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A home-based training program improves caregivers’ skills and dementia patients’ aggressive behaviors: a randomized controlled trial


Huang, Huei-Ling, Kuo, Li-Min, Chen, Yu-Shu, Liang, Jersey, Huang, Hsiu-Li, Chiu, Yi-Chen, Chen, Sien-Tsong, Sun, Yu, Hsu, Wen-Chuin, Shyu, Yea-Ing L.


The American Journal Of Geriatric Psychiatry: Official Journal Of The American Association For Geriatric Psychiatry, Volume: 21, No.: 11, Pages.: 1060-1070

Year of Publication



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.; Copyright © 2013 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

Bibtex Citation

@article{Huang_2013, doi = {10.1016/j.jagp.2012.09.009}, url = {}, year = 2013, month = {nov}, publisher = {Elsevier {BV}}, volume = {21}, number = {11}, pages = {1060--1070}, author = {Huei-Ling Huang and Li-Min Kuo and Yu-Shu Chen and Jersey Liang and Hsiu-Li Huang and Yi-Chen Chiu and Sien-Tsong Chen and Yu Sun and Wen-Chuin Hsu and Yea-Ing L. Shyu}, title = {A Home-Based Training Program Improves Caregivers{textquotesingle} Skills and Dementia Patients{textquotesingle} Aggressive Behaviors: A Randomized Controlled Trial}, journal = {The American Journal of Geriatric Psychiatry} }


aged, 80 and over, aggression, agitation, and, caregiver competence, caregiver preparedness, caregiver selfefficacy, caregivers, competence, dementia, education, efficacy, female, home care services, humans, male, management, nursing, problem behaviors, psychology, self, self efficacy, singleblind method

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Behaviour, Other carer outcomes (e.g. financial burden and more)


Hospital Outpatient Care

Type of Interventions

Intervention for Carers

Carer Focussed Interventions

Training programmes / workshops including behavioural training