Back to Search
Start Over
The effect on caregiver burden of a problem-based home visiting programme for frail older people.
- Source :
-
Age & Ageing . Sep2009, Vol. 38 Issue 5, p542-547. 6p. 3 Charts. - Publication Year :
- 2009
-
Abstract
- Objective: caregiver effects of geriatric care models focusing primarily at the patient have not been consistently studied. We 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. Methods: this randomised trial included 110 caregiver/patient dyads 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. Results: 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. Conclusions: GEM at home benefited patients, but maybe not caregivers. Caregiver effects are related to whether caregivers live with the patient or not. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 38
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 45342315
- Full Text :
- https://doi.org/10.1093/ageing/afp101