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a Department of Epidemiology, Harvard School of Public Health, Boston, MA
b Ms. Weuve was with the Department of Family Practice and Community Health, University of Minnesota, at the time of this study
c Department of Family Practice and Community Health, University of Minnesota, Minneapolis, MN
Correspondence: Jennifer L. Weuve, MPH, Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave., Boston, MA 02115. E-mail: jweuve{at}hsph.harvard.edu.
Vernon L. Greene, PhD
This study investigated the effects of outpatient geriatric evaluation and management (GEM) on informal caregivers' sense of burden. We randomized 568 high-risk, community-dwelling older adults to receive either GEM or usual care for 6 months. At baseline and one year later, we assessed the burden experienced by their informal caregivers 
. Compared with caregivers of participants in the usual care group, caregivers of participants in the GEM group were less than half as likely to report increased burden during the one-year follow-up period 
. The findings suggest that GEM helps protect the informal caregivers of high-risk older people from the increases in burden that often accompany advancing age.
Key Words: Caregiving • Burden • GEM
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