|
|
||||||||
Correspondence: Address all correspondence to Dr. Laura N. Gitlin, Director, Community and Homecare Research Division, 130 South 9th Street, Suite 513, Philadelphia, PA 19107. E-mail: laura.gitlin{at}jefferson.edu.
Purpose:We examine 6-month effects of the Environmental Skill-Building Program on caregiver well-being and care recipient functioning and whether effects vary by caregiver gender, race (White or non-White), and relationship (spouse or nonspouse). Design and Methods:We enrolled 255 family caregivers of community-residing persons with Alzheimer's disease or related disorders, of whom 190 participated in a follow-up interview. Caregivers were randomized to a usual care control group or intervention group that received five home contacts and one telephone contact by occupational therapists, who provided education, problem-solving training, and adaptive equipment. Baseline and 6-month follow-up included self-report measures of caregiver objective and subjective burden, caregiver well-being, and care recipient problem behaviors and physical function.Results:Compared with controls (n = 101), intervention caregivers (n = 89) reported less upset with memory-related behaviors, less need for assistance from others, and better affect. Intervention spouses reported less upset with disruptive behaviors; men reported spending less time in daily oversight; and women reported less need for help from others, better affect, and enhanced management ability, overall well-being, and mastery relative to control group counterparts. Statistically significant treatment differences were not found for hours helping with instrumental activities of daily living, upset with providing assistance with instrumental activities of daily living and activities of daily living, perceived change in somatic symptoms, White versus non-White caregivers, or care recipient outcomes. Implications:The Environmental Skill-Building Program reduces burden and enhances caregiver well-being in select domains and has added benefit for women and spouses.
Key Words: Clinical trial Home modification Home care
This article has been cited by other articles:
|
L. N. Gitlin, L. Winter, J. Burke, N. Chernett, M. P. Dennis, and W. W. Hauck Tailored Activities to Manage Neuropsychiatric Behaviors in Persons With Dementia and Reduce Caregiver Burden: A Randomized Pilot Study Am J Geriatr Psychiatry, March 1, 2008; 16(3): 229 - 239. [Abstract] [Full Text] [PDF] |
||||
|
A. Qaseem, V. Snow, P. Shekelle, D. E. Casey Jr., J. T. Cross Jr., D. K. Owens, and for the Clinical Efficacy Assessment Subcommittee Evidence-Based Interventions to Improve the Palliative Care of Pain, Dyspnea, and Depression at the End of Life: A Clinical Practice Guideline from the American College of Physicians Ann Intern Med, January 15, 2008; 148(2): 141 - 146. [Abstract] [Full Text] [PDF] |
||||
|
K. A. Lorenz, J. Lynn, S. M. Dy, L. R. Shugarman, A. Wilkinson, R. A. Mularski, S. C. Morton, R. G. Hughes, L. K. Hilton, M. Maglione, et al. Evidence for Improving Palliative Care at the End of Life: A Systematic Review Ann Intern Med, January 15, 2008; 148(2): 147 - 159. [Abstract] [Full Text] [PDF] |
||||
|
M. J. L. Graff, M. J. M. Vernooij-Dassen, M. Thijssen, J. Dekker, W. H. L. Hoefnagels, and M. G. M. OldeRikkert Effects of Community Occupational Therapy on Quality of Life, Mood, and Health Status in Dementia Patients and Their Caregivers: A Randomized Controlled Trial J. Gerontol. A Biol. Sci. Med. Sci., September 1, 2007; 62(9): 1002 - 1009. [Abstract] [Full Text] [PDF] |
||||
|
Y. K. Chee, L. N. Gitlin, M. P. Dennis, and W. W. Hauck Predictors of Adherence to a Skill-Building Intervention in Dementia Caregivers J. Gerontol. A Biol. Sci. Med. Sci., June 1, 2007; 62(6): 673 - 678. [Abstract] [Full Text] [PDF] |
||||
|
M. J.L. Graff, M. J.M. Vernooij-Dassen, J. Zajec, M. G.M. Olde-Rikkert, W. H.L. Hoefnagels, and J. Dekker How can occupational therapy improve the daily performance and communication of an older patient with dementia and his primary caregiver?: A case study Dementia, November 1, 2006; 5(4): 503 - 532. [Abstract] [PDF] |
||||
|
L. N. Gitlin, K. Reever, M. P. Dennis, E. Mathieu, and W. W. Hauck Enhancing quality of life of families who use adult day services: short- and long-term effects of the adult day services plus program. Gerontologist, October 1, 2006; 46(5): 630 - 639. [Abstract] [Full Text] [PDF] |
||||
|
I. C. Williams Emotional Health of Black and White Dementia Caregivers: A Contextual Examination J. Gerontol. B. Psychol. Sci. Soc. Sci., November 1, 2005; 60(6): P287 - P295. [Abstract] [Full Text] [PDF] |
||||
|
L. N. Gitlin, W. W. Hauck, M. P. Dennis, and L. Winter Maintenance of Effects of the Home Environmental Skill-Building Program for Family Caregivers and Individuals With Alzheimer's Disease and Related Disorders J. Gerontol. A Biol. Sci. Med. Sci., March 1, 2005; 60(3): 368 - 374. [Abstract] [Full Text] [PDF] |
||||
|
M. S. Mittelman, D. L. Roth, W. E. Haley, and S. H. Zarit Effects of a Caregiver Intervention on Negative Caregiver Appraisals of Behavior Problems in Patients With Alzheimer's Disease: Results of a Randomized Trial J. Gerontol. B. Psychol. Sci. Soc. Sci., January 1, 2004; 59(1): P27 - 34. [Abstract] [Full Text] [PDF] |
||||
|
R. Schulz, L. Burgio, R. Burns, C. Eisdorfer, D. Gallagher-Thompson, L. N. Gitlin, and D. F. Mahoney Resources for Enhancing Alzheimer's Caregiver Health (REACH): Overview, Site-Specific Outcomes, and Future Directions Gerontologist, August 1, 2003; 43(4): 514 - 520. [Full Text] [PDF] |
||||
HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
---|
All GSA journals | Journals of Gerontology Series A: Biological Sciences and Medical Sciences | Journals of Gerontology Series B: Psychological Sciences and Social Sciences |