TY  - JOUR
PY  - 2013//
TI  - A home-based training program improves caregivers' skills and dementia patients' aggressive behaviors: A randomized controlled trial
JO  - American journal of geriatric psychiatry
A1  - Huang, Huei-Ling
A1  - Kuo, Li-Min
A1  - Chen, Yu-Shu
A1  - Liang, Jersey
A1  - Huang, Hsiu-Li
A1  - Chiu, Yi-Chen
A1  - Chen, Sien-Tsong
A1  - Sun, Yu
A1  - Hsu, Wen-Chuin
A1  - Shyu, Yea-Ing L.
SP  - 1060
EP  - 1070
VL  - 21
IS  - 11
N2  - OBJECTIVE: To investigate the effects of an individualized, home-based caregiver-training program for caregivers of elderly patients with dementia and behavioral problems. METHODS: Using a randomized clinical trial in the neurologic clinics of two hospitals and a community care management center in northern Taiwan, we tested an individualized home-based caregiver-training program for managing behavioral problems, with referrals to community services and telephone consultation. Participants were patients with dementia and their caregivers (N = 129): 63 in the intervention group and 66 in the control group. The control group received only written instructions and social telephone follow-ups. Behavioral problems of elderly dementia patients were assessed by the Chinese version of the Cohen-Mansfield Agitation Inventory, community form. Family caregivers' outcomes were measured by the Agitation Management Self-efficacy Scale and the Preparedness and Competence Scales. These instruments were administered before the program and 2 weeks, 3 months, and 6 months afterward. RESULTS: Family caregivers who received the individualized home-based training program had better preparedness (t = 2.72, df = 127, p <0.01), competence (t = 4.77, df = 126, p <0.001), and overall self-efficacy (t = 3.81, df = 127, p <0.001) at 3 months than those in the control group. Moreover, the growth rate by treatment interaction effect was significant for caregiver competence (t = 2.25, df = 127, p <0.05) and overall self-efficacy for managing behavioral problems (t = 2.16, df = 127, p <0.05). The probability of physically aggressive behavior for patients in the intervention group decreased from 0.27 to 0.12. CONCLUSION: Our individualized home-based caregiver-training program improved caregivers' preparedness, competence, and self-efficacy for managing problematic behaviors and decreased physical aggressiveness of elderly patients with dementia.<p />  <p>Language: en</p>
LA  - en
SN  - 1064-7481
UR  - http://dx.doi.org/10.1016/j.jagp.2012.09.009
ID  - ref1
ER  -