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Racial and Ethnic Differences in the Delivery of the Resources for Enhancing Alzheimer's Caregiver Health II Intervention.
- Source :
- Journal of the American Geriatrics Society; Aug2016, Vol. 64 Issue 8, p1662-1667, 6p, 2 Charts, 1 Graph
- Publication Year :
- 2016
-
Abstract
- Objectives To determine whether there are racial and ethnicity group differences in Resources for Enhancing Alzheimer's Caregiver Health ( REACH II) intervention delivery. Design Randomized controlled trial. Setting Community-based intervention delivered at five sites across the United States. Participants Family caregivers of persons with dementia who were randomized to the active intervention condition (N = 323). Intervention Nine in-home sessions (90 minutes each) and three telephone sessions (30 minutes each) were intended to be delivered and designed to reduce caregiver burden and depression, improve caregiver self-care and social support, and help caregivers manage behavior problems in persons with dementia. Measurements Interventionists recorded the type of intervention (home or telephone), start and stop times, and whether specific intervention content modules (e.g., stress management, social support) were administered in each session. Results Overall, REACH II intervention delivery was high, with more than 80% of randomized caregivers completing at least five in-home sessions and receiving eight or more hours of intervention contact, but black caregivers completed fewer in-home sessions (mean 6.98) than Hispanics (mean 7.84) or whites (mean 8.25) and received less total intervention contact time (mean 683 minutes) than Hispanics (mean 842 minutes) or whites (mean 798 minutes). No significant differences in exposure to content according to race or ethnicity were found after controlling for demographic covariates. Conclusion Blacks in REACH II received significantly less intervention contact. Similar multicomponent interventions should examine whether there are systematic differences in intervention delivery across specific demographic subgroups and explore implications for treatment outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- ALZHEIMER'S disease treatment
BLACK people
CAREGIVERS
CHI-squared test
ETHNIC groups
HEALTH services accessibility
HEALTH status indicators
HISPANIC Americans
HOME care services
INTERVIEWING
MEDICAL care
PROBABILITY theory
RACE
REGRESSION analysis
RESEARCH funding
HEALTH self-care
STATISTICS
TELEMEDICINE
WHITE people
DATA analysis
SOCIAL support
RANDOMIZED controlled trials
BURDEN of care
INDEPENDENT living
DESCRIPTIVE statistics
ONE-way analysis of variance
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 64
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 117593641
- Full Text :
- https://doi.org/10.1111/jgs.14204