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On the other hand, previous studies had already identified subjective caregiver burden as a predictor of institutionalization (e.g. [ 4, 32]).
Our study also found that MBI score at the start of the rehabilitation program was a predictor of institutionalization.
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Major depression is a predictor of early institutionalization in the first year following the dementia diagnosis [ 5].
Although usage of a domestic helper is a possible predictor of institutionalization, 5 this variable was not included as a control variable because almost all the institutionalized control participants were institutionalized immediately after their inpatient discharge.
Problem behavior is the most important risk factor for caregiver burden and is a strong predictor of institutionalization [ 10- 12] but is also an important starting point for interventions [ 13].
– Research question 5 - Is the interRAI Maple scale a good predictor of institutionalization in our study?
The practical value of the theoretical concept of "subjective burden among family caregivers" has been demonstrated by the predictive power of subjective burden, which has been empirically well confirmed: At the social level of health services research, the subjective burden of family caregivers is a powerful predictor of institutionalization and, hence, of the termination of home care [ 4- 6]).
The GHQ-12 was chosen as a primary outcome measure because it is a general measure of mental health and mental health complaints of the caregiver being an important predictor of institutionalization for the person with dementia [ 40].
The study by Braun and colleagues [ 31] did not analyze any predictors of institutionalization.
This interRAI scale is known to be a predictor for institutionalization and can be used as an indicator for allocation of home care resources and prioritization of clients needing community or residential care.
Caregiver burden was the second strongest predictor of institutionalization out of a total of four significant predictors.
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