Testing the Efficacy of a Culturally Adapted Family Dementia Caregiver Intervention (REACH VN): Results From a Cluster Randomized Controlled Trial in Northern Vietnam.

Autor:	Nguyen H; School of Nursing (HN), University of Minnesota, Minneapolis, MN. Electronic address: nguy4786@umn.edu., Nguyen HT; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam; Department of Neurology (HTN), Department of Geriatrics (TTHN, TAN, TP), Hanoi Medical University, Hanoi, Vietnam., Nguyen NB; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Tran D; Department of Psychiatry and Behavioral Sciences (DT, LH), University of California, Davis, Sacramento, CA., Harvey DJ; Department of Public Health Sciences (DJH), University of California, Davis, Davis, CA., Nguyen BT; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen BTT; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen AN; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen CTH; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen TTH; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam; Department of Neurology (HTN), Department of Geriatrics (TTHN, TAN, TP), Hanoi Medical University, Hanoi, Vietnam., Nguyen TL; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen ATP; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen NH; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen AL; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Luong YH; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Nguyen BH; Hai Duong General Hospital (BHN), Hai Duong, Vietnam., Nguyen PQ; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam., Gitlin LN; College of Nursing and Health Professions, Drexel University (LNG), Philadelphia, PA., Nguyen TA; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam; Department of Neurology (HTN), Department of Geriatrics (TTHN, TAN, TP), Hanoi Medical University, Hanoi, Vietnam., Pham T; Vietnam National Geriatric Hospital (HTN, NBN, BTN, BTTN, ANN, CTHN, TTN, TLN, ATPN, NHN, ALN, YHL, PQN, TAN, TP), Hanoi, Vietnam; Department of Neurology (HTN), Department of Geriatrics (TTHN, TAN, TP), Hanoi Medical University, Hanoi, Vietnam., Hinton L; Department of Psychiatry and Behavioral Sciences (DT, LH), University of California, Davis, Sacramento, CA.
Jazyk:	angličtina
Zdroj:	The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry [Am J Geriatr Psychiatry] 2024 Oct 23. Date of Electronic Publication: 2024 Oct 23.
DOI:	10.1016/j.jagp.2024.10.011
Abstrakt:	Objectives: Vietnam faces an unprecedented increase in people living with dementia but lacks evidence-based family dementia caregiver interventions. We tested the efficacy of a culturally adapted family caregiver intervention (REACH VN) in Northern Vietnam. Methods: In this randomized controlled trial, clusters (communes) were assigned to 1 REACH VN (a multicomponent intervention consisting of 4-6 one-hour sessions delivered over 1-3 months) or 2 enhanced control (one session of dementia education). Primary outcomes were caregiver perceived psychological distress (PHQ-4) and burden (ZBI-12). Secondary outcomes were caregiver perceived stress (PSS-10) and somatic symptoms (PHQ-15). Mixed effects analysis was performed with 3-month and 6-month assessments as the outcomes and baseline assessment as a covariate. Results: Overall, 350 caregivers from 40 clusters (21 intervention, 19 enhanced control) enrolled and 330 (94.3%) completed 3-month assessments. At 3 months, the REACH VN intervention group had lower PHQ-4 (p <0.001) but not ZBI-12 (p = 0.05) scores compared to control. At 6 months, the intervention group had lower ZBI-12 (p = 0.002) but not PHQ-4 (p = 0.5) scores. PSS-10 and PHQ-15 scores were also improved at 3 months (p = 0.007, p <0.001 respectively) for the REACH VN intervention group compared with control but not at 6 months. Conclusions: REACH VN improved outcomes in family caregivers in Vietnam at 3 months although improvement was not sustained for most outcomes at 6 months. (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu