The Prince Henry Hospital dementia caregivers' training programme
Henry Brodaty
Bok Engelsk 1997
| Utgitt | 1997
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| Omfang | Side 183- 192
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| Opplysninger | Objective. To describe the theory, elements and practice of asuccessful caregiver training programme; and report the 8-yearoutcome.Design. Prospective, randomized control trial and longitudinal follow-up over approximately 8 years.Setting. Psychiatry unit, general teaching hospital, Sydney,Australia.Participants. 96 persons less than 80 years old with mild to moderatedementia and their cohabiting caregivers.Interventions. All patients received a 10-day structured memoryretraining and activity programme. Caregivers in the immediate andwait-list caregiver training groups received a structured,residential, intensive 10-day training programme, boosted by follow-ups and telephone conferences over 12 months. Those in the wait-listgroup entered the programme after waiting 6 months. The third groupof caregivers received 10 days' respite (while patients underwenttheir memory retraining programme) and 12 months booster sessions asfor the other groups.Main outcome measures. Nursing home admission; time until patientdeath.Main results. 64% of patients whose caregivers were in the immediatetraining group, 53% of wait-list group patients and 70% of memoryretraining patients had died. Nursing home admission had occurred in79% of the immediate training, 83% of the delayed and 90% of thememory retraining group. Eight-year survival analysis indicated thatpatients whose caregivers received training stayed at homesignificantly longer (p = 0.037) and tended to live longer (p =0.08).Conclusions. Caregiver training programmes demonstrably can delayinstitutionalization of people with dementia.
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