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01.07.2013 | Originalien | Ausgabe 5/2013

Zeitschrift für Gerontologie und Geriatrie 5/2013

Efficacy of a multicomponent support programme for the caregivers of disabled persons

A randomised controlled study

Zeitschrift:
Zeitschrift für Gerontologie und Geriatrie > Ausgabe 5/2013
Autoren:
O.-P. Ryynänen, P. Nousiainen, E.J.O. Soini, S. Tuominen
Wichtige Hinweise
Registration number: ISRCTN16401432 (Current Controlled Trials, http://www.controlled-trials.com/)

Abstract

Aim

The goal of the present work was to measure the efficacy of a multicomponent programme designed to provide tailored support for the caregivers of disabled persons.

Subjects

A total of 135 caregivers–care receiver dyads were randomly divided into an intervention group (n = 66) and a control group (n = 69). One-third of the care receivers were demented, and two-thirds had other diseases.

Setting

Health centres (publicly funded primary health care systems) in 8 rural and urban communities in southeast Finland.

Intervention

The multicomponent support programme for the caregivers consisted of a 2-week rehabilitation period. The control group received standard care.

Outcome measurements

Continuation of the caregiver and care receiver relationship, care receiver mortality at the 2-year follow-up as well as the health-related quality of life (15D scale) and Zung’s depression scale of the caregiver at the 1-year follow-up were evaluated.

Results

At the 2-year follow-up, the caregiver–care receiver relationship was terminated for any reason in 11 cases (17%) in the intervention group, and in 25 cases (36%) in the control group. After adjusting, the primary outcome (i.e., termination of care giving for any reason) indicated statistical significance (p = 0.04) with a hazard rate of 1.83 (95% confidence interval 1.03–3.29). With a similar adjustment, the difference in mortality and placement to institutional care between the two groups demonstrated a trend towards statistical significance. The caregivers’ health, as related to quality of life and depressive symptoms, remained unchanged in both groups at the 1-year follow-up.

Conclusion

These results indicate that a tailored support programme for caregivers may help the caregiver to continue the caregiver–care receiver relationship and delay institutionalization.

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Zeitschrift für Gerontologie und Geriatrie

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