Primary care interventions for Dementia caregivers

2-Year outcomes from the REACH study

Robert Burns, Linda Nichols, Jennifer Martindale-Adams, Marshall J. Graney, Allan Lummus

Research output: Contribution to journalArticle

102 Citations (Scopus)

Abstract

Purpose: This study developed and tested two 24-month primary care interventions to alleviate the psychological distress suffered by the caregivers of those with Alzheimer's disease. The interventions, using targeted educational materials, were patient behavior management only, and patient behavior management plus caregiver stress-coping management. We hypothesized that the addition of the stresscoping component would improve caregiver outcomes. Design and Methods: A randomized clinical trial of 167 caregiver-care recipient dyads was run, of whom 76 completed the study without bereavement or placement. Results: During 24 months, caregivers who received the patient behavior management component only, compared with those who also received the stress-coping component, had significantly worse outcomes for general well-being and a trend toward increased risk of depression (i.e., a score of >16 on the Center for Epidemiological Studies Depression scale). There was a studywide improvement for bother associated with care recipient behaviors (according to the Revised Memory and Behavior Problems Checklist). Implications: Our data suggest that brief primary care interventions may be effective in reducing caregiver distress and burden in the long-term management of the dementia patient. They further suggest that interventions that focus only on care recipient behavior, without addressing caregiving issues, may not be as adequate for reducing caregiver distress.

Original languageEnglish (US)
Pages (from-to)547-555
Number of pages9
JournalGerontologist
Volume43
Issue number4
DOIs
StatePublished - Jan 1 2003

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Caregivers
Dementia
Primary Health Care
Outcome Assessment (Health Care)
Depression
Bereavement
Checklist
Epidemiologic Studies
Alzheimer Disease
Randomized Controlled Trials
Psychology

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Primary care interventions for Dementia caregivers : 2-Year outcomes from the REACH study. / Burns, Robert; Nichols, Linda; Martindale-Adams, Jennifer; Graney, Marshall J.; Lummus, Allan.

In: Gerontologist, Vol. 43, No. 4, 01.01.2003, p. 547-555.

Research output: Contribution to journalArticle

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