Telephone-Delivered Psychosocial Intervention Reduces Burden in Dementia Caregivers.

Warren Alpert Medical School of Brown University.
Dementia (Impact Factor: 0.91). 11/2008; 7(4):503-520. DOI: 10.1177/1471301208096632
Source: PubMed

ABSTRACT OBJECTIVES: To examine the preliminary efficacy of Family Intervention: Telephone Tracking-Dementia (FITT-D), a multi-component intervention that is delivered in 23 telephone contacts over 12 months. METHOD: Thirty-three dementia caregivers were randomly assigned to receive either FITT-D (n =16) or standard care (n =17) using urn randomization to balance the groups on dementia severity, caregiver gender, and relationship type (spouse versus other). Inclusion criteria included formal dementia diagnosis, caregiving for at least 6 months, residing with the care recipient, and providing at least 4 hours of direct supervision per day. Master's-level therapists contacted caregivers by telephone over 12 months. Each contact followed a standardized treatment manual, involving assessment and individualized application of interventions to address mood, family functioning, social support, and health. Outcomes included Zarit Burden Interview, Revised Memory and Behavior Problem Checklist, and the Geriatric Depression Scale at baseline and 12 months (end of treatment). RESULTS: Caregivers receiving FITT-D exhibited significantly lower burden scores and less severe reactions to memory and behavior problems than caregivers in the standard care condition. CONCLUSION: Findings provide preliminary evidence for the efficacy of FITT-D, a potentially highly accessible, low-cost intervention for dementia caregivers.

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    • "sample selection, type of dementia, knowledge about dementia, and/or availability of social support [35] [36]. "
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    ABSTRACT: Background: Caring for a person with dementia is associated with well-documented increases in burden and distress and decreases in mental health and wellbeing. Studies assessing burden in caregivers of patients with dementia and its determinants are scarce in Latin America. Objective: The main objective of this study was to assess the extent and the determinants of burden in informal primary caregivers of patients with dementia in Chile. Methods: A descriptive study was conducted using clinically validated scales to assess dementia characteristics and to measure caregiver variables. Family socio-demographic characteristics and functional status, patient functional dependency and behavioral disturbances, and caregiver psychiatric morbidity were analyzed as independent variables to determine caregiver burden. Results: Two hundred and ninety-two informal caregivers were included. There were more female (80%) than male caregivers, consisting mainly of daughters and spouses of the patients. Severe burden was reported in 63% of the caregivers, and 47% exhibited psychiatric morbidity. Burden was associated with caregiver psychiatric distress, family dysfunction, severity of neuropsychiatric symptoms and functional disability, but neither patient age, gender, nor socioeconomic status impacted burden. Conclusion: Our results underscore the importance of assessing the consequences of dementia in both caregivers and patients in order to evaluate the real biopsychosocial impact of dementia, as well as the importance of planning appropriate and effective public health interventions in Latin American countries. In addition, interventions targeting caregiver psychological distress, caregiver familial dysfunction, patient neuropsychiatric disorders, and patient functional disability could potentially diminish caregiver burden.
    Journal of Alzheimer's disease: JAD 02/2013; 35(2). DOI:10.3233/JAD-122086 · 4.15 Impact Factor
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    • "ing relatives find themselves and would seem highly appropriate for the majority of family caregivers . Previous positive caregiver reviews of the telephone set - ting as particularly comfortable , stress - free , and fully com - patible to the needs of the caregivers were confirmed through our study ( Ploeg et al . , 2001 ; Salfi et al . , 2005 ; Tremont et al . , 2008 ) . Telephone - based CBT intervention programs therefore represent an economical and low - threshold alternative that also offer those clients living in undersupplied rural regions the chance to receive suitable support . In upcoming publi - cations the authors will show that the proposed intervention was effective in reducing body com"
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    ABSTRACT: Introduction: The evaluation of effective interventions is still needed to prevent family caregivers of persons with dementia from becoming physically or mentally ill. However, in most existing intervention studies, primary outcomes are not well matched to the treatment goals. Method: A randomized controlled trial (N = 229) was conducted to compare a treatment group (CBT), a treated control group, and an untreated control group. In theses analyses we focused on the primary outcome measurement (GAS) as a perceived treatment success as well as treatment compliance and participants’ evaluation. Results: Results showed that 30.1% achieved complete goal attainment, 39.8% partial goal attainment, and 24.1% declared no change (overachievement 2.4%; deterioration 3.6%). Discussion: The intervention can be considered to have been successful. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
    08/2011; 24(3):115-125. DOI:10.1024/1662-9647/a000043
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