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Centre for Policy on Ageing | |
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| The effect on caregiver burden of a problem-based home visiting programme for frail older people | | Author(s) | René J F Melis, Monique I J van Eijken, Theo van Achterberg |
| Journal title | Age and Ageing, vol 38, no 5, September 2009 |
| Pages | pp 542-547 |
| Source | http://www.ageing.oxfordjournals.org |
| Keywords | Home visits [doctors] ; Chronic illness ; Informal care ; Stress ; Longitudinal surveys ; Netherlands. |
| Annotation | Caregiver effects of geriatric care models focusing primarily at the patient have not been consistently studied. The authors studied caregiver effects of a nurse-led comprehensive geriatric evaluation and management (GEM) programme for community-dwelling frail older people that showed - in a randomised comparison with usual care - health-related quality of life benefits for the care receivers. This randomised trial included 110 caregiver/patient dyads in Nijmegen, the Netherlands who were followed up for 6 months. Primary analyses were intention-to-treat analyses of caregiver burden assessed with Zarit Burden Interview (ZBI; 0-88; higher means more burden). Preplanned subgroup analyses were conducted for cognition, living arrangement and patient/caregiver co-residence. Overall, perceived caregiver burden showed no significant differences between study groups in changes over time. However, perceived burden was at baseline more than eight points higher in caregivers sharing a household with patients (n = 23) compared to caregivers living separately (n = 87). The intervention performed better in caregivers living together with the patient than in caregivers living separately (P for interaction = 0.04). Co-resident caregivers experienced six Zarit point improvement compared with four-point deterioration in the non-co-resident caregivers. GEM at home benefited patients, but maybe not caregivers. Caregiver effects are related to whether caregivers live with the patient or not. (KJ/RH). |
| Accession Number | CPA-091207207 A |
| Classmark | L5H: CI: P6: QNH: 3J: 76H |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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