Geoffrey Tremont1, Jennifer D Davis2, George D Papandonatos3, Brian R Ott4, Richard H Fortinsky5, Pedro Gozalo6, Mun Sang Yue3, Kimberly Bryant7, Christine Grover7, Duane S Bishop7. 1. Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: gtremont@lifespan.org. 2. Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA. 3. Department of Biostatistics, Center for Statistical Sciences Brown University, Providence, RI, USA. 4. Department of Neurology, Rhode Island Hospital, Providence, RI, USA; Department of Neurology, Alpert Medical School of Brown University, Providence, RI, USA. 5. Department of Medicine, UConn Center on Aging, University of Connecticut School of Medicine, Farmington, CT, USA. 6. Department of Health Services, Policy & Practice, Center for Gerontology and Health Care Research, Brown University, Providence, RI, USA. 7. Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA.
Abstract
BACKGROUND: Identifying effective and accessible interventions for dementia caregivers is critical as dementia prevalence increases. OBJECTIVE: Examine the effects of a telephone-based intervention on caregiver well-being. DESIGN: Randomized, controlled trial. SETTING: Academic medical center. PARTICIPANTS: Two hundred and fifty distressed, family, dementia caregivers. INTERVENTION: Caregivers randomized to receive 16 telephone contacts over 6 months of either the Family Intervention: Telephone Tracking-Caregiver (FITT-C) or Telephone Support (TS). OUTCOME: Primary outcome variables were family caregivers' depressive symptoms, burden, and reactions to care recipients' behavior problems at 6 months. RESULTS: The FITT-C intervention resulted in significantly improved caregiver depressive symptoms (P = .003; 27% net improvement) and less severe reactions to care-recipient depressive behaviors (P = .009; 29% net improvement) compared with the control condition (TS). CONCLUSION: An entirely telephone-based intervention improves caregivers' depressive symptoms and reactions to behavior problems in the care recipient and is comparable with reported results of face-to-face interventions.
RCT Entities:
BACKGROUND: Identifying effective and accessible interventions for dementia caregivers is critical as dementia prevalence increases. OBJECTIVE: Examine the effects of a telephone-based intervention on caregiver well-being. DESIGN: Randomized, controlled trial. SETTING: Academic medical center. PARTICIPANTS: Two hundred and fifty distressed, family, dementia caregivers. INTERVENTION: Caregivers randomized to receive 16 telephone contacts over 6 months of either the Family Intervention: Telephone Tracking-Caregiver (FITT-C) or Telephone Support (TS). OUTCOME: Primary outcome variables were family caregivers' depressive symptoms, burden, and reactions to care recipients' behavior problems at 6 months. RESULTS: The FITT-C intervention resulted in significantly improved caregiver depressive symptoms (P = .003; 27% net improvement) and less severe reactions to care-recipient depressive behaviors (P = .009; 29% net improvement) compared with the control condition (TS). CONCLUSION: An entirely telephone-based intervention improves caregivers' depressive symptoms and reactions to behavior problems in the care recipient and is comparable with reported results of face-to-face interventions.
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