Strong Carers, Strong Communities: a cluster randomised controlled trial to improve wellbeing of family carers of older people in remote Aboriginal communities

Autor: Roslyn Malay, Melissa Lindeman, Dina LoGiudice, Dawn Bessarab, Cathryn Josif, Christopher Etherton-Beer, David Atkinson, Zoë Hyde, Leon Flicker, Kate Smith, Melissa R Haswell
Rok vydání: 2021
Předmět:
Adult
Gerontology
Emergency Medical Services
Health (social science)
community based participatory action research
health care facilities
manpower
and services
media_common.quotation_subject
Medicine (miscellaneous)
Participatory action research
Indigenous
Young Adult
Population Groups
health services administration
carer
Humans
Medicine
Family
Cluster randomised controlled trial
Child
Empowerment
Aboriginal
health care economics and organizations
Depression (differential diagnoses)
Aged
media_common
business.industry
Racial Groups
Australia
Public Health
Environmental and Occupational Health
RC952-1245
social sciences
Middle Aged
Mental health
humanities
Outreach
Clinical research
Caregivers
Special situations and conditions
ageing
depression
Female
Public aspects of medicine
RA1-1270
business
Zdroj: Rural and Remote Health, Vol 21 (2021)
ISSN: 1445-6354
Popis: Introduction: Unpaid carers have a crucial role in supporting older people with cognitive impairment and disability, but their own health and wellbeing are often impacted. There are limited data on how carer strain, depression and empowerment may be improved for carers. Methods: This was a cluster randomised controlled trial to compare the effect of a carer support program developed with a community-based participatory action research (PAR) approach to the delivery of information sessions to 100 carers of people aged 45 years or more living in four remote Aboriginal communities in Western Australia. Results: The mean age of carers was 38.3±14.9 years, 76% were female and 77% were children or grandchildren of the care recipient. Carer strain and empowerment measures did not change significantly between baseline and follow-up. A statistically significant decrease in depression scores was observed in the PAR group. However, decreases were observed in both the PAR and control groups, and the change in scores did not differ significantly between groups. Depression scores decreased most in those who had not attended high school. Overall, the proportion of participants meeting criteria for depression decreased from 18.8% at baseline to 8.3% at follow-up. Conclusion: A carer support program was of equivocal benefit, although this research demonstrates that the wellbeing of carers in remote Aboriginal communities can potentially be markedly improved by outreach strategies.
Databáze: OpenAIRE
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