1. Comparative Effectiveness of 2 Interventions for Hispanic Caregivers of Persons with Dementia.
- Author
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Luchsinger, José A., Burgio, Louis, Mittelman, Mary, Dunner, Ilana, Levine, Jed A., Hoyos, Carolina, Tipiani, Dante, Henriquez, Yefrenia, Kong, Jian, Silver, Stephanie, Ramirez, Mildred, and Teresi, Jeanne A.
- Subjects
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TREATMENT of dementia , *ADULT children , *CONFIDENCE intervals , *MENTAL depression , *HISPANIC Americans , *HEALTH outcome assessment , *SOCIAL services , *SPOUSES , *RANDOMIZED controlled trials , *BURDEN of care , *TREATMENT effectiveness , *GERIATRIC Depression Scale - Abstract
Objectives: To compare the effectiveness of 2 caregiver interventions with known efficacy: the Resources for Enhancing Caregiver Health‐Offering Useful Treatment (REACH‐OUT) and the New York University Caregiver Intervention (NYUCI). Design: 1:1 randomized pragmatic trial. Setting: New York City. Participants: Informal Hispanic caregivers of persons with dementia (N=221; mean age 58.2, 82.8% female, 63.3% adult children, 31.7% spouses). Intervention: Participants were randomized to 6 months of NYUCI (n=110) or REACH‐OUT (n=111), balanced on characteristics at baseline. All participants were referred for social supportive services. Measurements: The primary outcomes were changes between baseline and 6 months in depressive symptoms, measured using the Geriatric Depression Scale (GDS), and caregiver burden, measured using the Zarit Caregiver Burden Scale (ZCBS). Results: There were no differences in outcomes between NYUCI and REACH‐OUT. Both interventions showed a reduction in burden (REACH‐OUT: 5.2 points, 95% confidence interval (CI)=2.2–8.1, p<.001; NYUCI: 4.6‐points, 95% CI=1.7–7.5, p=.002). There were no significant changes on the GDS. Effects for the ZCBS were significant only for spouses and older caregivers. Conclusion: Although there were no significant intervention group differences, both interventions resulted in significantly reduced burden for Hispanic caregivers at 6 months, particularly for spouses and older caregivers. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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