期刊
INTERNATIONAL PSYCHOGERIATRICS
卷 24, 期 11, 页码 1836-1845出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1041610212001135
关键词
dementia; cognitive impairment; global positioning systems; tracking technologies
资金
- German Federal Ministry of Education and Research (BMBF)
Background: Out-of-home mobility refers to the realization of trips outside the home, by foot or by other means of transportation. Although out-of-home mobility is important for the well-being of older people with cognitive impairment, its importance for their caregivers is not clear. This study aims to clarify the relationship between caregiving burden and out-of-home mobility of care-recipients using Global Positioning Systems (GPS) technology. Methods: Seventy-six dyads (care-recipients and caregivers) were recruited from a psychogeriatric center, where they underwent cognitive assessment, followed by psychosocial interviews at home. Care-recipients received GPS tracking kits to carry for a period of four weeks, whenever they left home. Mobility data and diagnostic and psychosocial data were examined in relation to caregiver burden. Results: The strongest predictors of burden were care-recipients' lower cognitive status and more time spent walking out-of-home. An interaction was found between cognitive status and time spent walking in relation to caregiver burden. The relationship between walking and burden was stronger among caregivers of care-recipients with dementia than caregivers of care-recipients with no cognitive impairment or mild cognitive impairment. Care-recipients' behavioral and emotional states were also positively related to caregiver burden. Conclusions: The findings stress the importance of maintaining older persons' out-of-home mobility during cognitive decline.
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