A Home-Based Training Program Improves Caregivers' Skills and Dementia Patients' Aggressive Behaviors: A Randomized Controlled Trial
| Autor: | Yu Sun, Wen Chuin Hsu, Yea-Ing Lotus Shyu, Huei-Ling Huang, Yi-Chen Chiu, Hsiu-Li Huang, Jersey Liang, Li Min Kuo, Sien Tsong Chen, Yu Shu Chen |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Poison control Suicide prevention law.invention Randomized controlled trial law medicine Humans Dementia Single-Blind Method Competence (human resources) Aged 80 and over Self-efficacy Family caregivers business.industry medicine.disease Home Care Services Self Efficacy Aggression Psychiatry and Mental health Caregivers Preparedness Physical therapy Female Geriatrics and Gerontology business |
| Zdroj: | The American Journal of Geriatric Psychiatry. 21:1060-1070 |
| ISSN: | 1064-7481 |
| Popis: | To investigate the effects of an individualized, home-based caregiver-training program for caregivers of elderly patients with dementia and behavioral problems.Using a randomized clinical trial in the neurologic clinics of two hospitals and a community care management center in northern Taiwan, we tested an individualized home-based caregiver-training program for managing behavioral problems, with referrals to community services and telephone consultation. Participants were patients with dementia and their caregivers (N = 129): 63 in the intervention group and 66 in the control group. The control group received only written instructions and social telephone follow-ups. Behavioral problems of elderly dementia patients were assessed by the Chinese version of the Cohen-Mansfield Agitation Inventory, community form. Family caregivers' outcomes were measured by the Agitation Management Self-efficacy Scale and the Preparedness and Competence Scales. These instruments were administered before the program and 2 weeks, 3 months, and 6 months afterward.Family caregivers who received the individualized home-based training program had better preparedness (t = 2.72, df = 127, p 0.01), competence (t = 4.77, df = 126, p 0.001), and overall self-efficacy (t = 3.81, df = 127, p 0.001) at 3 months than those in the control group. Moreover, the growth rate by treatment interaction effect was significant for caregiver competence (t = 2.25, df = 127, p 0.05) and overall self-efficacy for managing behavioral problems (t = 2.16, df = 127, p 0.05). The probability of physically aggressive behavior for patients in the intervention group decreased from 0.27 to 0.12.Our individualized home-based caregiver-training program improved caregivers' preparedness, competence, and self-efficacy for managing problematic behaviors and decreased physical aggressiveness of elderly patients with dementia. |
| Databáze: | OpenAIRE |
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