A randomized, controlled trial of a home environmental intervention: Effect on efficacy and upset in caregivers and on daily function of persons with dementia

L. N. Gitlin, M. Corcoran, L. Winter, A. Boyce, W. W. Hauck

Research output: Contribution to journalArticle

Abstract

Purpose of Study: The authors determined short-term effects of a home environmental intervention on self-efficacy and upset in caregivers and daily function of dementia patients. They also determined if treatment effect varied by caregiver gender, race, and relationship to patient. Design and Methods: Families (N = 171) of dementia patients were randomized to intervention or usual care control group. The intervention involved 5 90-min home visits by occupational therapists who provided education and physical and social environmental modifications. Results: Compared with controls, intervention caregivers reported fewer declines in patients' instrumental activities of daily living (p = .030) and less decline in self-care and fewer behavior problems in patients at 3 months post-test. Also, intervention spouses reported reduced upset (p = .049), women reported enhanced self-efficacy in managing behaviors (p = .038), and women (p = .049) and minorities (p = .037) reported enhanced self-efficacy in managing functional dependency. Implications: The environmental program appears to have a modest effect on dementia patients' IADL dependence. Also, among certain subgroups of caregivers the program improves self-efficacy and reduces upset in specific areas of caregiving.

Original languageEnglish (US)
Pages (from-to)4-14
Number of pages11
JournalGerontologist
Volume41
Issue number1
DOIs
StatePublished - Jan 1 2001
Externally publishedYes

Keywords

  • Clinical trial
  • Home care
  • Home modification

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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