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A randomized controlled trial of a homeâ based training programme to decrease depression in family caregivers of persons with dementia

dc.contributor.authorKuo, Li‐min
dc.contributor.authorHuang, Huei‐ling
dc.contributor.authorLiang, Jersey
dc.contributor.authorKwok, Yam‐ting
dc.contributor.authorHsu, Wen‐chuin
dc.contributor.authorSu, Pei‐ling
dc.contributor.authorShyu, Yea‐ing L.
dc.date.accessioned2017-04-13T20:34:32Z
dc.date.available2018-05-15T21:02:50Zen
dc.date.issued2017-03
dc.identifier.citationKuo, Li‐min ; Huang, Huei‐ling ; Liang, Jersey; Kwok, Yam‐ting ; Hsu, Wen‐chuin ; Su, Pei‐ling ; Shyu, Yea‐ing L. (2017). "A randomized controlled trial of a homeâ based training programme to decrease depression in family caregivers of persons with dementia." Journal of Advanced Nursing 73(3): 585-598.
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.urihttps://hdl.handle.net/2027.42/136266
dc.description.abstractAimsThe aim of this study was to explore distinct trajectories of caregiversâ depressive symptoms and the effects of a training programme on these trajectories over 18 months after the programme.BackgroundOverall effects of caregiverâ training programmes on family caregiversâ depressive symptoms have been reported, but few studies explored distinct courses of changes in caregiversâ depressive symptoms and followed up intervention effects on these distinct courses.DesignRandomized clinical trial.MethodsFamily caregivers (n = 116) were randomly assigned into experimental (n = 57) and control (n = 59) groups. The experimental group received the training programme with telephone consultation and the control group received written educational materials and social telephone followâ ups. Caregiversâ depressive symptoms were assessed from June 2009 â March 2012 by selfâ completed questionnaires before, at 2 weeks and 3, 6, 12 and 18 months after the intervention. Groups of individual trajectories were distinguished using groupâ based trajectory modelling.ResultsCaregiversâ depressive symptoms fell into three stable trajectories: nonâ depressed, mildly blue and depressed. After controlling for covariates, caregivers who received the caregiverâ training programme were less likely than those who did not experience persistent depressive symptoms (b = â 1·92, odds ratio = 0·15, P < 0·05).ConclusionDepressive symptoms of family caregivers of persons with dementia were relatively stable and followed three distinct courses: nonâ depressed, mildly blue and depressed. Therefore, caregiversâ depressive symptoms should be assessed as early as possible. Caregivers in the experimental group had a lower probability of persistent depressive symptoms than caregivers in the control group. Therefore, this training programme can be used by healthcare providers for persons with dementia and their caregivers. Trial registration number: NCT02667951.
dc.publisherDepartment of Health
dc.publisherWiley Periodicals, Inc.
dc.subject.otherlongitudinal study
dc.subject.othernurse education
dc.subject.othernursing home care
dc.subject.otherrandomized controlled trial
dc.subject.otherdementia
dc.subject.othercaregiving
dc.subject.othertrajectory group
dc.subject.otherdepressive symptoms
dc.subject.otherfamily caregivers
dc.subject.otherhomeâ based training programme
dc.titleA randomized controlled trial of a homeâ based training programme to decrease depression in family caregivers of persons with dementia
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelNursing
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/136266/1/jan13157.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/136266/2/jan13157_am.pdf
dc.identifier.doi10.1111/jan.13157
dc.identifier.sourceJournal of Advanced Nursing
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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