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

Abstract

NCT02667951.

The types of caregiving reactions experienced by the older spouse caregivers

“…In SGH, we have a structured caregiver-training programme to equip our caregivers with knowledge and skills so that they can pro- more likely to experience positive outcomes compared to caregivers who did not attend (Hendrix et al, 2016;Kuo et al, 2017). In this study, we found no beneficial effect of caregiver training.…”

“…Such a training programme is beneficial, especially for caregivers who need to provide specialised caregiving tasks such as changing catheter bags, wound care or overseeing complex medication management. Studies have shown that caregivers who attended a caregiver‐training programme were more likely to experience positive outcomes compared to caregivers who did not attend (Hendrix et al, ; Kuo et al, ). In this study, we found no beneficial effect of caregiver training.…”

Effectiveness of a psychoeducational intervention for caregivers of People With Dementia with regard to burden, anxiety and depression: A systematic review

“…It should be noted that the reductions in depression and anxiety were most significant in those caregivers who presented higher level prior to the intervention (Hatch et al, ). An increase in depressive symptomatology was observed in the CG postintervention (Gitlin et al, ; Kuo et al, ) and caregiver burden was associated with provision of constant care due to deterioration in the functional capacities of the PwD, resulting in dedication of more time to caregiving activities (Kuo et al, ; Kwok et al, ). Similarly, it was observed that the level of burden depended on the presence or otherwise of externally recruited caregivers (Hatch et al, ).…”

“…In the studies analysed and classified into this category, (N= 7), three divided the sessions into home sessions, where the caregivers could access a programme from their own homes though a web portal and telephone sessions with a health professional who was part of the educational programme (Beauchamp, Irvine, Seeley, & Johnson, 2005;Hattink et al, 2015;Kajiyama et al, 2013). Four studies, delivered the programme through telephone networks, that is, a health professional explained the sessions to the caregiver by phone, so that queries were dealt with immediately (Gitlin et al, 2010;Hatch et al, 2013;Kuo et al, 2016;Kwok et al, 2013;Tremont, Davis, Bishop, & Fortinsky, 2008). In the three remaining studies, the programme included a web page, divided into specific sessions for the home care of the PwD.…”

“…Compared with their respective control groups (CGs), the interventions achieved a significant reduction in burden (Gitlin et al, 2010;Hatch et al, 2013;Kajiyama et al, 2013;Kwok et al, 2013), levels of depression (Beauchamp et al, 2005;Gitlin et al, 2010;Hattink et al, 2015;Kajiyama et al, 2013;Kuo et al, 2016) and anxiety (Beauchamp et al, 2005), improved communication with the care recipient (Gitlin et al, 2010) (caregiver self-efficacy and well-being, and improvements in strategies for seeking help from other people (Kwok et al, 2013). It should be noted that the reductions in depression and anxiety were most significant in those caregivers who presented higher level prior to the intervention (Hatch et al, 2013).…”