Using the Apriori Algorithm to Classify the Care Needs of Patients with Different Types of Dementia

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Title:	Using the Apriori Algorithm to Classify the Care Needs of Patients with Different Types of Dementia
Authors:	張凱茗;Jhang, Kai-Ming;張明哲;Chang, Ming-Che;羅慈縈;Lo, Tzu-Ying;林哲瑋;Lin, Che-Wei;王文甫;Wang, Wen-Fu;吳信宏;Wu, Hsin-Hung
Contributors:	行動商務與多媒體應用學系
Keywords:	Apriori algorithm;behavioral and psychological symptoms of dementia;care need;dementia collaborative care model;people living with dementia.
Date:	2019-11
Issue Date:	2020-09-01 06:57:38 (UTC+0)
Publisher:	亞洲大學
Abstract:	Purpose: To elucidate specific combinations of care needs for people living with dementia (PLWD) and their caregivers according to specific subtypes of dementia. Patients and methods: A cross-sectional study at memory clinics in Changhua Christian Hospital, Taiwan, was conducted. Five hundred and eight people living with dementia and their caregivers joined the dementia collaborative care model. The care team established 15 care needs containing most of quality measures for PLWD and their caregivers. Individualized care plans including different combinations of care needs were addressed through face-to-face assessments. Apriori algorithm was used to find specific combinations of care needs for particular groups of PLWD and their caregivers. Results: This study identified the basic care needs of PLWD and caregivers including appropriate scheduling of activities, regular outpatient follow-up treatment, introduction and referral of social resources, referral to family support groups and care skills training, and health education for dementia and behavioral and psychological symptoms of dementia. Patients with Alzheimer's dementia required more care to prevent traffic accidents and getting lost, while patients with vascular dementia required more care to prevent falls. The older (≥75 years old) PLWD were associated with more needs of fall prevention and care for the mood of the caregiver, especially in the female patients with mild Alzheimer's dementia (CDR = 1). Conclusion: Bundling the needed care needs might be a more effective means to care for a wide variety of patients with dementia.
Relation:	Patient Preference and Adherence
Appears in Collections:	[Department of Applied Informatics and Multimedia] Journal Article

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