OBJECTIVE: To evaluate a case management (CM) model for people with mild dementia, whereby resources within the family and in the community were mobilized and optimally used. METHOD:Community dwelling psychiatric and geriatrics outpatients with mild dementia were randomized to receive CM by a trained occupational therapist for 4 months (CM group, N = 59) or usual care only (control group, N = 43). Primary outcome indicators included the Zarit Burden Scale (ZBI), General Health Questionnaire (GHQ), and Personal Well-Being Index for Adult (PWI-A) of the family caregivers. Secondary outcome indicators included the Mini-Mental State Examination (MMSE), Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia (CSDD), and Personal Well-Being Index for Intellectually Disabled (PWI-ID) of the demented subjects as measured at fourth and twelfth months. RESULT: CSDDis reduced in the CM group at fourth month, but not at twelfth month. The changes in outcome variables of persons with dementia did not differ between the groups (Mann-Whitney U-test, p > 0.05). At follow-up, CM group used more day care and domestic helpers than control group (chi (2), p > 0.05). CONCLUSION: Case management for Chinese persons with mild dementia outpatients did not show significant effects in reducing caregiver burden, but encouraged family caregivers to seek external support.
RCT Entities:
OBJECTIVE: To evaluate a case management (CM) model for people with mild dementia, whereby resources within the family and in the community were mobilized and optimally used. METHOD: Community dwelling psychiatric and geriatrics outpatients with mild dementia were randomized to receive CM by a trained occupational therapist for 4 months (CM group, N = 59) or usual care only (control group, N = 43). Primary outcome indicators included the Zarit Burden Scale (ZBI), General Health Questionnaire (GHQ), and Personal Well-Being Index for Adult (PWI-A) of the family caregivers. Secondary outcome indicators included the Mini-Mental State Examination (MMSE), Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia (CSDD), and Personal Well-Being Index for Intellectually Disabled (PWI-ID) of the demented subjects as measured at fourth and twelfth months. RESULT: CSDDis reduced in the CM group at fourth month, but not at twelfth month. The changes in outcome variables of persons with dementia did not differ between the groups (Mann-Whitney U-test, p > 0.05). At follow-up, CM group used more day care and domestic helpers than control group (chi (2), p > 0.05). CONCLUSION: Case management for Chinese persons with mild dementia outpatients did not show significant effects in reducing caregiver burden, but encouraged family caregivers to seek external support.
Authors: Halima Amjad; Stephanie K Wong; David L Roth; Jin Huang; Amber Willink; Betty S Black; Deirdre Johnston; Peter V Rabins; Laura N Gitlin; Constantine G Lyketsos; Quincy M Samus Journal: Health Serv Res Date: 2017-01-12 Impact factor: 3.402
Authors: Wei Duan-Porter; Kristen Ullman; Christina Rosebush; Lauren McKenzie; Kristine E Ensrud; Edward Ratner; Nancy Greer; Tetyana Shippee; Joseph E Gaugler; Timothy J Wilt Journal: J Gen Intern Med Date: 2020-01-02 Impact factor: 5.128
Authors: Calvin P W Cheng; Sandra S M Chan; Arthur D P Mak; Wai Chi Chan; Sheung Tak Cheng; Lin Shi; Defeng Wang; Linda Chiu-Wa Lam Journal: Trials Date: 2015-10-24 Impact factor: 2.279