Maintenance of Effects of the Home Environmental Skill-Building Program for Family Caregivers and Individuals With Alzheimer's Disease and Related Disorders

Gitlin, Laura N.; Dennis, Marie P.; Winter, Lieven De

doi:10.1093/gerona/60.3.368

Cited by 139 publications

(114 citation statements)

References 18 publications

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“…There were also no changes in affect at 6 months. Nevertheless, over a longer period affect improved [91]. In the last intervention, dyads received eight sessions.…”

Section: Individual Based Occupational Therapy Interventionsmentioning

confidence: 99%

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

Vandepitte

Noortgate

Putman

et al. 2016

JAD

103

118

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Abstract.Background: Dementia is known as a major public health problem affecting both patients and caregivers, and placing a high financial strain upon society. In community-dwelling patients, it is important to support informal caregivers in order to help them sustain their demanding role. Previous reviews about effectiveness of such supporting strategies often included a small number of studies, focused only on particular supportive types, particular outcomes, or solely on caregivers. Objective: A general systematic review was conducted investigating effectiveness of different supportive strategies on at least the well-being of the caregiver or the care-recipient. Methods: A systematic literature search was conducted in Web of Science and PubMed. An adapted version of the Downs and Black (1998) checklist was used to assess methodological quality. A new classification was developed to group different types of caregiver support. Results: Fifty-three papers met the inclusion criteria. Although 87% of the interventions were to some extent effective, methods and findings were rather inconsistent. Psychoeducational interventions generally lead to positive outcomes for caregivers, and delay permanent institutionalization of care-recipients. Cognitive behavioral therapy decreases dysfunctional thoughts among caregivers. Occupational therapy decreases behavioral problems among patients and improves self-efficacy of caregivers. In general, those interventions tailored on individual level generate better outcomes. Comparative research on respite care was very rare. Conclusions: Despite methodological inconsistency, supporting caregivers appears to be an effective strategy often improving well-being of caregiver or care-recipient and resulting in additional benefits for society. However, there is a need for more research on the (cost)-effectiveness of respite care.

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“…There were also no changes in affect at 6 months. Nevertheless, over a longer period affect improved [91]. In the last intervention, dyads received eight sessions.…”

Section: Individual Based Occupational Therapy Interventionsmentioning

confidence: 99%

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

Vandepitte

Noortgate

Putman

et al. 2016

JAD

103

118

View full text Add to dashboard Cite

show abstract

“…• An in-home skills training and environmental adaptation program (Gitlin et al, 2003) improves the quality of life for both the caregiver and the care recipient, with fewer declines in occupational performance of care recipients and less need for care giving (Gitlin, Hauck, Dennis, & Winter, 2005). Home-based OT is effective and cost efficient for community-dwelling elders and their caregivers (Graff et al, 2008).…”

Section: Research Evidence and Related Resources Guiding Practicementioning

confidence: 99%

Occupational Therapy’s Perspective on the Use of Environments and Contexts to Support Health and Participation in Occupations

2010

The American Journal of Occupational Therapy

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PurposeThis paper articulates the position of the American Occupational Therapy Association (AOTA) regarding how, across all areas of practice, occupational therapy practitioners 1 select, create, and use environments and contexts to support clients' health and participation in desired occupations. IntroductionThe value and purpose of occupational therapy is to support the health and participation of clients by engaging them in their desired occupations (AOTA, 2008). Occupations are activities that "reflect cultural values, provide structure to living and meaning to individuals; these activities meet human needs for selfcare, enjoyment, and participation in society" (Crepeau, Cohn, & Schell, 2003, p. 1031. Where and how occupational therapy services are provided is based on the notion that clients' engagement in occupation is inextricably situated in environments and contexts. The environment refers to external physical and social aspects that surround clients while engaging in the occupation. Contexts are the cultural, personal, temporal, and virtual aspects of this engagement; some contexts are external to the client (e.g., virtual), some are internal to the client (e.g., personal), and some may have both external features and internalized beliefs and values (e.g., cultural) (AOTA, 2008). Occupational therapy practitioners view human performance as a transactive relationship among people, their occupations, and environments and contexts.Using their expertise in analyzing these complex and reciprocal relationships, occupational therapy practitioners make recommendations to structure, modify, or adapt the environment and context to enhance and support performance. Both environment and context influence clients' success in desired occupations and therefore are critical aspects of any occupational therapy assessment, intervention, and outcome. This assumption is consistent with current educational and health care laws and policies that stipulate that assessment and intervention by providers take place in the natural and least restrictive environments that support the client's successful participation (Americans with Disabilities Act of 1990; Individuals with Disabilities Education Improvement Act Amendments of 2004;Olmstead v. L.C. and E.W., 1999). Occupational Therapy ProcessOccupational therapy practitioners support people where life is lived. To support people to live meaningful lives in environments and contexts that best meet their needs and desires, practitioners interpret a wide range of laws, regulations, and standards as they seek to maintain the integrity and values of the profession to benefit clients. Table 1 reviews key legislation related to occupational therapy intervention and how these laws apply to practice.1 When the term occupational therapy practitioner is used in this document, it refers to both occupational therapists and occupational therapy assistants (AOTA, 2006). Occupational therapists are responsible for all aspects of occupational therapy service delivery and are accountable for the s...

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“…[19][20][21] Een ervan presenteerde een verbetering in functioneren van de dementerende ouderen (SMD 0,42; 95%-BI 0,11-0,72). 20 Een vierde, in 2006 gevonden RCT van beperkte methodologische kwaliteit vergeleek een ergotherapeutische inventarisatie van problemen en oplossingen met een inventarisatie door een maatschappelijk werker.…”

Section: Begeleiden Van Mantelzorgersunclassified

“…Gitlin rapporteerde na een ergotherapeutische interventie toegenomen handelingsbekwaamheid van de mantelzorger in het bieden van zorg en het voorkomen van gedragsproblemen (SMD 0,39 (95%-BI 0,04-0,74)). 21 Stewart rapporteerde een toegenomen kwaliteit van leven voor de groep mantelzorgers die ergotherapie ontvangen had (SMD 0,73; 95%-BI 0,25-1,21). 22 Door de beperkte methodologische kwaliteit van de betreffende onderzoeken dienen de resultaten voorzichtig geïnterpreteerd te worden.…”

Section: Begeleiden Van Mantelzorgersunclassified

Ergotherapie: een effectief en goedkoop middel om vallen te voorkomen en ouderen hun zelfstandigheid te laten behouden

Steultjens¹,

Dekker²,

Bouter³

et al. 2006

HUWE

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Maintenance of Effects of the Home Environmental Skill-Building Program for Family Caregivers and Individuals With Alzheimer's Disease and Related Disorders

Abstract: An in-home skills training program helps sustain caregiver affect for those enrolled for more than 1 year. More frequent professional contact and ongoing skills training may be necessary to maintain other clinically important outcomes such as reduced upset with behaviors.

Cited by 139 publications

References 18 publications

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

Effectiveness of Supporting Informal Caregivers of People with Dementia: A Systematic Review of Randomized and Non-Randomized Controlled Trials

Occupational Therapy’s Perspective on the Use of Environments and Contexts to Support Health and Participation in Occupations

Ergotherapie: een effectief en goedkoop middel om vallen te voorkomen en ouderen hun zelfstandigheid te laten behouden

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