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

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

doi:10.1016/j.jagp.2012.09.009

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

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

^*Corresponding author for this work

School of Nursing

Chang Gung University of Science and Technology
Hsin Sheng College of Medical Care and Management
National Chung Cheng University
University of Michigan, Ann Arbor
Chang Gung Memorial Hospital
Chang Gung University
En Chu Kong Hospital

Research output: Contribution to journal › Journal Article › peer-review

62 Scopus citations

Abstract

Objective: To investigate the effects of an individualized, home-based caregivertraining 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.

Original language	English
Pages (from-to)	1060-1070
Number of pages	11
Journal	American Journal of Geriatric Psychiatry
Volume	21
Issue number	11
DOIs	https://doi.org/10.1016/j.jagp.2012.09.009
State	Published - 11 2013

Keywords

Caregiver competence
Caregiver preparedness
Caregiver self-efficacy
Dementia
Problem behaviors

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10.1016/j.jagp.2012.09.009

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Huang, H. L., Kuo, L. M., Chen, Y. S., Liang, J., Huang, H. L., Chiu, Y. C., Chen, S. T., Sun, Y., Hsu, W. C., & Shyu, Y. I. L. (2013). A home-based training program improves caregivers' skills and dementia patients' aggressive behaviors: A randomized controlled trial. American Journal of Geriatric Psychiatry, 21(11), 1060-1070. https://doi.org/10.1016/j.jagp.2012.09.009

@article{b6ea774a5ecb44dd95184e6e5ccc0ca3,

title = "A home-based training program improves caregivers' skills and dementia patients' aggressive behaviors: A randomized controlled trial",

abstract = "Objective: To investigate the effects of an individualized, home-based caregivertraining 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.",

keywords = "Caregiver competence, Caregiver preparedness, Caregiver self-efficacy, Dementia, Problem behaviors",

author = "Huang, \{Huei Ling\} and Kuo, \{Li Min\} and Chen, \{Yu Shu\} and Jersey Liang and Huang, \{Hsiu Li\} and Chiu, \{Yi Chen\} and Chen, \{Sien Tsong\} and Yu Sun and Hsu, \{Wen Chuin\} and Shyu, \{Yea Ing L.\}",

year = "2013",

month = nov,

doi = "10.1016/j.jagp.2012.09.009",

language = "英语",

volume = "21",

pages = "1060--1070",

journal = "American Journal of Geriatric Psychiatry",

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number = "11",

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T1 - A home-based training program improves caregivers' skills and dementia patients' aggressive behaviors

T2 - A randomized controlled trial

AU - Huang, Huei Ling

AU - Kuo, Li Min

AU - Chen, Yu Shu

AU - Liang, Jersey

AU - Huang, Hsiu Li

AU - Chiu, Yi Chen

AU - Chen, Sien Tsong

AU - Sun, Yu

AU - Hsu, Wen Chuin

AU - Shyu, Yea Ing L.

PY - 2013/11

Y1 - 2013/11

N2 - Objective: To investigate the effects of an individualized, home-based caregivertraining 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.

AB - Objective: To investigate the effects of an individualized, home-based caregivertraining 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.

KW - Caregiver competence

KW - Caregiver preparedness

KW - Caregiver self-efficacy

KW - Dementia

KW - Problem behaviors

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DO - 10.1016/j.jagp.2012.09.009

M3 - 文章

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SN - 1064-7481

VL - 21

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EP - 1070

JO - American Journal of Geriatric Psychiatry

JF - American Journal of Geriatric Psychiatry

IS - 11

ER -

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

Abstract

Keywords

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