Table 1.
Flowchart of measures used during the assessments
Outcome measure | Operationalization (Type of instrument) |
Time of assessment | |||||
---|---|---|---|---|---|---|---|
Patient | S | B | F1 | F2 | F3 | F4 | |
Primary outcomes | |||||||
Needs | CANE [26] (SSI) | P/C | P/C | P/C | P/C | P/C | |
Frequency and severity neuropsychiatric symptoms | NPI [27] NPI-NH [28] (SI) |
C/N | C/N | C/N | C/N | C/N | |
Secondary outcomes | |||||||
Severity of dementia | GDS [31] (RS) | C/P | C/P | C/P | C/P | C/P | |
Depressive symptoms | CSDD [41] (SI) | C | C | C | C | C | |
Cognitive functioning | MMSE [33] (CT) | P | P | P | P | P | |
Cognitive functioning | SIB [34] If MMSE <15 (CT) | P | P | P | P | P | |
Executive functioning | FAB [36] (CT) | P | P | P | |||
ADL disabilities | IDDD [32] (Q) | C | C | C | |||
Disease awareness | GRAD [37,38] (SSI) | C/P | C/P | C/P | C/P | C/P | |
Amount of formal and informal care | RUD-lite [42] (SI) | C | C | C | C | C | |
Quality of life | QoL-AD [40] (SI/Q) | C/P | C/P | C/P | C/P | C/P | |
Additional variables | |||||||
Inclusion/exclusion criteria | R/P/C | ||||||
Informed Consent | P/C | ||||||
Demographic data | Age, gender, education level, marital status, employment | P/C | |||||
Diagnosis | First complaints, date of diagnosis, physician that gave diagnosis | P/C | |||||
Life events | Disease, institutionalization, conflict, divorce, other | P/C | P/C | P/C | P/C | P/C | |
Medical record investigation | Current diagnosis, possible prior diagnoses, examinations that lead to diagnosis, medical history | R | |||||
Treatment and other information | Physical complaints, current treatment/use of formal care, medical history, substance use, dementia/genetic diseases in family | P/C | P/C | P/C | P/C | P/C | |
Caregiver | |||||||
Primary outcomes | |||||||
Needs | CANE [26] (SSI) | C | C | C | C | C | |
Experienced burden as a result of behavioral disturbances | NPI [27] (SI) | C/N | C/N | C/N | C/N | C/N | |
Needs and experiences | (SSI) | C | C | C | |||
Sense of competence | SSCQ [43] (SI) | C | C | C | C | C | |
Secondary outcomes | |||||||
Depressive symptoms | MADRS [44]. (SI) | C | C | C | |||
Psychological and somatic complaints | SCL-90 [45] (Q) | C | C | C | C | C | |
Coping strategies | UCL (Schreurs, Willige et al. 1988) (Q) | C | |||||
Quality of life | RAND-36 [48] (Q) | C | C | C | |||
Quality of the marital relationship | Four items of the University of Southern California Longitudinal Study of Three-Generation Families measures of positive affect [50]. (Q) | C | C | C | C | C | |
Emotional instability | Subscale neuroticism of NEO-FF-I [52] (Q) | C | |||||
Caregiver management strategy | Caregiver management strategy [15] (SI) | C | C | C | C | C | |
Additional variables | |||||||
In/exclusion criteria | C | ||||||
Informed consent | C | ||||||
Demographic data | Age, gender, education level, marital status, employment | C | |||||
Information on informal care | hours giving care, contact hours, other informal caregivers | C | C | C | C | C | |
Information on employment | Hours working, date stopped working | C | C | C | C | C | |
Children | |||||||
Needs and experiences | (SSI) | Ch | |||||
Demographic data | Age, gender, education level, employment, living situation | Ch | |||||
Data on informal care | Hours spent care giving, contact hours with demented parent | Ch |
S = Screening, B = Baseline, F1 = Follow up measurement 1, F2 = Follow up measurement 2, F3 = Follow up measurement 3, F4 = Follow up measurement, SSI = Semi Structured Interview, SI = Structured Interview, CT = Cognitive Test, Q = Questionnaire, RS = Rating Scale, C = informant is caregiver, P = Informant is patient, N = Informant is health care professional from nursing home, Ch = informant is child