PURPOSE: We developed manual-guided, replicable interventions based on common needs and cultural preferences of White and African American family caregivers (CGs) of individuals with dementia, and we evaluated these interventions after a 6-month follow-up. DESIGN AND METHODS: We randomly assigned White (n = 70) and African American (n = 48) CGs of individuals with dementia to either a skills training condition or a minimal support control condition. RESULTS: The degree of treatment implementation was methodically assessed, and findings demonstrated that both interventions were delivered according to protocol and were well received by CGs. CGs in both groups reported decreasing levels of problem behaviors and appraisals of behavioral bother, and increased satisfaction with leisure activities over time. On a measure of appraisal of distress related to behavior problems, White CGs showed more improvement in the minimal support control condition, and African American CGs showed the greatest improvements in the skills training condition. Spouse and nonspouse CGs also showed differential responses to intervention. IMPLICATIONS: Brief manual-guided interventions can be effective with White and African American CGs, and greater attention should be paid to possible differential responses to interventions by race and relationship to care recipient.
RCT Entities:
PURPOSE: We developed manual-guided, replicable interventions based on common needs and cultural preferences of White and African American family caregivers (CGs) of individuals with dementia, and we evaluated these interventions after a 6-month follow-up. DESIGN AND METHODS: We randomly assigned White (n = 70) and African American (n = 48) CGs of individuals with dementia to either a skills training condition or a minimal support control condition. RESULTS: The degree of treatment implementation was methodically assessed, and findings demonstrated that both interventions were delivered according to protocol and were well received by CGs. CGs in both groups reported decreasing levels of problem behaviors and appraisals of behavioral bother, and increased satisfaction with leisure activities over time. On a measure of appraisal of distress related to behavior problems, White CGs showed more improvement in the minimal support control condition, and African American CGs showed the greatest improvements in the skills training condition. Spouse and nonspouse CGs also showed differential responses to intervention. IMPLICATIONS: Brief manual-guided interventions can be effective with White and African American CGs, and greater attention should be paid to possible differential responses to interventions by race and relationship to care recipient.
Authors: A B Stevens; D Coon; S Wisniewski; D Vance; S Arguelles; S Belle; A Mendelsohn; M Ory; W Haley Journal: Aging Ment Health Date: 2004-09 Impact factor: 3.658
Authors: L Burgio; K L Lichstein; L Nichols; S Czaja; D Gallagher-Thompson; M Bourgeois; A Stevens; M Ory; R Schulz Journal: Gerontologist Date: 2001-08
Authors: Stephen R Wisniewski; Steven H Belle; David W Coon; Susan M Marcus; Marcia G Ory; Louis D Burgio; Robert Burns; Richard Schulz Journal: Psychol Aging Date: 2003-09
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
Authors: Laura N Gitlin; Steven H Belle; Louis D Burgio; Sara J Czaja; Diane Mahoney; Dolores Gallagher-Thompson; Robert Burns; Walter W Hauck; Song Zhang; Richard Schulz; Marcia G Ory Journal: Psychol Aging Date: 2003-09
Authors: Richard Schulz; Louis Burgio; Robert Burns; Carl Eisdorfer; Dolores Gallagher-Thompson; Laura N Gitlin; Diane Feeney Mahoney Journal: Gerontologist Date: 2003-08