L N Gitlin1, M Corcoran, L Winter, A Boyce, W W Hauck. 1. Community and Homecare Research Division, Thomas Jefferson University, Philadelphia, PA 19107, USA. laura.gitlin@mail.tju.edu
Abstract
PURPOSE OF STUDY: The authors determined short-term effects of a home environmental intervention on self-efficacy and upset in caregivers and daily function of dementia patients. They also determined if treatment effect varied by caregiver gender, race, and relationship to patient. DESIGN AND METHODS: Families (N = 171) of dementia patients were randomized to intervention or usual care control group. The intervention involved 5 90-min home visits by occupational therapists who provided education and physical and social environmental modifications. RESULTS: Compared with controls, intervention caregivers reported fewer declines in patients' instrumental activities of daily living (p = .030) and less decline in self-care and fewer behavior problems in patients at 3 months post-test. Also, intervention spouses reported reduced upset (p = .049), women reported enhanced self-efficacy in managing behaviors (p = .038), and women (p = .049) and minorities (p = .037) reported enhanced self-efficacy in managing functional dependency. IMPLICATIONS: The environmental program appears to have a modest effect on dementia patients' IADL dependence. Also, among certain subgroups of caregivers the program improves self-efficacy and reduces upset in specific areas of caregiving.
RCT Entities:
PURPOSE OF STUDY: The authors determined short-term effects of a home environmental intervention on self-efficacy and upset in caregivers and daily function of dementiapatients. They also determined if treatment effect varied by caregiver gender, race, and relationship to patient. DESIGN AND METHODS: Families (N = 171) of dementiapatients were randomized to intervention or usual care control group. The intervention involved 5 90-min home visits by occupational therapists who provided education and physical and social environmental modifications. RESULTS: Compared with controls, intervention caregivers reported fewer declines in patients' instrumental activities of daily living (p = .030) and less decline in self-care and fewer behavior problems in patients at 3 months post-test. Also, intervention spouses reported reduced upset (p = .049), women reported enhanced self-efficacy in managing behaviors (p = .038), and women (p = .049) and minorities (p = .037) reported enhanced self-efficacy in managing functional dependency. IMPLICATIONS: The environmental program appears to have a modest effect on dementiapatients' IADL dependence. Also, among certain subgroups of caregivers the program improves self-efficacy and reduces upset in specific areas of caregiving.
Authors: Tania Giovannetti; Priscilla Britnell; Laura Brennan; Andrew Siderowf; Murray Grossman; David J Libon; Brianne M Bettcher; Francesca Rouzard; Joel Eppig; Gregory A Seidel Journal: J Int Neuropsychol Soc Date: 2012-05-24 Impact factor: 2.892
Authors: Maud J L Graff; Myrra J M Vernooij-Dassen; Marjolein Thijssen; Joost Dekker; Willibrord H L Hoefnagels; Marcel G M Olde Rikkert Journal: BMJ Date: 2006-11-17
Authors: Laura N Gitlin; David L Roth; Louis D Burgio; David A Loewenstein; Laraine Winter; Linda Nichols; Soledad Argüelles; Mary Corcoran; Robert Burns; Jennifer Martindale Journal: J Aging Health Date: 2005-04
Authors: Mariya A Kovaleva; Elizabeth Bilsborough; Patricia C Griffiths; Joe Nocera; Melinda Higgins; Fayron Epps; Katie Kilgore; Allison Lindauer; Darby Morhardt; Raj C Shah; Kenneth Hepburn Journal: Res Nurs Health Date: 2018-02-05 Impact factor: 2.228