Effects on Care-Givers of Special Day Care Programmes for Dementia Sufferers

Wells, Yvonne; Jorm, Anthony F.; Jordan, Fionnuala; Lefroy, R. B.

doi:10.3109/00048679009062889

Cited by 34 publications

(18 citation statements)

References 10 publications

(7 reference statements)

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“…Only a few studies have investigated the effect of those programs on behavior problems and mood of the demented person (Brodaty & Gresham, 1989;Lawton et al, 1989;Mintzer et al, 1997;Seltzer et al, 1988;Vernooij-Dassen & Persoon, 1990;Wells et al, 1990). The results of these studies are ambiguous.…”

mentioning

confidence: 76%

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

Dröes

Breebaart²,

Ettema

et al. 2000

Int. Psychogeriatr.

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ABSTRACT. Objective: This study tests the hypothesis that integrated family support, in which patients and caregivers are both supported by one professional staff, is more effective in influencing behavior problems and mood of the dementia patient than nonintegrated support, such as psychogeriatric day care only. Design: A quasi-experimental pretest-posttest control group design with matched groups was applied. Setting: Psychogeriatric day-care centers of four community centers and three nursing homes. Participants: Fifty-six dementia patients living at home and their caregivers. Intervention: The patients in the experimental group (n = 33) participated together with their caregivers in an integrated family support program, whereas the patients in the control group (n = 23) received psychogeriatric day care only. Measurements: Behavior problems and mood were observed using standardized behavior observation scales. Results: After 7months the experimental support program, compared to the regular psychogeriatric day care, showed a large positive effect on the total number of behavior problems (effect size .75), and also specifically on the degree of inactivity (effect size .66) and nonsocial behavior (effect size .61). No effect on mood was found. Conclusions: In influencing the total amount of behavior problems, as well as the degree of inactivity and nonsocial behavior, the integrated family support program proved to be more effective than psychogeriatric day care. Because behavior problems are an important determinant for admission of persons with dementia into a nursing home, integrated family support may contribute to the delay of institutionalization.Behavioral and mood problems of persons with dementia often make it difficult to take care of these people at home. Research shows that behavioral problems constitute the main determinant of institutionalization of a person with dementia into a nursing home (Christie & Wood, 1988;Grafstrom et al., 1994;Reisberg et al., 1987;Steele et al., 1990). It is also well known that behavioral problems

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mentioning

confidence: 76%

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

Dröes

Breebaart²,

Ettema

et al. 2000

Int. Psychogeriatr.

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“…The mean score on the GHQ in the present study was 5.2 for full carers, but only 2.3 for partial carers. In other Australian studies, carers who were members of the Alzheimer's Disease and Related Disorders Society had a mean GHQ score of 7.3 [17], carers of people attending dementia day care had a mean of 8.3 [18] and carers of people with dementia or stroke attending a geriatric service had a mean of 5.9 [3]. When we carried out a multivariate analysis to examine factors associated with psychiatric symptoms and life satisfaction in the carer group, there were no significant effects of carer characteristics (such as whether a full or partial carer, a spouse or child carer, or a co-resident carer).…”

Section: Discussionmentioning

confidence: 99%

Carer distress in the general population: results from the Sydney Older Persons Study

Broe

Jorm²,

Creasey³

et al. 1999

Age and Ageing

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Objective: to assess distress in a sample of carers who were selected from a community survey rather than recruited via community-service agencies. Methods: a community survey was carried out on 630 people aged 75 or over living in Sydney, Australia. Informants nominated by these elderly people were divided into full carer (n = 21), partial carer (n = 187) and noncarer groups (n = 344). Informants completed the General Health Questionnaire (a continuous measure of psychiatric symptoms), the life satisfaction index (a measure of well-being) and the interpersonal bonding measure (a measure of quality of the relationship with the elderly person). Elderly participants had a medical examination, were assessed for disability and were questioned about use of services. Results: elderly people who had a full carer were more disabled and had more medical diagnoses. Full, but not partial, carers reported more psychiatric symptoms and lower life satisfaction. In multivariate analysis, the main determinant of carer distress was a relationship in which the carer felt controlled by the elderly person. Conclusion: when carers are selected from a population-based sample, only those who are full carers are more distressed. However, relationship factors are the most important determinant of distress.

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“…In the last two decades many initiatives have been developed for people with dementia who live in the community and for their carers (Wells et al, 1990;Knight et al, 1993;Collins et al, 1994;Huckle, 1994;Flint, 1995;Pusey and Richards, 2001). These developments are important, because of the growing number of persons with dementia living in the community and the attendant burden on caring family members.…”

Section: Introductionmentioning

confidence: 99%

Effect of combined support for people with dementia and carers versus regular day care on behaviour and mood of persons with dementia: results from a multi‐centre implementation study

Dröes¹,

Meiland

Schmitz

et al. 2004

Int J Geriat Psychiatry

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The Meeting Centres Support Programme proves to be more effective than regular day care in influencing behaviour problems, especially inactivity and non-social behaviour, and depressed mood. Participation in the programme also seems to have a positive effect on self-esteem, an important aspect of quality of life. These findings surpass the results of the Amsterdam study and confirm the surplus value of the combined family support in the Meeting Centres Support Programme as compared to regular day care for people with mild to severe dementia.

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Effects on Care-Givers of Special Day Care Programmes for Dementia Sufferers

Cited by 34 publications

References 10 publications

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

Effect of Integrated Family Support Versus Day Care Only on Behavior and Mood of Patients With Dementia

Carer distress in the general population: results from the Sydney Older Persons Study

Effect of combined support for people with dementia and carers versus regular day care on behaviour and mood of persons with dementia: results from a multi‐centre implementation study

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