A Biobehavioral Home-Based Intervention and the Well-being of Patients With Dementia and Their Caregivers

Reporting of harms in randomized controlled trials of psychological interventions for mental and behavioral disorders: A review of current practice

“…However, only three of these reports included information about the proportion of participants that deteriorated [39,40,44]. Two trials evaluated an intervention for patients with dementia and their caregivers [46,47], and assessed change in caregivers on a scale ranging from 1 (got much worse) to 5 (improved a lot). Clinically significant change in the patients was defined as a change of 0.5 standard deviations or more in one of these trials [46].…”

“…Two trials evaluated an intervention for patients with dementia and their caregivers [46,47], and assessed change in caregivers on a scale ranging from 1 (got much worse) to 5 (improved a lot). Clinically significant change in the patients was defined as a change of 0.5 standard deviations or more in one of these trials [46]. A trial of imagery rehearsal for posttraumatic nightmares [48] defined deterioration as a change of two or more for the number of nights with nightmares and for the weekly number of nightmares.…”

Dyadic interventions for community-dwelling people with dementia and their family caregivers: a systematic review

“…In the COTiD study [6], Graff et al (2006) show large effect sizes for all outcome measures, including mood, quality of life, daily functioning, and competence, but these effects were not replicated in successive studies of the same program (Voigt-Radloff et al, 2011a). Next, Gitlin et al (2008Gitlin et al ( , 2010a have demonstrated a decrease in behavioral occurrences of the person with dementia in two studies [4a, 5]; however, the Care of Persons with dementia in their Environments (COPE) study [4b], with comparable intervention components, does not show this effect (Gitlin et al, 2010b). Differences in findings in interventions with comparable treatment components might be explained in several ways.…”

Effectiveness of an Occupation-Based Home-Visit Program for Clients with Dementia and Caregivers: A Pilot Study

“…The results indicated that the BPSD for clients in the intervention group, especially shadowing and agitation, improved, as did mastery and self-efficacy for caregivers. Later, Gitlin et al [14] examined the effectiveness of a program called Care of Persons with Dementia in their Environments (COPE), which aimed to decrease environmental stress and enhance caregivers' skills (engaging clients in activities, simplifying tasks, etc.). The COPE comprised all of the TAP sessions as well as two additional sessions-one home visit and one telephone call-administered by nursing staff that involved advising caregivers on identifying pain and helping clients drink water.…”