Translating the REACH OUT dementia caregiver intervention into a primary care setting: a pilot study.
Aging Ment Health
; 25(8): 1483-1492, 2021 08.
Article
in En
| MEDLINE
| ID: mdl-33258686
ABSTRACT
OBJECTIVE:
The current study translated the Resources for Enhancing Alzheimer's Caregiver Health Offering Useful Treatments (REACH OUT), a skills-building stress and burden intervention, for the primary care setting and pilot the resulting intervention.METHODS:
The 16-week intervention consisted of a combination of clinic-based group and one-on-one sessions offered within a medical home, geriatrics clinic. A quasi-experimental pre- and post-test study design without a control group tested the resulting intervention. Semi-structured qualitative exit interviews evaluated program satisfaction.RESULTS:
Twenty-five caregivers participated in one of four intervention groups; 21 caregivers completed the intervention (attended at least five of six group sessions). Caregiver burden on standardized assessments was significantly reduced between pre- and post-intervention, specifically for physical/emotional strain and caregiving uncertainty. Significant reductions were found in the frequency of reported disruptive behaviors; increased caregiver confidence in handling behavior problem frequency, depressive symptoms, disruptive behaviors, and memory-related problems; and decreased bother with respect to behavioral problem frequency and care recipient depression. Program satisfaction was high.CONCLUSION:
This work suggests that the REACH OUT program can be successfully modified for use within a primary-care medical home setting.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Caregivers
/
Alzheimer Disease
Type of study:
Evaluation_studies
/
Qualitative_research
Limits:
Humans
Language:
En
Journal:
Aging Ment Health
Journal subject:
GERIATRIA
/
PSICOLOGIA
Year:
2021
Type:
Article
Affiliation country:
United States