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Efficacy of a multicomponent support programme for the caregivers of disabled persons: a randomised controlled study


Ryynänen, O.-P., Nousiainen, P., Soini, E.J.O., Tuominen, S.


Zeitschrift Für Gerontologie Und Geriatrie, Volume: 46, No.: 5, Pages.: 449-455

Year of Publication



Aim: The goal of the present work was to measure the efficacy of a multicomponent programme designed to provide tailored support for the caregivers of disabled persons.; Subjects: A total of 135 caregivers-care receiver dyads were randomly divided into an intervention group (n = 66) and a control group (n = 69). One-third of the care receivers were demented, and two-thirds had other diseases.; Setting: Health centres (publicly funded primary health care systems) in 8 rural and urban communities in southeast Finland.; Intervention: The multicomponent support programme for the caregivers consisted of a 2-week rehabilitation period. The control group received standard care.; Outcome Measurements: Continuation of the caregiver and care receiver relationship, care receiver mortality at the 2-year follow-up as well as the health-related quality of life (15D scale) and Zung’s depression scale of the caregiver at the 1-year follow-up were evaluated.; Results: At the 2-year follow-up, the caregiver-care receiver relationship was terminated for any reason in 11 cases (17%) in the intervention group, and in 25 cases (36%) in the control group. After adjusting, the primary outcome (i.e., termination of care giving for any reason) indicated statistical significance (p = 0.04) with a hazard rate of 1.83 (95% confidence interval 1.03-3.29). With a similar adjustment, the difference in mortality and placement to institutional care between the two groups demonstrated a trend towards statistical significance. The caregivers’ health, as related to quality of life and depressive symptoms, remained unchanged in both groups at the 1-year follow-up.; Conclusion: These results indicate that a tailored support programme for caregivers may help the caregiver to continue the caregiver-care receiver relationship and delay institutionalization.;

Bibtex Citation

@article{Ryyn_nen_2013, doi = {10.1007/s00391-012-0360-0}, url = {}, year = 2013, month = {jun}, publisher = {Springer Science $mathplus$ Business Media}, volume = {46}, number = {5}, pages = {449--455}, author = {O.-P. Ryynänen and P. Nousiainen and E.J.O. Soini and S. Tuominen}, title = {Efficacy of a multicomponent support programme for the caregivers of disabled persons}, journal = {Zeitschrift für Gerontologie und Geriatrie} }


activities of daily living, adult, aged, aged, 80 and over, between, care, caregivers, dementia, disabled persons, epidemiology, female, finland, humans, male, middle aged, mortality, prevalence, quality of life, receivergiver, rehabilitation, relationship, social support, statistics & numerical data, survival rate, treatment outcome, young adult

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Carer Burden (instruments measuring burden), Carers’ Mental Health, Other, Quality of Life of Carer, Service use or cost reductions (incl. hospital use reduction, care home admission delay)


Primary Care

Type of Interventions

Intervention for Carers

Carer Focussed Interventions

Training programmes / workshops including behavioural training