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Characterizing the symptom of misplacing objects in people with dementia: findings from an online tracking tool

Published online by Cambridge University Press:  30 January 2019

Lisa McGarrigle ,
Susan E. Howlett ,
Helen Wong ,
Justin Stanley  and
Kenneth Rockwood Open the ORCID record for Kenneth Rockwood [Opens in a new window]
Lisa McGarrigle
Affiliation:
Division of Geriatric Medicine, Department of Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada DGI Clinical Inc., Halifax, Nova Scotia, Canada
Susan E. Howlett
Affiliation:
Division of Geriatric Medicine, Department of Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada DGI Clinical Inc., Halifax, Nova Scotia, Canada Department of Pharmacology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Helen Wong
Affiliation:
DGI Clinical Inc., Halifax, Nova Scotia, Canada
Justin Stanley
Affiliation:
DGI Clinical Inc., Halifax, Nova Scotia, Canada
Kenneth Rockwood*
Affiliation:
Division of Geriatric Medicine, Department of Medicine, Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada DGI Clinical Inc., Halifax, Nova Scotia, Canada
*
Correspondence should be addressed to: Kenneth Rockwood, Centre for Health Care of the Elderly, Nova Scotia Health Authority, 1421-5955 Veterans’ Memorial Lane, Halifax, Nova Scotia B3H 2E9, Canada. Phone: (902) 473-8687; Fax: (902) 473-1050. Email: Kenneth. [email protected].
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Abstract

Objectives:

Misplacing objects is often reported as a clinically important symptom in dementia. Here we explored misplacing objects in relation to dementia type and stage in an online sample of individuals with dementia and their caregivers.

Methods:

Participants were recruited from www.dementiaguide.com, a web-based tracker for common dementia symptoms. Users provided information about symptoms that they selected as important for monitoring. We analysed cross-sectional data from respondents who tracked at least three symptoms, which allowed for staging dementia severity.

Results:

Of 2,775 users with three-plus symptoms, 787 (28%) identified misplacing objects for symptom tracking. Misplacing objects was monitored by users across all stages of dementia, but was more prevalent in mild and severe dementia. Three common clinical subtypes of misplacing were investigated: lost & found (forgetting the location of items), hidden away (hiding items so others would not find them), and odd places (putting items in usual spots). Of the 787, 96% targeted lost & found, the most frequent type. Odd places (targeted in 56%) significantly increased with dementia severity (p < 0.001). Misplacing objects was most strongly associated with the symptoms of interaction with strangers (OR 4.60, 95% CI: 3.20-6.62), reading (3.68: 2.86-4.73), shopping (3.55: 2.73-4.61) and travel/vacationing (3.31: 2.54-4.31).

Conclusions:

Misplacing objects was most often selected for tracking in mild and severe stages of dementia. As disease advances, misplacing more often reflects odd placement of objects rather than their simple loss. Misplacing objects may be a clinically important therapeutic target for improving patients’ quality of life and lessening caregiver burden.

Keywords

Alzheimer diseasedementiamisplacing objectsInternetcaregiver
Type
Original Research Article
Information
International Psychogeriatrics , Volume 31 , Issue 11: Issue Theme: Psychiatric Morbidity in Exceptionally Old People , November 2019 , pp. 1635 - 1641
Copyright
© International Psychogeriatric Association 2019 

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