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Predictors of acceptance of offered care management intervention services in a quality improvement trial for dementia


Kaisey, Marwa, Mittman, Brian, Pearson, Marjorie, Connor, Karen I., Chodosh, Joshua, Vassar, Stefanie D., Nguyen, France T., Vickrey, Barbara G.


International Journal Of Geriatric Psychiatry, Volume: 27, No.: 10, Pages.: 1078-1085

Year of Publication



Objective: Care management approaches have been proven to improve outcomes for patients with dementia and their family caregivers (dyads). However, acceptance of services in these programs is incomplete, impacting effectiveness. Acceptance may be related to dyad as well as healthcare system characteristics, but knowledge about factors associated with program acceptance is lacking. This study investigates patient, caregiver, and healthcare system characteristics associated with acceptance of offered care management services.; Methods: This study analyzed data from the intervention arm of a cluster randomized controlled trial of a comprehensive dementia care management intervention. There were 408 patient-caregiver dyads enrolled in the study, of which 238 dyads were randomized to the intervention. Caregiver, patient, and health system factors associated with participation in offered care management services were assessed through bivariate and multivariate regression analyses.; Results: Out of the 238 dyads, 9 were ineligible for this analysis, leaving data of 229 dyads in this sample. Of these, 185 dyads accepted offered care management services, and 44 dyads did not. Multivariate analyses showed that higher likelihood of acceptance of care management services was uniquely associated with cohabitation of caregiver and patient (p < 0.001), lesser severity of dementia (p = 0.03), and higher patient comorbidity (p = 0.03); it also varied across healthcare organization sites.; Conclusions: Understanding factors that influence care management participation could result in increased adoption of successful programs to improve quality of care. Using these factors to revise both program design as well as program promotion may also benefit external validity of future quality improvement research trials.; Copyright © 2011 John Wiley & Sons, Ltd.

Bibtex Citation

@article{Kaisey_2011, doi = {10.1002/gps.2830}, url = {}, year = 2011, month = {dec}, publisher = {Wiley-Blackwell}, volume = {27}, number = {10}, pages = {1078--1085}, author = {Marwa Kaisey and Brian Mittman and Marjorie Pearson and Karen I. Connor and Joshua Chodosh and Stefanie D. Vassar and France T. Nguyen and Barbara G. Vickrey}, title = {Predictors of acceptance of offered care management intervention services in a quality improvement trial for dementia}, journal = {Int J Geriatr Psychiatry} }


aged, aged, 80 and over, caregivers, dementia, female, health services research, humans, interpersonal relations, male, multivariate analysis, organization administration, patient acceptance of health care, patient care management, psychology, quality improvement, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Satisfaction with care/services


Primary Care

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions

Case management / Care navigator