Effect of multicomponent interventions on caregiver burden and depression: The REACH multisite initiative at 6-month follow-up

被引:263
作者
Gitlin, LN
Belle, SH
Burgio, LD
Czaja, SJ
Mahoney, D
Gallagher-Thompson, D
Burns, R
Hauck, WW
Zhang, S
Schulz, R
Ory, MG
机构
[1] Thomas Jefferson Univ, Community & Homecare Res Div, Philadelphia, PA 19107 USA
[2] Univ Pittsburgh, Dept Epidemiol, Pittsburgh, PA 15261 USA
[3] Univ Pittsburgh, Dept Biostat, Pittsburgh, PA 15261 USA
[4] Univ Alabama, Appl Gerontol Program, Tuscaloosa, AL USA
[5] Miami Univ, Sch Med, Dept Psychiat & Behav Sci, Miami, FL USA
[6] Hebrew Rehabil Ctr Aged, Res & Training Inst, Boston, MA 02131 USA
[7] Stanford Univ, Sch Med, Vet Affairs Med Ctr, Stanford, CA 94305 USA
[8] Vet Affairs Palo Alto Hlth Care Syst, Palo Alto, CA USA
[9] Univ Tennessee, Knoxville, TN 37996 USA
[10] Thomas Jefferson Univ, Dept Clin Pharmacol, Philadelphia, PA 19107 USA
[11] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
[12] Univ Pittsburgh, Ctr Social & Urban Res, Pittsburgh, PA USA
[13] NIA, Behav & Social Sci Program, Bethesda, MD 20892 USA
关键词
D O I
10.1037/0882-7974.18.3.361
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Meta-analysis was used to examine pooled parameter estimates of 9 active compared with 6 control conditions of the Resources for Enhancing Alzheimer's Caregiver Health (REACH) project at 6 months on caregiver burden and depressive symptoms. Associations of caregiver characteristics and outcomes were examined. For burden, active interventions were superior to control conditions (p = .022). Also, active interventions were superior to control conditions for women versus men and for caregivers with lower education versus those with higher education. For depressive symptoms, a statistically significant association of group assignment was found for Miami's family therapy and computer technology intervention (p = .034). Also, active interventions were superior to control conditions for Hispanics, nonspouses, and caregivers with lower education. Results suggest interventions should be multicomponent and tailored.
引用
收藏
页码:361 / 374
页数:14
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