Effects of the home Environmental Skill-Building Program on the caregiver-care recipient dyad: 6-Month outcomes from the Philadelphia REACH Initiative

Laura N Gitlin, Laraine Winter, Mary Corcoran, Marie P. Dennis, Sandy Schinfeld, Walter W. Hauck

Research output: Contribution to journalArticle

Abstract

Purpose: We examine 6-month effects of the Environmental Skill-Building Program on caregiver well-being and care recipient functioning and whether effects vary by caregiver gender, race (White or non-White), and relationship (spouse or nonspouse). Design and Methods: We enrolled 255 family caregivers of community-residing persons with Alzheimer's disease or related disorders, of whom 190 participated in a follow-up interview. Caregivers were randomized to a usual care control group or intervention group that received five home contacts and one telephone contact by occupational therapists, who provided education, problem-solving training, and adaptive equipment. Baseline and 6-month follow-up included self-report measures of caregiver objective and subjective burden, caregiver well-being, and care recipient problem behaviors and physical function. Results: Compared with controls (n = 101), intervention caregivers (n = 89) reported less upset with memory-related behaviors, less need for assistance from others, and better affect. Intervention spouses reported less upset with disruptive behaviors; men reported spending less time in daily oversight; and women reported less need for help from others, better affect, and enhanced management ability, overall well-being, and mastery relative to control group counterparts. Statistically significant treatment differences were not found for hours helping with instrumental activities of daily living, upset with providing assistance with instrumental activities of daily living and activities of daily living, perceived change in somatic symptoms, White versus non-White caregivers, or care recipient outcomes. Implications: The Environmental Skill-Building Program reduces burden and enhances caregiver well-being in select domains and has added benefit for women and spouses.

Original languageEnglish (US)
Pages (from-to)532-546
Number of pages15
JournalGerontologist
Volume43
Issue number4
StatePublished - Aug 2003
Externally publishedYes

Fingerprint

Caregivers
Activities of Daily Living
Spouses
Control Groups
Aptitude
Telephone
Self Report
Alzheimer Disease
Interviews
Education
Equipment and Supplies

Keywords

  • Clinical trial
  • Home care
  • Home modification

ASJC Scopus subject areas

  • Aging

Cite this

Effects of the home Environmental Skill-Building Program on the caregiver-care recipient dyad : 6-Month outcomes from the Philadelphia REACH Initiative. / Gitlin, Laura N; Winter, Laraine; Corcoran, Mary; Dennis, Marie P.; Schinfeld, Sandy; Hauck, Walter W.

In: Gerontologist, Vol. 43, No. 4, 08.2003, p. 532-546.

Research output: Contribution to journalArticle

Gitlin, Laura N ; Winter, Laraine ; Corcoran, Mary ; Dennis, Marie P. ; Schinfeld, Sandy ; Hauck, Walter W. / Effects of the home Environmental Skill-Building Program on the caregiver-care recipient dyad : 6-Month outcomes from the Philadelphia REACH Initiative. In: Gerontologist. 2003 ; Vol. 43, No. 4. pp. 532-546.
@article{f9a1fb5681874f75b18cbf26abb64dba,
title = "Effects of the home Environmental Skill-Building Program on the caregiver-care recipient dyad: 6-Month outcomes from the Philadelphia REACH Initiative",
abstract = "Purpose: We examine 6-month effects of the Environmental Skill-Building Program on caregiver well-being and care recipient functioning and whether effects vary by caregiver gender, race (White or non-White), and relationship (spouse or nonspouse). Design and Methods: We enrolled 255 family caregivers of community-residing persons with Alzheimer's disease or related disorders, of whom 190 participated in a follow-up interview. Caregivers were randomized to a usual care control group or intervention group that received five home contacts and one telephone contact by occupational therapists, who provided education, problem-solving training, and adaptive equipment. Baseline and 6-month follow-up included self-report measures of caregiver objective and subjective burden, caregiver well-being, and care recipient problem behaviors and physical function. Results: Compared with controls (n = 101), intervention caregivers (n = 89) reported less upset with memory-related behaviors, less need for assistance from others, and better affect. Intervention spouses reported less upset with disruptive behaviors; men reported spending less time in daily oversight; and women reported less need for help from others, better affect, and enhanced management ability, overall well-being, and mastery relative to control group counterparts. Statistically significant treatment differences were not found for hours helping with instrumental activities of daily living, upset with providing assistance with instrumental activities of daily living and activities of daily living, perceived change in somatic symptoms, White versus non-White caregivers, or care recipient outcomes. Implications: The Environmental Skill-Building Program reduces burden and enhances caregiver well-being in select domains and has added benefit for women and spouses.",
keywords = "Clinical trial, Home care, Home modification",
author = "Gitlin, {Laura N} and Laraine Winter and Mary Corcoran and Dennis, {Marie P.} and Sandy Schinfeld and Hauck, {Walter W.}",
year = "2003",
month = "8",
language = "English (US)",
volume = "43",
pages = "532--546",
journal = "The Gerontologist",
issn = "0016-9013",
publisher = "Oxford University Press",
number = "4",

}

TY - JOUR

T1 - Effects of the home Environmental Skill-Building Program on the caregiver-care recipient dyad

T2 - 6-Month outcomes from the Philadelphia REACH Initiative

AU - Gitlin, Laura N

AU - Winter, Laraine

AU - Corcoran, Mary

AU - Dennis, Marie P.

AU - Schinfeld, Sandy

AU - Hauck, Walter W.

PY - 2003/8

Y1 - 2003/8

N2 - Purpose: We examine 6-month effects of the Environmental Skill-Building Program on caregiver well-being and care recipient functioning and whether effects vary by caregiver gender, race (White or non-White), and relationship (spouse or nonspouse). Design and Methods: We enrolled 255 family caregivers of community-residing persons with Alzheimer's disease or related disorders, of whom 190 participated in a follow-up interview. Caregivers were randomized to a usual care control group or intervention group that received five home contacts and one telephone contact by occupational therapists, who provided education, problem-solving training, and adaptive equipment. Baseline and 6-month follow-up included self-report measures of caregiver objective and subjective burden, caregiver well-being, and care recipient problem behaviors and physical function. Results: Compared with controls (n = 101), intervention caregivers (n = 89) reported less upset with memory-related behaviors, less need for assistance from others, and better affect. Intervention spouses reported less upset with disruptive behaviors; men reported spending less time in daily oversight; and women reported less need for help from others, better affect, and enhanced management ability, overall well-being, and mastery relative to control group counterparts. Statistically significant treatment differences were not found for hours helping with instrumental activities of daily living, upset with providing assistance with instrumental activities of daily living and activities of daily living, perceived change in somatic symptoms, White versus non-White caregivers, or care recipient outcomes. Implications: The Environmental Skill-Building Program reduces burden and enhances caregiver well-being in select domains and has added benefit for women and spouses.

AB - Purpose: We examine 6-month effects of the Environmental Skill-Building Program on caregiver well-being and care recipient functioning and whether effects vary by caregiver gender, race (White or non-White), and relationship (spouse or nonspouse). Design and Methods: We enrolled 255 family caregivers of community-residing persons with Alzheimer's disease or related disorders, of whom 190 participated in a follow-up interview. Caregivers were randomized to a usual care control group or intervention group that received five home contacts and one telephone contact by occupational therapists, who provided education, problem-solving training, and adaptive equipment. Baseline and 6-month follow-up included self-report measures of caregiver objective and subjective burden, caregiver well-being, and care recipient problem behaviors and physical function. Results: Compared with controls (n = 101), intervention caregivers (n = 89) reported less upset with memory-related behaviors, less need for assistance from others, and better affect. Intervention spouses reported less upset with disruptive behaviors; men reported spending less time in daily oversight; and women reported less need for help from others, better affect, and enhanced management ability, overall well-being, and mastery relative to control group counterparts. Statistically significant treatment differences were not found for hours helping with instrumental activities of daily living, upset with providing assistance with instrumental activities of daily living and activities of daily living, perceived change in somatic symptoms, White versus non-White caregivers, or care recipient outcomes. Implications: The Environmental Skill-Building Program reduces burden and enhances caregiver well-being in select domains and has added benefit for women and spouses.

KW - Clinical trial

KW - Home care

KW - Home modification

UR - http://www.scopus.com/inward/record.url?scp=0042536450&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0042536450&partnerID=8YFLogxK

M3 - Article

C2 - 12937332

AN - SCOPUS:0042536450

VL - 43

SP - 532

EP - 546

JO - The Gerontologist

JF - The Gerontologist

SN - 0016-9013

IS - 4

ER -