Comprehensive Older Adult and Caregiver Help (COACH): A person‐centered caregiver intervention prevents elder mistreatment.

Autor:	Gassoumis, Zachary D., Martinez, Julia M., Yonashiro‐Cho, Jeanine, Mosqueda, Laura, Hou, Anthony, Han, S. Duke, Olsen, Bonnie, Louis, Anat, Connolly, Marie‐Therese, Meyer, Kylie, Marnfeldt, Kelly, Salinas Navarro, Sheila A., Yan, Mengzhao, Wilber, Kathleen H.
Předmět:	SERVICES for caregivers PILOT projects STATISTICS CAREGIVERS EVALUATION of human services programs INDIVIDUALIZED medicine BURDEN of care MANN Whitney U Test FISHER exact test RANDOMIZED controlled trials ABUSE of older people BLIND experiment QUALITY of life MENTAL depression RESEARCH funding STATISTICAL sampling ANXIETY DATA analysis
Zdroj:	Journal of the American Geriatrics Society; Jan2024, Vol. 72 Issue 1, p246-257, 12p
Abstrakt:	Background: Elder mistreatment (EM) harms individuals, families, communities, and society as a whole. Yet research on interventions is lagging, and no rigorous studies demonstrating effective prevention have been published. This pilot study examines whether a first‐of‐its‐kind coaching intervention reduced the experience of EM among older adults with chronic health conditions, including dementia. Methods: We used a double‐blind, randomized controlled trial to test a strengths‐based person‐centered caregiver support intervention, developed from evidence‐based approaches used in other types of family violence. Participants (n = 80), family caregivers of older adults who were members of Kaiser Permanente, completed surveys at baseline, post‐test, and 3‐month follow‐up. The primary outcome was caregiver‐reported EM; additional proximal outcomes were caregiver burden, quality‐of‐life, anxiety, and depression. Nonparametric tests (Mann–Whitney U, Fisher's Exact, Wilcoxon Signed Rank, and McNemar's) were used to make comparisons between treatment and control groups and across time points. Results: The treatment group had no EM after intervention completion (assessed at 3‐month follow‐up), a significantly lower rate than the control group (treatment = 0%, control = 23.1%, p = 0.010). Conclusions: In this pilot study, we found that the COACH caregiver support intervention successfully reduced EM of persons living with chronic illness, including dementia. Next steps will include: (1) testing the intervention's mechanism in a fully powered RCT and (2) scaling the intervention for testing in a variety of care delivery systems. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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