I Zwingmann1, W Hoffmann1,2, B Michalowsky1, A Dreier-Wolfgramm2, J Hertel1,3, D Wucherer1, T Eichler1, I Kilimann1,4, F Thiel4, S Teipel1,4, J R Thyrian1. 1. a German Center for Neurodegenerative Diseases (DZNE) , Site Rostock/Greifswald , Germany. 2. b Department Epidemiology of Health Care and Community Health, Institute For Community Medicine , University Medicine Greifswald , Greifswald , Germany. 3. c Department of Psychiatry and Psychotherapy , University Medicine Greifswald , Greifswald , Germany. 4. d Department of Psychosomatic Medicine , University Medicine Rostock , Rostock , Germany.
Abstract
OBJECTIVES: Current research suggests that dementia care management (DCM) can decrease burden and associated health impairments of caregivers. The objective of this secondary analysis is to investigate the impact of DCM on multifaceted caregivers' burden dimensions by differentiating between objective and subjective burden. METHODS: A sample of n = 317 dyads of caregivers and community-dwelling people with dementia (PwD) participated in a general practitioner-based, cluster-randomized intervention trial (Identifier:NCT01401582) with two arms and comprehensive data assessment at baseline and 12-month follow-up. Data provided by the caregiver included an inventory with 88 items in 20 different dimensions. RESULTS: Caregivers in the intervention 'DCM' group showed decreased caregiver burden, especially in caregivers' objective burden due to caring (i.e. emotional support), caregivers' subjective burden due to behavior change (i.e. cognition, aggression and resistance, depression, late symptoms) and caregivers' subjective burden due to perceived conflicts between needs and responsibilities to care (i.e. financial losses) compared to caregivers in the control 'care as usual' group, which showed significant increased caregiver burden after 12 months. CONCLUSION: Our findings support evidence for the effectiveness of DCM to lower family dementia caregivers' burden in multifaceted dimensions.
RCT Entities:
OBJECTIVES: Current research suggests that dementia care management (DCM) can decrease burden and associated health impairments of caregivers. The objective of this secondary analysis is to investigate the impact of DCM on multifaceted caregivers' burden dimensions by differentiating between objective and subjective burden. METHODS: A sample of n = 317 dyads of caregivers and community-dwelling people with dementia (PwD) participated in a general practitioner-based, cluster-randomized intervention trial (Identifier:NCT01401582) with two arms and comprehensive data assessment at baseline and 12-month follow-up. Data provided by the caregiver included an inventory with 88 items in 20 different dimensions. RESULTS: Caregivers in the intervention 'DCM' group showed decreased caregiver burden, especially in caregivers' objective burden due to caring (i.e. emotional support), caregivers' subjective burden due to behavior change (i.e. cognition, aggression and resistance, depression, late symptoms) and caregivers' subjective burden due to perceived conflicts between needs and responsibilities to care (i.e. financial losses) compared to caregivers in the control 'care as usual' group, which showed significant increased caregiver burden after 12 months. CONCLUSION: Our findings support evidence for the effectiveness of DCM to lower family dementia caregivers' burden in multifaceted dimensions.
Entities:
Keywords:
Caregiver burden; cluster-randomized controlled trial; dementia care management
Authors: I Zwingmann; W Hoffmann; B Michalowsky; D Wucherer; T Eichler; S Teipel; A Dreier-Wolfgramm; I Kilimann; J R Thyrian Journal: Nervenarzt Date: 2018-05 Impact factor: 1.214
Authors: Stéphanie Giezendanner; Andreas U Monsch; Reto W Kressig; Yolanda Mueller; Sven Streit; Stefan Essig; Andreas Zeller; Klaus Bally Journal: BMC Fam Pract Date: 2019-05-20 Impact factor: 2.497
Authors: Ina Zwingmann; Adina Dreier-Wolfgramm; Alexander Esser; Diana Wucherer; Jochen René Thyrian; Tilly Eichler; Anika Kaczynski; Jessica Monsees; Armin Keller; Johannes Hertel; Ingo Kilimann; Stefan Teipel; Bernhard Michalowsky; Wolfgang Hoffmann Journal: BMC Health Serv Res Date: 2020-02-14 Impact factor: 2.655
Authors: Yen Sin Koh; Gerald Choon-Huat Koh; David Bruce Matchar; Song-Iee Hong; Bee Choo Tai Journal: Int J Environ Res Public Health Date: 2021-11-23 Impact factor: 3.390
Authors: Olga A Klein; Melanie Boekholt; Dilshad Afrin; Christina Dornquast; Adina Dreier-Wolfgramm; Armin Keller; Bernhard Michalowsky; Ina Zwingmann; Stefan Teipel; Jochen René Thyrian; Ingo Kilimann; Wolfgang Hoffmann Journal: Trials Date: 2021-06-16 Impact factor: 2.279