A videophone psychosocial intervention for dementia caregivers

Sara J Czaja, David Loewenstein, Richard Schulz, Sankaran N. Nair, Dolores Perdomo

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Background/Objectives: Available services and intervention programs for dementia caregivers are often underutilized because of issues such as cost, logistics, lack of knowledge about available services, or insufficient support from others. Information technologies offer the potential of removing these barriers and facilitating the ability of caregivers to access needed support. This project evaluated the feasibility and efficacy of technologybased psychosocial intervention among minority family caregivers of dementia patients. Design: A feasibility and efficacy trial. Setting: Participants' homes in the Greater Miami Community. Participants: One hundred ten (56 Hispanic American and 54 African American) caregivers of patients with dementia. Intervention: A technologybased multi-component psychosocial intervention was delivered in-home and via videophone technology over 5 months. The intervention wasmodeled after the REACH II intervention and targeted known areas of caregiver risk. Measurement: Standardized measures of depression, caregiver burden, social support, and the caregivers' perception of the caregiver's experience were administered at baseline and 5 months postrandomization. Results: Overall, caregivers who received the intervention reported a decrease in burden, an increase in perceived social support and positive perceptions of the caregiving experience. No effect was observed for depression. Most participants indicated that the intervention improved their caregiving skills and found the technology to be easy to use. Conclusions: A technology-based format was feasible for delivering a multi-component intervention to minority family dementia caregivers. The intervention improved caregiver outcomes for both Hispanic and African American caregivers. The results suggest that technology may help eliminate disparities in access to caregiver intervention programs.

Original languageEnglish
Pages (from-to)1071-1081
Number of pages11
JournalAmerican Journal of Geriatric Psychiatry
Volume21
Issue number11
DOIs
StatePublished - Nov 1 2013

Fingerprint

Caregivers
Dementia
Technology
Hispanic Americans
Social Support
African Americans
Depression
Aptitude
Costs and Cost Analysis

Keywords

  • Alzheimer disease
  • Caregiving
  • Intervention
  • Technology

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Geriatrics and Gerontology

Cite this

A videophone psychosocial intervention for dementia caregivers. / Czaja, Sara J; Loewenstein, David; Schulz, Richard; Nair, Sankaran N.; Perdomo, Dolores.

In: American Journal of Geriatric Psychiatry, Vol. 21, No. 11, 01.11.2013, p. 1071-1081.

Research output: Contribution to journalArticle

Czaja, Sara J ; Loewenstein, David ; Schulz, Richard ; Nair, Sankaran N. ; Perdomo, Dolores. / A videophone psychosocial intervention for dementia caregivers. In: American Journal of Geriatric Psychiatry. 2013 ; Vol. 21, No. 11. pp. 1071-1081.
@article{9ae2b80f485c4c8cbd80a761bdce3077,
title = "A videophone psychosocial intervention for dementia caregivers",
abstract = "Background/Objectives: Available services and intervention programs for dementia caregivers are often underutilized because of issues such as cost, logistics, lack of knowledge about available services, or insufficient support from others. Information technologies offer the potential of removing these barriers and facilitating the ability of caregivers to access needed support. This project evaluated the feasibility and efficacy of technologybased psychosocial intervention among minority family caregivers of dementia patients. Design: A feasibility and efficacy trial. Setting: Participants' homes in the Greater Miami Community. Participants: One hundred ten (56 Hispanic American and 54 African American) caregivers of patients with dementia. Intervention: A technologybased multi-component psychosocial intervention was delivered in-home and via videophone technology over 5 months. The intervention wasmodeled after the REACH II intervention and targeted known areas of caregiver risk. Measurement: Standardized measures of depression, caregiver burden, social support, and the caregivers' perception of the caregiver's experience were administered at baseline and 5 months postrandomization. Results: Overall, caregivers who received the intervention reported a decrease in burden, an increase in perceived social support and positive perceptions of the caregiving experience. No effect was observed for depression. Most participants indicated that the intervention improved their caregiving skills and found the technology to be easy to use. Conclusions: A technology-based format was feasible for delivering a multi-component intervention to minority family dementia caregivers. The intervention improved caregiver outcomes for both Hispanic and African American caregivers. The results suggest that technology may help eliminate disparities in access to caregiver intervention programs.",
keywords = "Alzheimer disease, Caregiving, Intervention, Technology",
author = "Czaja, {Sara J} and David Loewenstein and Richard Schulz and Nair, {Sankaran N.} and Dolores Perdomo",
year = "2013",
month = "11",
day = "1",
doi = "10.1016/j.jagp.2013.02.019",
language = "English",
volume = "21",
pages = "1071--1081",
journal = "American Journal of Geriatric Psychiatry",
issn = "1064-7481",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

TY - JOUR

T1 - A videophone psychosocial intervention for dementia caregivers

AU - Czaja, Sara J

AU - Loewenstein, David

AU - Schulz, Richard

AU - Nair, Sankaran N.

AU - Perdomo, Dolores

PY - 2013/11/1

Y1 - 2013/11/1

N2 - Background/Objectives: Available services and intervention programs for dementia caregivers are often underutilized because of issues such as cost, logistics, lack of knowledge about available services, or insufficient support from others. Information technologies offer the potential of removing these barriers and facilitating the ability of caregivers to access needed support. This project evaluated the feasibility and efficacy of technologybased psychosocial intervention among minority family caregivers of dementia patients. Design: A feasibility and efficacy trial. Setting: Participants' homes in the Greater Miami Community. Participants: One hundred ten (56 Hispanic American and 54 African American) caregivers of patients with dementia. Intervention: A technologybased multi-component psychosocial intervention was delivered in-home and via videophone technology over 5 months. The intervention wasmodeled after the REACH II intervention and targeted known areas of caregiver risk. Measurement: Standardized measures of depression, caregiver burden, social support, and the caregivers' perception of the caregiver's experience were administered at baseline and 5 months postrandomization. Results: Overall, caregivers who received the intervention reported a decrease in burden, an increase in perceived social support and positive perceptions of the caregiving experience. No effect was observed for depression. Most participants indicated that the intervention improved their caregiving skills and found the technology to be easy to use. Conclusions: A technology-based format was feasible for delivering a multi-component intervention to minority family dementia caregivers. The intervention improved caregiver outcomes for both Hispanic and African American caregivers. The results suggest that technology may help eliminate disparities in access to caregiver intervention programs.

AB - Background/Objectives: Available services and intervention programs for dementia caregivers are often underutilized because of issues such as cost, logistics, lack of knowledge about available services, or insufficient support from others. Information technologies offer the potential of removing these barriers and facilitating the ability of caregivers to access needed support. This project evaluated the feasibility and efficacy of technologybased psychosocial intervention among minority family caregivers of dementia patients. Design: A feasibility and efficacy trial. Setting: Participants' homes in the Greater Miami Community. Participants: One hundred ten (56 Hispanic American and 54 African American) caregivers of patients with dementia. Intervention: A technologybased multi-component psychosocial intervention was delivered in-home and via videophone technology over 5 months. The intervention wasmodeled after the REACH II intervention and targeted known areas of caregiver risk. Measurement: Standardized measures of depression, caregiver burden, social support, and the caregivers' perception of the caregiver's experience were administered at baseline and 5 months postrandomization. Results: Overall, caregivers who received the intervention reported a decrease in burden, an increase in perceived social support and positive perceptions of the caregiving experience. No effect was observed for depression. Most participants indicated that the intervention improved their caregiving skills and found the technology to be easy to use. Conclusions: A technology-based format was feasible for delivering a multi-component intervention to minority family dementia caregivers. The intervention improved caregiver outcomes for both Hispanic and African American caregivers. The results suggest that technology may help eliminate disparities in access to caregiver intervention programs.

KW - Alzheimer disease

KW - Caregiving

KW - Intervention

KW - Technology

UR - http://www.scopus.com/inward/record.url?scp=84888644123&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888644123&partnerID=8YFLogxK

U2 - 10.1016/j.jagp.2013.02.019

DO - 10.1016/j.jagp.2013.02.019

M3 - Article

VL - 21

SP - 1071

EP - 1081

JO - American Journal of Geriatric Psychiatry

JF - American Journal of Geriatric Psychiatry

SN - 1064-7481

IS - 11

ER -