Advancing family dementia caregiver interventions in low‐ and middle‐income countries: A pilot cluster randomized controlled trial of Resources for Advancing Alzheimer's Caregiver Health in Vietnam (REACH VN)

Autor: Linda O. Nichols, Thu Thi Hoai Nguyen, Chinh Hong Nguyen, Quyen Q. Tiet, Binh Thanh Nguyen, Danielle J Harvey, Huong Nguyen, Ngoc Thi Bich Nguyen, Anh Ngoc Nguyen, Ladson Hinton, Thuy Le Nguyen, Hung Trong Nguyen, Binh Nguyen, Anh Thi Phuong Nguyen, Tuan Anh Nguyen, Trung Anh Nguyen, Phong Quy Nguyen, Jennifer Martindale-Adams, Thang Pham
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Gerontology
Aging
Clinical Trials and Supportive Activities
Psychological intervention
global health
Neurodegenerative
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Clinical Research
Intervention (counseling)
non‐pharmacological interventions
Behavioral and Social Science
medicine
Global health
Acquired Cognitive Impairment
low ‐and middle‐income countries
Dementia
RC346-429
Research Articles
Family caregivers
business.industry
RC952-954.6
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Alzheimer's disease
medicine.disease
Brain Disorders
Caregiver health
Psychiatry and Mental health
030104 developmental biology
Good Health and Well Being
Vietnam
non-pharmacological interventions
Low and middle income countries
Geriatrics
low -and middle-income countries
Neurology (clinical)
Neurology. Diseases of the nervous system
business
030217 neurology & neurosurgery
Research Article
dementia
family caregiving
Zdroj: Alzheimer’s & Dementia: Translational Research & Clinical Interventions, Vol 6, Iss 1, Pp n/a-n/a (2020)
Alzheimer's & dementia (New York, N. Y.), vol 6, iss 1
Alzheimer's & Dementia : Translational Research & Clinical Interventions
ISSN: 2352-8737
Popis: IntroductionLow- and middle-income countries have rapidly increasing numbers of people with dementia, yet little evidence on family caregiving interventions. We tested the preliminary efficacy and feasibility of a family caregiving intervention in northern Vietnam.MethodsNine clusters comprising 60 family caregivers were randomized to a culturally adapted version of a four- to six-session, multicomponent intervention delivered in-home over 2 to 3 months, or enhanced control. Eligible caregivers were ≥18 years of age and scored ≥6 on the Zarit Burden Inventory (ZBI).ResultsFifty-one caregivers (85%) completed the study. Using analysis of covariance with 3-month assessment as the outcome and baseline assessment as a covariate, intervention group caregivers had an average ZBI (primary outcome) score 1.2 standard deviation (SD) lower (P=.02) and Patient Health Questionnaire-4 (psychological distress) score 0.7 SD lower (P=.03) than controls.DiscussionIn the first study of its kind in Vietnam, a culturally adapted, manualized, family caregiver intervention was both efficacious and feasible.
Databáze: OpenAIRE
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