A home‐based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression: a randomized controlled trial

Kuo, Li Min; Huang, Huei‐Ling; Huang, Hsiu-Lin; Liang, Jersey; Chiu, Yi‐Chen; Chen, Sien Tsong; Kwok, Yam Ting; Hsu, Wen‐Chuin; Shyu, Yea‐Ing Lotus

doi:10.1002/gps.3853

Cited by 39 publications

(39 citation statements)

References 40 publications

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“…To extend the 6‐month results of our prior study on the effects of the family caregiver‐training programme (Kuo et al . ), we conducted this study to: (1) describe the multiple trajectories of family caregivers’ depressive symptoms over 18 months of follow‐up; and (2) report the effects of the training programme on family caregivers’ distinct depressive‐symptom trajectories.…”

Section: The Studymentioning

confidence: 99%

“…We previously reported short‐term (6‐month) results showing that our home‐based caregiver‐training programme, which was developed from the Progressively Lowered Stress Threshold Model (PLST) model and Antecedent Event‐Behaviour‐Consequence (ABC) theory and used a nurse partnership with FCGs of PWD, significantly decreased caregivers’ likelihood of risk for depression at least 6 months after receiving the programme (Kuo et al . ). However, whether the caregiver‐training programme had different effects on caregivers with different patterns of depressive symptoms has not been studied.…”

Section: Introductionmentioning

confidence: 97%

“…In our previous randomized control trial, FCGs’ risk for depression decreased after an individualized home‐based caregiver‐training programme for managing PWD's behavioural problems, with referrals to community services and telephone consultation (Kuo et al . ). However, these analyses focused on the overall intervention effects on the average course of changes in depressive symptoms.…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

A randomized controlled trial of a home‐based training programme to decrease depression in family caregivers of persons with dementia

Kuo

Huang

Liang

et al. 2016

Journal of Advanced Nursing

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Section: The Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

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A randomized controlled trial of a home‐based training programme to decrease depression in family caregivers of persons with dementia

Kuo

Huang

Liang

et al. 2016

Journal of Advanced Nursing

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“…This study was a secondary analysis of baseline data on a subsample of family caregiver-dementia patient dyads from a larger randomized clinical trial [15,16], which explored the effects of a home-based family caregiver training program.…”

Section: Methodsmentioning

confidence: 99%

“…Respondents are asked to indicate the frequency with which each symptom occurred during the past week where 1 indicates ‘less than 1 day', 2 indicates ‘1-2 days', 3 indicates ‘3-4 days' and 4 indicates ‘5-7 days'. The scale has been used to measure levels of depressive symptomatology [15]. Scores can range from 0 to 60, with higher scores indicating higher risk of depression.…”

Section: Methodsmentioning

confidence: 99%

Health-Related Quality of Life and Self-Efficacy of Managing Behavior Problems for Family Caregivers of Vascular Dementia and Alzheimer's Disease Patients

Kuo

Huang

Hsu

et al. 2014

Dement Geriatr Cogn Disord

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Background: Little is known about the differences in patients' behavioral problems and health outcomes of family caregivers of patients with vascular dementia (VaD) and Alzheimer's disease (AD). Methods: A secondary analysis of baseline data on a subsample of caregiver-dementia patient dyads in a randomized clinical trial. Results: Family caregivers of VaD patients reported higher self-efficacy than caregivers of AD patients in handling verbally nonaggressive and verbally aggressive behaviors. Caregivers of VaD patients had poorer health-related quality of life (HRQoL) than caregivers of AD patients considering role disability due to physical health problems, bodily pain, social function, and physical component summary. Greater self-efficacy was associated with better mental health-related outcomes for family caregivers of VaD patients, and better self-care ability of VaD patients was associated with better caregiver mental health-related outcomes. Caring for a patient with more severe dementia predicted poor physical health-related outcomes in role disability due to physical health problems, but better overall mental health (mental component summary) for caregivers. Conclusion: This study is the first to examine and compare the behavioral problems of AD and VaD patients in a Chinese population, along with their family caregivers' self-efficacy and health outcomes. Family caregivers of patients with VaD might warrant specific attention to their HRQoL, with interventions developed to enhance their self-efficacy.

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Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map

Welch

Mathew

Babelmorad

et al. 2021

Campbell Systematic Reviews

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Background By 2030, the global population of people older than 60 years is expected to be higher than the number of children under 10 years, resulting in major health and social care system implications worldwide. Without a supportive environment, whether social or built, diminished functional ability may arise in older people. Functional ability comprises an individual's intrinsic capacity and people's interaction with their environment enabling them to be and do what they value. Objectives This evidence and gap map aims to identify primary studies and systematic reviews of health and social support services as well as assistive devices designed to support functional ability among older adults living at home or in other places of residence. Search Methods We systematically searched from inception to August 2018 in: MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, CENTRAL, CINAHL, PsycINFO, AgeLine, Campbell Library, ASSIA, Social Science Citation Index and Social Policy & Practice. We conducted a focused search for grey literature and protocols of studies (e.g., ProQuest Theses and Dissertation Global, conference abstract databases, Help Age, PROSPERO, Cochrane and Campbell libraries and http://ClinicalTrials.gov). Selection Criteria Screening and data extraction were performed independently in duplicate according to our intervention and outcome framework. We included completed and on‐going systematic reviews and randomized controlled trials of effectiveness on health and social support services provided at home, assistive products and technology for personal indoor and outdoor mobility and transportation as well as design, construction and building products and technology of buildings for private use such as wheelchairs, and ramps. Data Collection and Analysis We coded interventions and outcomes, and the number of studies that assessed health inequities across equity factors. We mapped outcomes based on the International Classification of Function, Disability and Health (ICF) adapted categories: intrinsic capacities (body function and structures) and functional abilities (activities). We assessed methodological quality of systematic reviews using the AMSTAR II checklist. Main Results After de‐duplication, 10,783 records were screened. The map includes 548 studies (120 systematic reviews and 428 randomized controlled trials). Interventions and outcomes were classified using domains from the International Classification of Function, Disability and Health (ICF) framework. Most systematic reviews (n = 71, 59%) were rated low or critically low for methodological quality. The most common interventions were home‐based rehabilitation for older adults (n = 276) and home‐based health services for disease prevention (n = 233), mostly delivered by visiting healthcare professionals (n = 474). There was a relative paucity of studies on personal mobility, building adaptations, family support, personal support and befriending or friendly visits. The most measured intrinsic capacity domains were mental functio...

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A home‐based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression: a randomized controlled trial

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

Cited by 39 publications

References 40 publications

A randomized controlled trial of a home‐based training programme to decrease depression in family caregivers of persons with dementia

A randomized controlled trial of a home‐based training programme to decrease depression in family caregivers of persons with dementia

Health-Related Quality of Life and Self-Efficacy of Managing Behavior Problems for Family Caregivers of Vascular Dementia and Alzheimer's Disease Patients

Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map

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