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Effects of the TCARE® intervention on caregiver burden and depressive symptoms: preliminary findings from a randomized controlled study

Authors

Montgomery, R. J. V., Kwak, J., Kosloski, K., O'Connell Valuch, K.

Journal

The Journals Of Gerontology. Series B, Psychological Sciences And Social Sciences, Volume: 66, No.: 5, Pages.: 640-647

Year of Publication

2011

Abstract

Objectives: We examined the effects of a manualized care management protocol specifically designed for care managers working with caregivers, the Tailored Caregiver Assessment and Referral® (TCARE®) protocol, on caregiver identity discrepancy, burden, and depressive symptoms.; Methods: Preliminary data from a longitudinal, randomized, controlled intervention study with 266 family caregivers served by 52 care managers in 4 states were analyzed using repeated measures random effects regression procedures. Caregivers in the intervention and control groups were repeatedly assessed for up to 9 months on caregiver identity discrepancy, 3 areas of caregiving burden-objective, relationship, and stress burdens; depression; and intention for nursing home placement.; Results: We found significant group by time interaction effects for caregiver identity discrepancy, relationship burden, stress burden, depression, and intention for nursing home placement. Caregivers in the intervention group experienced significant improvement on these measures, whereas caregivers in the control group worsened on these measures over time.; Discussion: The preliminary findings provide strong support for effectiveness of the TCARE® protocol on improving caregiver well-being and mental health outcomes.;

Bibtex Citation

@article{Montgomery_2011, doi = {10.1093/geronb/gbr088}, url = {http://dx.doi.org/10.1093/geronb/gbr088}, year = 2011, month = {aug}, publisher = {Oxford University Press ({OUP})}, volume = {66B}, number = {5}, pages = {640--647}, author = {R. J. V. Montgomery and J. Kwak and K. Kosloski and K. O{textquotesingle}Connell Valuch}, title = {Effects of the {TCARE}(R) Intervention on Caregiver Burden and Depressive Symptoms: Preliminary Findings From a Randomized Controlled Study}, journal = {The Journals of Gerontology Series B: Psychological Sciences and Social Sciences} }

Keywords

aged, algorithms, alzheimer disease, care, caregivers, cognition disorders, complications, cost of illness, depression, diagnosis, family relations, female, humans, identity crisis, institutionalization, longitudinal studies, male, management, manuals as topic, methods, middle aged, needs assessment, nursing homes, patient care management, personality assessment, psychology, referral and consultation, self concept, social values, stress, psychological, therapy, united states, workload

Countries of Study

USA

Types of Dementia

Alzheimer’s Disease

Types of Study

Randomised Controlled Trial

Type of Outcomes

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

Settings

Community

Type of Interventions

Intervention for Carers

Carer Focussed Interventions

Other