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A home‐based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression: a randomized controlled trial
Author(s) -
Kuo LiMin,
Huang HueiLing,
Huang HsiuLi,
Liang Jersey,
Chiu YiChen,
Chen SienTsong,
Kwok YamTing,
Hsu WenChuin,
Shyu YeaIng L.
Publication year - 2013
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.3853
Subject(s) - depression (economics) , medicine , family caregivers , quality of life (healthcare) , randomized controlled trial , odds ratio , vitality , mental health , dementia , confidence interval , gerontology , physical therapy , psychiatry , nursing , philosophy , disease , theology , economics , macroeconomics
Objectives Little is known about the longitudinal effects of training programs on family caregivers' health‐related quality of life (HRQoL) and depressive symptoms over time. Therefore, the purpose of this study was to examine the effects of a home‐based caregiver training program on HRQoL and depressive symptoms for family caregivers of older persons with dementia. Methods Outcomes (caregivers' HRQoL and depressive symptoms) were assessed before the training program (baseline), and at 2 weeks, 3 months, and 6 months afterwards. HRQoL was measured using the Medical Outcomes Study 36‐item Short Form Survey, Taiwan version. Depressive symptoms were measured using the Chinese version Center for Epidemiologic Studies Depression Scale. Results Family caregivers who received the individualized home‐based training program had better health outcomes in bodily pain ( b = 12.37, p < 0.013), role disability due to emotional problems ( b = 17.74, p < 0.013), vitality ( b = 12.40, p < 0.001), better mental summary score ( b = 5.14, p < 0.003), and decreased risk for depression (odds ratio = 0.15, confidence interval = 0.04–0.65, p < 0.013) than those in the control group during the 6 months following the training program. Conclusion Our home‐based caregiver training program improved caregivers' HRQoL, especially role limitations due to emotional problems, and decreased their risk for depression. Copyright © 2012 John Wiley & Sons, Ltd.