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The impact of TCARE® on service recommendation, use, and caregiver well-being


Kwak, J., Montgomery, R. J. V., Kosloski, K., Lang, J.


The Gerontologist, Volume: 51, No.: 5, Pages.: 704-713

Year of Publication



Purpose Of the Study: Findings are reported from a study that examined the effects of the Tailored Caregiver Assessment and Referral (TCARE®) protocol, a care management process designed to help family caregivers, on care planning and caregiver outcomes.; Design and Methods: A longitudinal, randomized controlled trial was conducted with 97 caregivers enrolled in a demonstration project in Georgia. Data included on care plans pertaining to service recommendations, compliance, and use were reviewed. Caregiver identity discrepancy, objective burden, relationship burden, stress burden, and depressive symptoms were assessed up to 4 times during a 9-month observation period. Chi-square tests, independent samples t tests, random effects regression growth curve analysis, and random intercept regression analysis were conducted.; Results: A greater variety of services were recommended to and used by caregivers in the intervention group than in the control group. Caregivers in the intervention group had lower caregiver identity discrepancy, stress burden, and depressive symptoms over time than caregivers in the control group.; Implications: Study findings provide initial support for the merits of the TCARE® protocol as a process that can be used to effectively target services to individual caregivers’ needs.;

Bibtex Citation

@article{Kwak_2011, doi = {10.1093/geront/gnr047}, url = {}, year = 2011, month = {may}, publisher = {Oxford University Press ({OUP})}, volume = {51}, number = {5}, pages = {704--713}, author = {J. Kwak and R. J. V. Montgomery and K. Kosloski and J. Lang}, title = {The Impact of {TCARE}(R) on Service Recommendation, Use, and Caregiver Well-being}, journal = {The Gerontologist} }


algorithms, alzheimer disease, care, caregivers, depression, epidemiology, etiology, family relations, female, georgia, humans, longitudinal studies, male, management, middle aged, needs assessment, psychology, referral and consultation, social support, statistics & numerical data, stress, psychological, therapy, workload

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