Stress Reduction for Family Caregivers: Effects of Adult Day Care Use

Zarit, Steven H.; Stephens, Mary Ann Parris; Townsend, Aloen L.; Greene, Rickey

doi:10.1093/geronb/53b.5.s267

Cited by 294 publications

(321 citation statements)

References 16 publications

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“…29,40,44,47,48,55 Two studies 29,55 measured depression at two follow-up times (6 and 12 months and 3 and 12 months respectively). Two separate analyses were therefore carried out examining the effects of both short-and long-term follow-up.…”

Section: Carer Depression and Psychological Well-beingmentioning

confidence: 99%

“…29,40,44,47,55 Four of the studies were carried out in the USA 29,40,47,55 (three assessing day care 29,47,55 and one home care 40 ). Only one was carried out in the UK, 44 assessing home care.…”

Section: Carer Depression and Psychological Well-beingmentioning

confidence: 99%

“…Only one was carried out in the UK, 44 assessing home care. 44 Three of the studies focused on care recipients with dementia 40,47,55 and two focused on frail elderly care recipients. 29,44 Length of follow-up ranged from 1 to 6 months.…”

Section: Carer Depression and Psychological Well-beingmentioning

confidence: 99%

“…29,48,55 Two studies were carried out in the USA, 29,55 assessing day care in the frail elderly 29 and in care recipients with dementia. 55 The third study assessed a combined day and home care intervention for dementia care recipients in the UK. 48 The followup period for all studies was 12 months.…”

Section: Carer Depression: Long-term Follow-upmentioning

confidence: 99%

See 3 more Smart Citations

Systematic review of respite care in the frail elderly

Shaw

McNamara²,

Abrams³

et al. 2009

Health Technol Assess

152

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in ...

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Section: Carer Depression and Psychological Well-beingmentioning

confidence: 99%

Section: Carer Depression and Psychological Well-beingmentioning

confidence: 99%

Section: Carer Depression and Psychological Well-beingmentioning

confidence: 99%

Section: Carer Depression: Long-term Follow-upmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of respite care in the frail elderly

Shaw

McNamara²,

Abrams³

et al. 2009

Health Technol Assess

152

View full text Add to dashboard Cite

show abstract

“…Neben der weit verbreiteten Verwendung unstandardisierter Messinstrumente besteht das größte Defizit der Evaluationsstudien in diesem Bereich ebenfalls darin, dass selten ein Längsschnitt-Kontrollgruppen-Design angewendet wird (Zarit, 1998;Zarit & Leitsch 2001;Zarit, Stephens, Townsend, Greene & Femia, 2003).…”

Section: Insgesamt Unterliegt Die Evaluationsforschung Im Bereich Derunclassified

Evaluation eines psychoedukativen Kurses für Angehörige von Schlaganfallpatienten

Heier

Lännler

Steinhagen‐Thiessen

2002

Zeitschrift für Neuropsychologie

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Zusammenfassung: In dem vorliegenden Artikel wurde ein psychoedukativer Kurs für Angehörige von Schlaganfallpatienten entwickelt und in einem Längsschnitt-Kontrollgruppen-Design mit 3 Messzeitpunkten evaluiert. Insgesamt wurden 85 Angehörige untersucht. Als Messinstrumente kamen Selbstratingskalen zu Depression, Angst und körperlichen Beschwerden zum Einsatz. Zusätzlich wurden die globale subjektive Belastung, das Schlaganfall-spezifische Wissen, die Nutzung psychosozialer Entlastungsangebote und der subjektiv erlebte Nutzen des Kurses erhoben. Die Kursteilnehmer zeigten im Gegensatz zur Kontrollgruppe eine signifikante Zunahme des Schlaganfall-spezifischen Wissens und nutzten mehr Entlastungsangebote. Die subjektive Belastung nahm nur bei den Kursteilnehmern im zeitlichen Verlauf ab. Der Nutzen des Kurses wurde als sehr hoch eingeschätzt. In den standardisierten Skalen zum psychischen und körperlichen Befinden konnten in keiner der beiden Gruppen signifikante Veränderungen im zeitlichen Verlauf festgestellt werden. Dies wird u. a. darauf zurückgeführt, dass emotionale Verarbeitungsmuster resistenter gegenüber Veränderungen sind, als Verhaltenskomponenten.

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Supporting Family Caregivers at the End of Life

Rabow

Hauser

Adams³

2004

JAMA

366

231

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Mr R was a 70-year-old man, legally blind from retinitis pigmentosa, who was diagnosed as having pancreatic cancer in January 2002. He underwent a Whipple procedure at an urban academic medical center and then received radiation therapy and chemotherapy with fluorouracil and gemcitabine. To alleviate intermittent bowel obstructions, he had a ventilating gastrostomy tube placed for decompression of his abdomen. Over the next 9 months, he was admitted to the hospital several times for infections at the site of his gastrostomy tube, diarrhea, vomiting, and dehydration.He lived at home with his wife, Mrs R, who was also his partner in the marketing firm he had founded. He had one daughter, Ms L, a psychologist who lived locally, and a son, a history professor, who lived far away but visited every few weeks. Both children were active caregivers over the course of their father's illness. Despite Mrs R's own severe rheumatoid arthritis and other health issues, she was determined to care for her husband at home with the assistance of a home care nurse, Ms P, and a housekeeper to aid with daily chores.As Mr R's health deteriorated, a close friend of Ms L's advised her about a local in-hospital palliative care unit. In November 2002, when Mr R's pain and nausea became so severe that they could not be managed at home, he was admitted to the palliative care unit. At admission, Mr R was alert and oriented but bed bound due to weakness. He and his family hoped his symptoms could be quickly controlled so that he could return home. He received intravenous hydromorphone and dexamethasone for pain and intravenous haloperidol and frequent gastrostomy tube flushings for his nausea. His symptoms initially improved and discussions ensued about his transition home. Although scheduled to go home with hospice care, his condition then declined rapidly to a point where his family did not think they could care for him at home, even with in-Even for patients receiving complex, intensive medical care for serious and life-threatening illness, family caregiving is typically at the core of what sustains patients at the end of life. The amorphous relationship between physicians and the families of patients at the end of life presents both challenges and opportunities for which physicians may be unprepared. Families play important roles in the practical and emotional aspects of patient care and in decision making at the end of life. At the same time, family members may carry significant burdens as a result of their work. Through the perspectives of the wife, daughter, and home care nurse of a patient who died from pancreatic cancer, we illustrate the range of family caregiver experiences and suggest potentially helpful physician interventions. We describe 5 burdens of family caregiving (time and logistics, physical tasks, financial costs, emotional burdens and mental health risks, and physical health risks) and review the responsibilities of physicians to family caregivers. Based on available evidence, we identify 5 areas of opportunity for physic...

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Stress Reduction for Family Caregivers: Effects of Adult Day Care Use

Abstract: These results demonstrate that use of adult day care by caregivers of dementia patients results in lower levels of caregiving-related stress and better psychological well-being when compared to that of controls.

Cited by 294 publications

References 16 publications

Systematic review of respite care in the frail elderly

Systematic review of respite care in the frail elderly

Evaluation eines psychoedukativen Kurses für Angehörige von Schlaganfallpatienten

Supporting Family Caregivers at the End of Life

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