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Judging outcomes in psychosocial interventions for dementia caregivers
 — the problem of treatment implementation
Author(s)Louis Burgio, Mary Corcoran, Kenneth L Lichstein
Journal titleThe Gerontologist, vol 41, no 4, August 2001
Pagespp 481-489
KeywordsDementia ; Informal care ; Psychiatric treatment ; Evaluation ; United States of America.
AnnotationIn published dementia caregiver intervention research, there is widespread failure to measure the level at which treatment was implemented as intended, thereby introducing threats to internal and external validity. The purpose here is to discuss the importance of inducing and assessing treatment implementation (TI) strategies in caregiving trials, and to propose Lichstein's TI model as a potential guide. The efforts of a large co-operative research study of caregiving interventions, Resources for Enhancing Alzheimer's Caregiver Health (REACH), illustrates induction and assessment of the three components of TI: delivery, receipt and enactment. The approaches taken in REACH vary with the intervention protocols and include using treatment manuals, training and certification of interventionists, and continuous monitoring of actual implementation. Investigation and description of treatment process variables allows researchers to understand which aspects of the intervention are responsible for therapeutic change. (KJ/RH).
Accession NumberCPA-011008206 A
ClassmarkEA: P6: LP: 4C: 7T

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