This home-based caregiver training program is helpful for decreasing problematic behaviors of elder people with dementia and it improves the caregiver's self-efficacy for managing problematic behaviors.

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Purpose: The purpose of this study was to explore family caregivers' role-implementation experiences at different stages of dementia. Patients and methods: For this cross-sectional, exploratory study, 176 dyads of family caregivers and their community-dwelling elderly relatives with dementia were recruited from the neurological clinics of a medical center in Taiwan. The Family Caregiving Inventory was used to assess family caregivers for caregiving activities, role strain, role preparation, and help from others at different stages of care receivers' dementia. Results: Family caregivers' caregiving activities were related to patients' stages of dementia. For patients with mild dementia, caregivers provided more assistance in transportation and housekeeping. In addition to these two activities, family caregivers of patients with moderate dementia provided more assistance with mobility and protection. For patients with severe dementia, family caregivers provided more assistance with personal care, mobility and protection, transportation, and housekeeping. Overall, family caregivers reported having some preparation to provide care; the most difficult caregiving activity was identified as managing behavioral problems. Conclusion: This study's results provide a knowledge base for designing dementia stagespecific interventions in clinical practice and developing community-based, long-term care systems for families of patients with dementia.

Our home-based caregiver training program improved caregivers' HRQoL, especially role limitations due to emotional problems, and decreased their risk for depression.

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NCT02667951.

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The Finding a Balance Scale, designed to measure the degree to which caregivers can balance the competing demands of caregiving and other priorities, assists health care providers in understanding the process of family caregiving. The aim of this study was to examine the scale's psychometric properties and determine an appropriate cutoff score for identifying caregivers at high risk for poor caregiving consequences. We found adequate reliabilities and appropriate validities in a convenience sample of 197 family caregivers of elders with dementia in Taiwan. The optimal cutoff was also determined. The validated Finding a Balance Scale provides an assessment tool to explore the competing responsibilities, conditions, and difficulties for family caregivers of elders with dementia in Taiwan.