Community REACH

An Implementation of an Evidence-Based Caregiver Program

Sara J Czaja, Chin Chin Lee, Dolores Perdomo, David Loewenstein, Marina Bravo, Jerad H. Moxley, Richard Schulz

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background and Objectives Family caregivers (CGs) are critical to the provision of long-term services and support for older adults. Numerous intervention programs to alleviate CG distress have been developed and evaluated yet few have been implemented in community settings. This paper describes and presents outcomes from Community REACH, a community implementation of the evidence-based Resources for Enhancing Alzheimer's Caregiver Health (REACH) II program. Research Design and Methods Community REACH involved a partnership between REACH II investigators and United HomeCare Services (UHCS), a nonprofit home health organization that provides home health, personal care, companion, and respite services. The intervention program, an adapted version of an evidence-based program, was a 6-month multicomponent psychosocial intervention, which involved six individual face-to-face and six individual telephone sessions, and telephone support groups. One hundred and forty-six CGs who were primarily female (76%) and Latino, and providing care for an individual with Alzheimer's disease (AD) were enrolled. Program effectiveness was assessed by examining changes in perceived social support, burden, and depression, and CG self-efficacy. Results At 6 months, CGs reported significant decreases in depression, burden, being and bothered by the care recipient's memory problems. There was also a significant decline in the number of CGs at risk for clinical depression. These improvements were maintained at 12 months and there was an increase in feelings of social support. Discussion and Implications The findings indicate that evidence-based CG programs can be successfully implemented in community settings and benefit CGs of AD patients. A continued partnership between the program developers and community partners is key to implementation success.

Original languageEnglish (US)
Pages (from-to)e130-e137
JournalGerontologist
Volume58
Issue number2
DOIs
StatePublished - Mar 19 2018

Fingerprint

Caregivers
Health
Depression
Telephone
Social Support
Alzheimer Disease
Self-Help Groups
Program Evaluation
Self Efficacy
Hispanic Americans
Emotions
Research Design
Research Personnel
Organizations
Delivery of Health Care

Keywords

  • Alzheimer's disease
  • Caregiving
  • Intervention

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Czaja, S. J., Lee, C. C., Perdomo, D., Loewenstein, D., Bravo, M., Moxley, J. H., & Schulz, R. (2018). Community REACH: An Implementation of an Evidence-Based Caregiver Program. Gerontologist, 58(2), e130-e137. https://doi.org/10.1093/geront/gny001

Community REACH : An Implementation of an Evidence-Based Caregiver Program. / Czaja, Sara J; Lee, Chin Chin; Perdomo, Dolores; Loewenstein, David; Bravo, Marina; Moxley, Jerad H.; Schulz, Richard.

In: Gerontologist, Vol. 58, No. 2, 19.03.2018, p. e130-e137.

Research output: Contribution to journalArticle

Czaja, SJ, Lee, CC, Perdomo, D, Loewenstein, D, Bravo, M, Moxley, JH & Schulz, R 2018, 'Community REACH: An Implementation of an Evidence-Based Caregiver Program', Gerontologist, vol. 58, no. 2, pp. e130-e137. https://doi.org/10.1093/geront/gny001
Czaja, Sara J ; Lee, Chin Chin ; Perdomo, Dolores ; Loewenstein, David ; Bravo, Marina ; Moxley, Jerad H. ; Schulz, Richard. / Community REACH : An Implementation of an Evidence-Based Caregiver Program. In: Gerontologist. 2018 ; Vol. 58, No. 2. pp. e130-e137.
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