TY - JOUR
T1 - Priority of Treatment Outcomes for Caregivers and Patients with Mild Cognitive Impairment
T2 - Preliminary Analyses
AU - Barrios, Polaris González
AU - González, Ricardo Pabón
AU - Hanna, Sherrie M.
AU - Lunde, Angela M.
AU - Fields, Julie A.
AU - Locke, Dona E.C.
AU - Smith, Glenn E.
N1 - Publisher Copyright:
© 2016, The Author(s).
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Introduction: The patient-centered movement advocates for greater attention to the outcomes that matter most to patients and their families. In neurodegenerative disease, determination of patient and caregiver priorities has received scant attention in part because dementia patients are deemed unreliable reporters. However, people with mild cognitive impairment (MCI) likely retain capacity to report their preferences. Methods: In two separate MCI cohorts, we conducted preliminary analyses of patient and caregiver priorities among seven patient and five caregiver outcomes of the HABIT® Healthy Action to Benefit Independence & Thinking program (Mayo Clinic, Rochester, MN, USA). Results: Via interview and paper-and-pencil reporting both patient and caregiver respondents’ ranked patient and caregiver quality of life and patient self-efficacy as highest priorities, ranking them ahead of patient and caregiver mood, patient functional status, patient distressing behaviors and caregiver burden. Patients and caregivers tended to value the outcomes for their loved ones higher than their own outcomes. Conclusion: Caregivers appeared to be reasonable, but not perfect, proxies for patient reports. Additional research with larger cohorts and a more comprehensive range of outcomes is needed.
AB - Introduction: The patient-centered movement advocates for greater attention to the outcomes that matter most to patients and their families. In neurodegenerative disease, determination of patient and caregiver priorities has received scant attention in part because dementia patients are deemed unreliable reporters. However, people with mild cognitive impairment (MCI) likely retain capacity to report their preferences. Methods: In two separate MCI cohorts, we conducted preliminary analyses of patient and caregiver priorities among seven patient and five caregiver outcomes of the HABIT® Healthy Action to Benefit Independence & Thinking program (Mayo Clinic, Rochester, MN, USA). Results: Via interview and paper-and-pencil reporting both patient and caregiver respondents’ ranked patient and caregiver quality of life and patient self-efficacy as highest priorities, ranking them ahead of patient and caregiver mood, patient functional status, patient distressing behaviors and caregiver burden. Patients and caregivers tended to value the outcomes for their loved ones higher than their own outcomes. Conclusion: Caregivers appeared to be reasonable, but not perfect, proxies for patient reports. Additional research with larger cohorts and a more comprehensive range of outcomes is needed.
KW - Alzheimer’s disease
KW - Caregivers
KW - Mild cognitive impairment
KW - Patient preference
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=84999864983&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84999864983&partnerID=8YFLogxK
U2 - 10.1007/s40120-016-0049-1
DO - 10.1007/s40120-016-0049-1
M3 - Article
AN - SCOPUS:84999864983
SN - 2193-8253
VL - 5
SP - 183
EP - 192
JO - Neurology and Therapy
JF - Neurology and Therapy
IS - 2
ER -