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O2‐08‐03: Museum programs for people with dementia: Effects on program participants, practitioners and host institutions
Author(s) -
Humble Laurel,
Schwartz Meryl
Publication year - 2012
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2012.05.668
Subject(s) - dementia , focus group , variety (cybernetics) , psychology , medical education , medicine , computer science , sociology , disease , pathology , artificial intelligence , anthropology
sessed QoL and utility (DEMQOL; Bath Assessment of Quality of Life in Dementia, BASQID; EQ-5D) were completed by patients with MMSE of 10 only and caregiver proxy assessed scales (DEMQOL proxy, EQ-5D proxy) were completed for all patients. EQ-5D responses were converted into utility scores using a UK algorithm. Bivariate (Pearson correlation) and multivariate analyses (GLM) were used to assess relationships between patient dependence and QoL and utility. Results: Data on 249 participants with AD were analysed. The mean (SD) age of patients was 79(8.5) years and 53.8% were female. The mean (SD) score for MMSE was 14.6(6.8).Pearson correlations revealed significant associations between DS and EQ-5D utility (r 1⁄4 0.19, p<0.05), proxy-assessed EQ-5D utility (r 1⁄4 -0.42, p<0.0001) and BASQID total scores (r 1⁄4 -0.38, p<0.0001) and no significant associations with the DEMQOL (r1⁄4 -14, NS) and DEMQOL proxy(r 1⁄4 -0.12, NS). Multivariate analyses using GLM, controlling for patient age and gender, confirmed significant associations between dependence and the two EQ-5D utility assessments (P <0.01) and BASQID total score (P <0.0001). When patient age and gender were controlled for, significant associations between dependence and both the DEMQOL and DEMQOL-proxy were observed (P <0.05). It is expected that a one point increase in dependence is associated with the following point decreases: 0.017 (EQ-5D utility), 0.039 (EQ-5D proxy utility), 1.03(DEMQOL), 0.66(DEMQOL proxy) and 1.395 in the BASQID total score. Conclusions: Patient QoL and utility decrease as AD illness progresses and dependence on others increases. Associations between the dependence and the EQ-5D utility and BASQID total scores were consistently more significant than associations with the DEMQOL and DEMQOL proxy.