1 (1.02%) | 2 (2.06%) |
Daughter-in-law or son-in-law | 6 (3.08%) | 5 (5.10%) | 1 (1.03%) |
Living in a marital status | 160 (82.05%) | 85 (86.73%) | 75 (77.32%) |
Living arrangement | |||
Caregiver living at home with the patient | 104 (53.33%) | 54 (55.10%) | 50 (51.55%) |
Patient and caregiver living apart | 91 (46.67%) | 44 (44.90%) | 47 (48.45%) |
< 6.21 miles | 53 (27.18%) | 25 (25.51%) | 28 (28.87%) |
> 6.21 miles | 38 (19.49%) | 19 (19.39%) | 19 (19.59%) |
Length of caregiving (n = 193) years | |||
1: < 1 year | 53 (27.46%) | 26 (26.80%) | 27 (28.13%) |
2: between 1 and 3 years | 84 (43.52%) | 42 (43.30%) | 42 (43.75%) |
3: > 3 years | 56 (29.02%) | 29 (29.90%) | 27 (28.13%) |
Hours of caregiving per week | 21.67 (13.66) | 22.68 (15.19) | 20.65 (11.91) |
Medical chronic condition | 67 (34.36%) | 38 (38.78%) | 29 (29.90%) |
Level of exhaustion and burden (n = 194) | |||
Zarit score (n = 194) mean | 30.89 (15.77) | 29.97 (16.19) | 31.83 (15.36) |
1: [0–20] | 58 (29.90%) | 41 (41.84%) | 40 (41.67%) |
2: [20–40] | 81 (41.75%) | 24 (24.49%) | 31 (32.29%) |
3: > 40 | 55 (28.35%) | 55 (56.70%) | 58 (59.79%) |
Quality of life (NHP score) | 119.60 (112.00) | 119.18 (108.65) | 120.02 (115.78) |