To the Editor.
—In their Editorial,1 Drs Beck and Stuck commented on the article by Dr Mittelman and colleagues2 entitled, "A Family Intervention to Delay Nursing Home Placement of Patients With Alzheimer Disease." The study by Mittelman et al was conducted as a randomized controlled trial with 206 spouse-caregivers of patients with Alzheimer disease. The intervention delayed nursing home placement by almost a year. The authors concluded that these findings suggest that a program designed to provide counseling and social support on a long-term basis can have a substantial impact on how long spouse-caregivers continue to care for patients with Alzheimer disease at home.The Editorial by Drs Beck and Stuck emphasized that the value of the findings was limited because many patients with Alzheimer disease do not have spouses and lack financial resources. However, more than half of all patients are cared for by spouses who will
Butler RN. An Intervention to Delay Nursing Home Placement. JAMA. 1997;277(13):1035. doi:10.1001/jama.1997.03540370025020