José A Luchsinger1,2, Louis Burgio3, Mary Mittelman4,5, Ilana Dunner6, Jed A Levine7, Carolina Hoyos8, Dante Tipiani1, Yefrenia Henriquez1, Jian Kong9,10, Stephanie Silver9,10, Mildred Ramirez9,10, Jeanne A Teresi9,10,11. 1. Department of Medicine, Columbia University Medical Center, New York, New York. 2. Department of Epidemiology, Columbia University Medical Center, New York, New York. 3. Burgio Geriatric Consulting, Tuscaloosa, Alabama. 4. Department of Psychiatry, School of Medicine, New York University, New York, New York. 5. Department of Rehabilitation Medicine, School of Medicine, New York University, New York, New York. 6. Riverstone Senior Life Services, New York, New York. 7. CaringKind, New York, New York. 8. New York City Department for the Aging, New York, New York. 9. Hebrew Home at Riverdale, Research Division, New York, New York. 10. Weill Cornell Medical College, New York, New York. 11. Stroud Center at New York State Psychiatric Institute, Columbia University, New York, New York.
Abstract
OBJECTIVES: To compare the effectiveness of 2 caregiver interventions with known efficacy: the Resources for Enhancing Caregiver Health-Offering Useful Treatment (REACH-OUT) and the New York University Caregiver Intervention (NYUCI). DESIGN: 1:1 randomized pragmatic trial. SETTING: New York City. PARTICIPANTS: Informal Hispanic caregivers of persons with dementia (N=221; mean age 58.2, 82.8% female, 63.3% adult children, 31.7% spouses). INTERVENTION: Participants were randomized to 6 months of NYUCI (n=110) or REACH-OUT (n=111), balanced on characteristics at baseline. All participants were referred for social supportive services. MEASUREMENTS: The primary outcomes were changes between baseline and 6 months in depressive symptoms, measured using the Geriatric Depression Scale (GDS), and caregiver burden, measured using the Zarit Caregiver Burden Scale (ZCBS). RESULTS: There were no differences in outcomes between NYUCI and REACH-OUT. Both interventions showed a reduction in burden (REACH-OUT: 5.2 points, 95% confidence interval (CI)=2.2-8.1, p<.001; NYUCI: 4.6-points, 95% CI=1.7-7.5, p=.002). There were no significant changes on the GDS. Effects for the ZCBS were significant only for spouses and older caregivers. CONCLUSION: Although there were no significant intervention group differences, both interventions resulted in significantly reduced burden for Hispanic caregivers at 6 months, particularly for spouses and older caregivers.
RCT Entities:
OBJECTIVES: To compare the effectiveness of 2 caregiver interventions with known efficacy: the Resources for Enhancing Caregiver Health-Offering Useful Treatment (REACH-OUT) and the New York University Caregiver Intervention (NYUCI). DESIGN: 1:1 randomized pragmatic trial. SETTING: New York City. PARTICIPANTS: Informal Hispanic caregivers of persons with dementia (N=221; mean age 58.2, 82.8% female, 63.3% adult children, 31.7% spouses). INTERVENTION: Participants were randomized to 6 months of NYUCI (n=110) or REACH-OUT (n=111), balanced on characteristics at baseline. All participants were referred for social supportive services. MEASUREMENTS: The primary outcomes were changes between baseline and 6 months in depressive symptoms, measured using the Geriatric Depression Scale (GDS), and caregiver burden, measured using the Zarit Caregiver Burden Scale (ZCBS). RESULTS: There were no differences in outcomes between NYUCI and REACH-OUT. Both interventions showed a reduction in burden (REACH-OUT: 5.2 points, 95% confidence interval (CI)=2.2-8.1, p<.001; NYUCI: 4.6-points, 95% CI=1.7-7.5, p=.002). There were no significant changes on the GDS. Effects for the ZCBS were significant only for spouses and older caregivers. CONCLUSION: Although there were no significant intervention group differences, both interventions resulted in significantly reduced burden for Hispanic caregivers at 6 months, particularly for spouses and older caregivers.
Authors: Ana M Gort; Maria Mingot; Xavier Gomez; Teodoro Soler; Gerard Torres; Oscar Sacristán; Santiago Miguelsanz; Francisco Nicolas; Ana Perez; Mariano de Miguel; Jacinto Cabau Journal: Int J Geriatr Psychiatry Date: 2007-10 Impact factor: 3.485
Authors: José A Luchsinger; Louis Burgio; Mary Mittelman; Ilana Dunner; Jed A Levine; Jian Kong; Stephanie Silver; Mildred Ramirez; Jeanne A Teresi Journal: BMJ Open Date: 2016-11-25 Impact factor: 2.692
Authors: Sunmoo Yoon; Alexandra Mendes; Louis Burgio; Mary Mittelman; Ilana Dunner; Jed A Levine; Carolina Hoyos; Dante Tipiani; Mildred Ramirez; Jeanne A Teresi; José A Luchsinger Journal: Stud Health Technol Inform Date: 2022-06-29