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Subjective stressors moderate effectiveness of a multi-component, multi-site intervention on caregiver depression and burden


Hatch, Daniel J., DeHart, William B., Norton, Maria C.


International Journal Of Geriatric Psychiatry, Volume: 29, No.: 4, Pages.: 406-413

Year of Publication



Objectives: The present study assessed whether caregiving contextual factors moderated outcomes of a caregiver intervention.; Methods: Extant data from the Resources for Enhancing Alzheimer’s Caregiver Health (REACH) II study, a randomized-control trial of a multi-component, multi-site intervention for dementia caregivers was utilized. 498 caregivers {83.1% women; mean [standard deviation (SD)] age = 60.3 (13.1)}, and their care recipients [58.6% women, mean (SD) age = 78.5 (9.6)] were randomly assigned to intervention or control group. Multiple regression was used to regress Center for Epidemiological Studies of Depression Scale (CES-D) and Zarit burden scores on the interaction between group membership and various factors reflecting the caregiving context.; Results: Lower follow-up CES-D scores in the intervention group were found only for those: in the fourth quartile of baseline CES-D (β = -0.13, p = 0.05; overall interaction p = 0.009), with high Revised Memory and Behavior Problems Checklist (RMBPC) stress (β = -0.16, p = 0.03) and with a home health aide (β = -0.29, p = 0.009). Diminished burden was found in the intervention group only for the following: those in the fourth quartile of baseline burden (β = -0.16, p = 0.01), and in the fourth quartile (β = -0.16, p = 0.05) of Mini Mental State Examination, and with high RMBPC stress (β = -0.18, p = 0.008), with a trend for diminished burden among those with a paid homemaker (β = -0.19, p = 0.075).; Conclusion: Results suggest greater intervention efficacy among caregivers experiencing subjective stress.; Copyright © 2013 John Wiley & Sons, Ltd.

Bibtex Citation

@article{Hatch_2013, doi = {10.1002/gps.4019}, url = {}, year = 2013, month = {aug}, publisher = {Wiley-Blackwell}, volume = {29}, number = {4}, pages = {406--413}, author = {Daniel J. Hatch and William B. DeHart and Maria C. Norton}, title = {Subjective stressors moderate effectiveness of a multi-component, multi-site intervention on caregiver depression and burden}, journal = {Int J Geriatr Psychiatry} }


aged, burden, caregiver, caregivers, cost of illness, dementia, depression, depressive disorder, female, humans, male, middle aged, nursing, patient education as topic, prevention & control, psychology, regression analysis, social support, stress, psychological

Countries of Study


Types of Dementia

Alzheimer’s Disease

Types of Study

Randomised Controlled Trial

Type of Outcomes

Carer Burden (instruments measuring burden), Carers’ Mental Health



Type of Interventions

Intervention for Carers

Carer Focussed Interventions

Training programmes / workshops including behavioural training