TY - JOUR
T1 - A home-based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression
T2 - A randomized controlled trial
AU - Kuo, Li-Min
AU - Huang, Huei Ling
AU - Huang, Hsiu Li
AU - Liang, Jersey
AU - Chiu, Yi Chen
AU - Chen, Sien Tsong
AU - Kwok, Yam Ting
AU - Hsu, Wen Chuin
AU - Shyu, Yea Ing L
PY - 2013/5
Y1 - 2013/5
N2 - Objectives Little is known about the longitudinal effects of training programs on family caregivers' health-related quality of life (HRQoL) and depressive symptoms over time. Therefore, the purpose of this study was to examine the effects of a home-based caregiver training program on HRQoL and depressive symptoms for family caregivers of older persons with dementia. Methods Outcomes (caregivers' HRQoL and depressive symptoms) were assessed before the training program (baseline), and at 2 weeks, 3 months, and 6 months afterwards. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version. Depressive symptoms were measured using the Chinese version Center for Epidemiologic Studies Depression Scale. Results Family caregivers who received the individualized home-based training program had better health outcomes in bodily pain (b = 12.37, p <0.013), role disability due to emotional problems (b = 17.74, p <0.013), vitality (b = 12.40, p <0.001), better mental summary score (b = 5.14, p <0.003), and decreased risk for depression (odds ratio = 0.15, confidence interval = 0.04-0.65, p <0.013) than those in the control group during the 6 months following the training program. Conclusion Our home-based caregiver training program improved caregivers' HRQoL, especially role limitations due to emotional problems, and decreased their risk for depression.
AB - Objectives Little is known about the longitudinal effects of training programs on family caregivers' health-related quality of life (HRQoL) and depressive symptoms over time. Therefore, the purpose of this study was to examine the effects of a home-based caregiver training program on HRQoL and depressive symptoms for family caregivers of older persons with dementia. Methods Outcomes (caregivers' HRQoL and depressive symptoms) were assessed before the training program (baseline), and at 2 weeks, 3 months, and 6 months afterwards. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version. Depressive symptoms were measured using the Chinese version Center for Epidemiologic Studies Depression Scale. Results Family caregivers who received the individualized home-based training program had better health outcomes in bodily pain (b = 12.37, p <0.013), role disability due to emotional problems (b = 17.74, p <0.013), vitality (b = 12.40, p <0.001), better mental summary score (b = 5.14, p <0.003), and decreased risk for depression (odds ratio = 0.15, confidence interval = 0.04-0.65, p <0.013) than those in the control group during the 6 months following the training program. Conclusion Our home-based caregiver training program improved caregivers' HRQoL, especially role limitations due to emotional problems, and decreased their risk for depression.
KW - behavioral symptoms
KW - dementia
KW - depression
KW - health-related quality of life
KW - home-based caregiver training program
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U2 - 10.1002/gps.3853
DO - 10.1002/gps.3853
M3 - Article
C2 - 22778053
AN - SCOPUS:84876108832
SN - 0885-6230
VL - 28
SP - 504
EP - 513
JO - International Journal of Geriatric Psychiatry
JF - International Journal of Geriatric Psychiatry
IS - 5
ER -