P4-028 The association between neuropsychiatric symptoms and medical illness in an outpatient dementia population

Tran, Peter; Schmidt, Kara S.; Gallo, Jennifer L.; Tuppo, Ehab; Scheinthal, Stephen; Chopra, Anita; Libon, David J.

doi:10.1016/s0197-4580(04)81586-0

Neurobiology of Aging

2004

DOI: 10.1016/s0197-4580(04)81586-0

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P4-028 The association between neuropsychiatric symptoms and medical illness in an outpatient dementia population

Peter Tran¹,

Kara S. Schmidt²,

Jennifer L. Gallo³

et al.

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2010

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“…Managing neuropsychiatric behaviors is one of the most challenging aspects of caring for individuals with dementia. Behavioral symptoms are common, occur throughout the course of the disease, have a profound effect on families, and are associated with more time spent caregiving, higher care costs, greater risk for nursing home placement, and greater mortality 1–5 . Caregivers managing behavioral symptoms report high levels of distress and depressive symptoms.…”

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confidence: 99%

Targeting and Managing Behavioral Symptoms in Individuals with Dementia: A Randomized Trial of a Nonpharmacological Intervention

Gitlin

Winter

Dennis

et al. 2010

J American Geriatrics Society

211

270

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Objectives Test effects of an intervention that helps families manage distressful behaviors. Design Two-group randomized trial Setting In-home Participants 272 caregivers and dementia patients Intervention Up to 11 home/telephone contacts over 16-weeks by health professionals who identified potential triggers of patient behaviors including communication, environment, patient undiagnosed medical conditions (by obtaining blood/urine samples), and trained caregivers in strategies to modify triggers and reduce caregiver upset. Between 16–24 weeks, 3 telephone contacts reinforced strategy use. Measurements Primary outcomes included frequency of targeted problem behavior, and caregiver upset with and confidence managing it at 16-weeks. Secondary outcomes included caregiver well-being and management skills at 16 and 24 weeks, and caregiver perceived benefits. Prevalence of medical conditions for intervention patients were also examined. Results At 16 weeks, 67.5% of intervention caregivers reported patient improvement in targeted problem behavior compared to 45.8% of caregivers in a no-treatment control group (p=.002), reduced upset with (p=.028) and enhanced confidence managing (p=.011) the behavior. Additionally, compared to controls, intervention caregivers reported less upset with all problem behaviors (p=.001), negative communication (p=.017), burden (p=.051), and improved well-being (p=.001). Fewer intervention caregivers had depressive symptoms (53.0%) than control group caregivers (67.8%, p=.020). Similar caregiver outcomes occurred at 24-weeks. Compared to controls, intervention caregivers perceived more study benefits (p values <.05) including ability to keep patients home. Blood/urine samples of intervention patients showed 40 (34.1%) had undiagnosed illnesses requiring physician follow-up. Conclusion Targeting behaviors upsetting to caregivers and modifying potential triggers improves patient symptomatology and caregiver well-being and skills.

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confidence: 99%

Targeting and Managing Behavioral Symptoms in Individuals with Dementia: A Randomized Trial of a Nonpharmacological Intervention

Gitlin

Winter

Dennis

et al. 2010

J American Geriatrics Society

211

270

View full text Add to dashboard Cite

show abstract

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P4-028 The association between neuropsychiatric symptoms and medical illness in an outpatient dementia population

Cited by 1 publication

References 0 publications

Targeting and Managing Behavioral Symptoms in Individuals with Dementia: A Randomized Trial of a Nonpharmacological Intervention

Targeting and Managing Behavioral Symptoms in Individuals with Dementia: A Randomized Trial of a Nonpharmacological Intervention

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