Comparative Effectiveness of 2 Interventions for Hispanic Caregivers of Persons with Dementia

Journal of the American Geriatrics Society - Tập 66 Số 9 - Trang 1708-1715 - 2018
José A. Luchsinger1,2, Louis D. Burgio3, Mary Mittelman4,5, Ilana Dunner6, Jed A. Levine7, Carolina Hoyos8, Dante Tipiani2, Yefrenia Henriquez2, Jian Kong9,10, Stephanie Silver9,10, Mildred Ramírez9,10, Jeanne A. Teresi9,11,10
1Department of Epidemiology, Columbia University Medical Center, New York, New York
2Department of Medicine, Columbia University Medical Center, New York, New York
3Burgio Geriatric Consulting, Tuscaloosa, Alabama
4Department of Psychiatry, School of Medicine, New York University, New York, New York
5Department of Rehabilitation Medicine, School of Medicine, New York University, New York, New York
6Riverstone Senior Life Services, New York, New York
7CaringKind, New York, New York
8New York City Department for the Aging, New York, New York
9Hebrew Home at Riverdale, Research Division, New York, New York
10Weill Cornell Medical College, New York, New York
11Stroud Center at New York State Psychiatric Institute, Columbia University, New York, New York

Tóm tắt

ObjectivesTo compare the effectiveness of 2 caregiver interventions with known efficacy: the Resources for Enhancing Caregiver Health‐Offering Useful Treatment (REACH‐OUT) and the New York University Caregiver Intervention (NYUCI).Design1:1 randomized pragmatic trial.SettingNew York City.ParticipantsInformal Hispanic caregivers of persons with dementia (N=221; mean age 58.2, 82.8% female, 63.3% adult children, 31.7% spouses).InterventionParticipants were randomized to 6 months of NYUCI (n=110) or REACH‐OUT (n=111), balanced on characteristics at baseline. All participants were referred for social supportive services.MeasurementsThe primary outcomes were changes between baseline and 6 months in depressive symptoms, measured using the Geriatric Depression Scale (GDS), and caregiver burden, measured using the Zarit Caregiver Burden Scale (ZCBS).ResultsThere were no differences in outcomes between NYUCI and REACH‐OUT. Both interventions showed a reduction in burden (REACH‐OUT: 5.2 points, 95% confidence interval (CI)=2.2–8.1, p<.001; NYUCI: 4.6‐points, 95% CI=1.7–7.5, p=.002). There were no significant changes on the GDS. Effects for the ZCBS were significant only for spouses and older caregivers.ConclusionAlthough there were no significant intervention group differences, both interventions resulted in significantly reduced burden for Hispanic caregivers at 6 months, particularly for spouses and older caregivers.

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Journal of the American Geriatrics Society

Tập 66 Số 9

1708-1715

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