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Kruijthof C, de Boer ME, van Loon AM, Bredewold J, van Dusseldorp L. Experiences of Ambulatory Patients With Huntington's Disease With Case Management: A Qualitative Study. Prof Case Manag 2024; 29:13-21. [PMID: 37983776 DOI: 10.1097/ncm.0000000000000680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
PURPOSE/OBJECTIVES Huntington's disease (HD) requires high-quality care to reduce disruption of the patient system, prevent crisis situations, and prevent early admission in a nursing home. In the Netherlands, case management has been available for the last to 9 years for people with HD. However, there is a notable gap in understanding experiences and beliefs of HD patients regarding case managers' care, guidance, and support for quality of life. To improve the international quality of care for people with HD, insight in experiences of ambulatory HD patients with the care, guidance, and support received from a case manager HD (CMHD) is crucial. PRIMARY PRACTICE SETTING Ambulatory care. FINDINGS/CONCLUSIONS Ambulatory patients with HD highly appreciate and value the role and support of the CMHD. This was reflected in four themes: (1) the CMHD as a person, with commitment, sympathy, and reliability as central concepts; (2) the CMHD as a professional, with the key roles of coordinator, point of contact, expert, and supporter; (3) impact of the CMHD on quality of life, with support of coping with decline and monitoring the home situation as important subthemes; and (4) support of the CMHD for family members, with providing help and giving attention as subthemes. This insight into patients' experiences of the CMHD's role adds value to the improvement of the international quality of care for people with HD. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE Commitment, expertise, support for both family members and patients, and bond of trust from the CMHD are experienced as very valuable. These qualitative findings from a patient's perspective add significantly to the body of knowledge on CMHD's role and practices as "spider at the center of the web."
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Affiliation(s)
- Cindy Kruijthof
- Cindy Kruijthof, MSW, is a registered nurse and an experienced case manager for people with Huntington's disease for 7 years. In 2022, she obtained her Master's degree in Social Work. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Marike E. de Boer, PhD, is a research associate with a background in the Human Movement Sciences and extensive experience in the field of qualitative research. In 2011, she successfully finished her PhD thesis titled: "Advance Directives in Dementia Care. Perspectives of People With Alzheimer's Disease, Elderly Care Physicians and Relatives." She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Location VUmc, Amsterdam University Medical Center, Amsterdam, The Netherlands
- Anouk M. van Loon, PhD, is besides a cognitive neuroscientist, an assistant professor, and a highly experienced researcher and data analyst. In 2014, she successfully finished her PhD in the field of consciousness and visual perception. She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands
- Jonieke Bredewold, BN, is a highly experienced registered nurse for people with Huntington's disease. In 2021, she completed her Bachelor of Nursing. Since 2022, she works as a case manager for people with Huntington's disease. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Loes van Dusseldorp, MSc, is a nurse scientist and research coordinator with extensive experience in the field of qualitative research. She also conducted research at the Radboud University Medical Centre, Nijmegen, the Netherlands, in the field of patient safety in long-term care, and the meaning of patients regarding their nurse practitioner. These studies led to several (inter)national publications. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
| | - Marike E de Boer
- Cindy Kruijthof, MSW, is a registered nurse and an experienced case manager for people with Huntington's disease for 7 years. In 2022, she obtained her Master's degree in Social Work. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Marike E. de Boer, PhD, is a research associate with a background in the Human Movement Sciences and extensive experience in the field of qualitative research. In 2011, she successfully finished her PhD thesis titled: "Advance Directives in Dementia Care. Perspectives of People With Alzheimer's Disease, Elderly Care Physicians and Relatives." She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Location VUmc, Amsterdam University Medical Center, Amsterdam, The Netherlands
- Anouk M. van Loon, PhD, is besides a cognitive neuroscientist, an assistant professor, and a highly experienced researcher and data analyst. In 2014, she successfully finished her PhD in the field of consciousness and visual perception. She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands
- Jonieke Bredewold, BN, is a highly experienced registered nurse for people with Huntington's disease. In 2021, she completed her Bachelor of Nursing. Since 2022, she works as a case manager for people with Huntington's disease. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Loes van Dusseldorp, MSc, is a nurse scientist and research coordinator with extensive experience in the field of qualitative research. She also conducted research at the Radboud University Medical Centre, Nijmegen, the Netherlands, in the field of patient safety in long-term care, and the meaning of patients regarding their nurse practitioner. These studies led to several (inter)national publications. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
| | - Anouk M van Loon
- Cindy Kruijthof, MSW, is a registered nurse and an experienced case manager for people with Huntington's disease for 7 years. In 2022, she obtained her Master's degree in Social Work. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Marike E. de Boer, PhD, is a research associate with a background in the Human Movement Sciences and extensive experience in the field of qualitative research. In 2011, she successfully finished her PhD thesis titled: "Advance Directives in Dementia Care. Perspectives of People With Alzheimer's Disease, Elderly Care Physicians and Relatives." She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Location VUmc, Amsterdam University Medical Center, Amsterdam, The Netherlands
- Anouk M. van Loon, PhD, is besides a cognitive neuroscientist, an assistant professor, and a highly experienced researcher and data analyst. In 2014, she successfully finished her PhD in the field of consciousness and visual perception. She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands
- Jonieke Bredewold, BN, is a highly experienced registered nurse for people with Huntington's disease. In 2021, she completed her Bachelor of Nursing. Since 2022, she works as a case manager for people with Huntington's disease. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Loes van Dusseldorp, MSc, is a nurse scientist and research coordinator with extensive experience in the field of qualitative research. She also conducted research at the Radboud University Medical Centre, Nijmegen, the Netherlands, in the field of patient safety in long-term care, and the meaning of patients regarding their nurse practitioner. These studies led to several (inter)national publications. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
| | - Jonieke Bredewold
- Cindy Kruijthof, MSW, is a registered nurse and an experienced case manager for people with Huntington's disease for 7 years. In 2022, she obtained her Master's degree in Social Work. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Marike E. de Boer, PhD, is a research associate with a background in the Human Movement Sciences and extensive experience in the field of qualitative research. In 2011, she successfully finished her PhD thesis titled: "Advance Directives in Dementia Care. Perspectives of People With Alzheimer's Disease, Elderly Care Physicians and Relatives." She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Location VUmc, Amsterdam University Medical Center, Amsterdam, The Netherlands
- Anouk M. van Loon, PhD, is besides a cognitive neuroscientist, an assistant professor, and a highly experienced researcher and data analyst. In 2014, she successfully finished her PhD in the field of consciousness and visual perception. She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands
- Jonieke Bredewold, BN, is a highly experienced registered nurse for people with Huntington's disease. In 2021, she completed her Bachelor of Nursing. Since 2022, she works as a case manager for people with Huntington's disease. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Loes van Dusseldorp, MSc, is a nurse scientist and research coordinator with extensive experience in the field of qualitative research. She also conducted research at the Radboud University Medical Centre, Nijmegen, the Netherlands, in the field of patient safety in long-term care, and the meaning of patients regarding their nurse practitioner. These studies led to several (inter)national publications. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
| | - Loes van Dusseldorp
- Cindy Kruijthof, MSW, is a registered nurse and an experienced case manager for people with Huntington's disease for 7 years. In 2022, she obtained her Master's degree in Social Work. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Marike E. de Boer, PhD, is a research associate with a background in the Human Movement Sciences and extensive experience in the field of qualitative research. In 2011, she successfully finished her PhD thesis titled: "Advance Directives in Dementia Care. Perspectives of People With Alzheimer's Disease, Elderly Care Physicians and Relatives." She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Location VUmc, Amsterdam University Medical Center, Amsterdam, The Netherlands
- Anouk M. van Loon, PhD, is besides a cognitive neuroscientist, an assistant professor, and a highly experienced researcher and data analyst. In 2014, she successfully finished her PhD in the field of consciousness and visual perception. She is affiliated with the Department of Medicine for Older People, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands
- Jonieke Bredewold, BN, is a highly experienced registered nurse for people with Huntington's disease. In 2021, she completed her Bachelor of Nursing. Since 2022, she works as a case manager for people with Huntington's disease. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
- Loes van Dusseldorp, MSc, is a nurse scientist and research coordinator with extensive experience in the field of qualitative research. She also conducted research at the Radboud University Medical Centre, Nijmegen, the Netherlands, in the field of patient safety in long-term care, and the meaning of patients regarding their nurse practitioner. These studies led to several (inter)national publications. She is affiliated with Atlant, Huntington Centre of Expertise, Apeldoorn, the Netherlands
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Choi E, Seo HJ, Choo IH, Kim SM, Park JM, Choi YM, Yang EY. Caregiving burden and healthcare utilization in family caregivers of people with dementia: Long term impact of the public family caregiver intervention. Geriatr Nurs 2023; 51:408-414. [PMID: 37146557 DOI: 10.1016/j.gerinurse.2023.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 04/07/2023] [Accepted: 04/11/2023] [Indexed: 05/07/2023]
Abstract
Despite community-based interventions to decrease the caregiving burden on family caregivers of people with dementia (PwD), long-term assessment of community-based public programs is lacking. Therefore, the study aims to identify the long-term effects of community-based dementia caregiver intervention on the caregiving burden and healthcare utilization among family caregivers for PwD. Additionally, we investigated the predictors of caregiving burden and healthcare utilization. Of the participants, 32 (76%) intervention and 15 (38%) control groups responded to the one-year follow-up. We assessed caregiver burden using the short-form Zarit Burden Interview (sZBI) and collected healthcare utilization data using questionnaire at baseline and 12 months. Compared with the control group, the intervention group did not experience a reduction in caregiving burden and healthcare utilization. Predictors of caregivers' perceived burden were spouses as the primary caregiver and having multiple comorbidities. The predictors identified in this study should be considered when implementing public family support programs.
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Affiliation(s)
- Eunjeong Choi
- College of Nursing, Chungnam National University, Daejeon, South Korea
| | - Hyun-Ju Seo
- College of Nursing, Chungnam National University, Daejeon, South Korea.
| | - Il Han Choo
- Department of Neuropsychiatry, College of Medicine, Chosun University and Chosun University Hospital, Gwangju, South Korea
| | - Seong Min Kim
- Dowool Health Welfare Center, Junggalchi-gil 73, Namwon-si, Jeollabuk-do, 55725, South Korea
| | - Jeong Min Park
- Department of Nursing, Nambu University, Gwangju, South Korea
| | - Yu Mi Choi
- College of Nursing, Graduate School of Chungnam National University, Daejeon, South Korea
| | - Eun-Young Yang
- Department of Nursing, Songwon University, Gwangju, South Korea
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