A randomized controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia

Li-Min Kuo, Huei Ling Huang, Jersey Liang, Yam Ting Kwok, Wen Chuin Hsu, Pei Ling Su, Yea Ing L Shyu

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aims: The aim of this study was to explore distinct trajectories of caregivers' depressive symptoms and the effects of a training programme on these trajectories over 18 months after the programme. Background: Overall effects of caregiver-training programmes on family caregivers' depressive symptoms have been reported, but few studies explored distinct courses of changes in caregivers' depressive symptoms and followed up intervention effects on these distinct courses. Design: Randomized clinical trial. Methods: Family caregivers (n = 116) were randomly assigned into experimental (n = 57) and control (n = 59) groups. The experimental group received the training programme with telephone consultation and the control group received written educational materials and social telephone follow-ups. Caregivers' depressive symptoms were assessed from June 2009 - March 2012 by self-completed questionnaires before, at 2 weeks and 3, 6, 12 and 18 months after the intervention. Groups of individual trajectories were distinguished using group-based trajectory modelling. Results: Caregivers' depressive symptoms fell into three stable trajectories: non-depressed, mildly blue and depressed. After controlling for covariates, caregivers who received the caregiver-training programme were less likely than those who did not experience persistent depressive symptoms (b = -1·92, odds ratio = 0·15, P < 0·05). Conclusion: Depressive symptoms of family caregivers of persons with dementia were relatively stable and followed three distinct courses: non-depressed, mildly blue and depressed. Therefore, caregivers' depressive symptoms should be assessed as early as possible. Caregivers in the experimental group had a lower probability of persistent depressive symptoms than caregivers in the control group. Therefore, this training programme can be used by healthcare providers for persons with dementia and their caregivers. Trial registration number: NCT02667951.

Original languageEnglish
JournalJournal of Advanced Nursing
Volume73
Issue number3
DOIs
Publication statusPublished - Mar 1 2017

Fingerprint

Caregivers
Dementia
Randomized Controlled Trials
Depression
Education
Telephone
Control Groups
Health Personnel
Referral and Consultation
Odds Ratio

Keywords

  • Caregiving
  • Dementia
  • Depressive symptoms
  • Family caregivers
  • Home-based training programme
  • Longitudinal study
  • Nurse education
  • Nursing home care
  • Randomized controlled trial
  • Trajectory group

ASJC Scopus subject areas

  • Nursing(all)

Cite this

A randomized controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia. / Kuo, Li-Min; Huang, Huei Ling; Liang, Jersey; Kwok, Yam Ting; Hsu, Wen Chuin; Su, Pei Ling; Shyu, Yea Ing L.

In: Journal of Advanced Nursing, Vol. 73, No. 3, 01.03.2017.

Research output: Contribution to journalArticle

Kuo, Li-Min ; Huang, Huei Ling ; Liang, Jersey ; Kwok, Yam Ting ; Hsu, Wen Chuin ; Su, Pei Ling ; Shyu, Yea Ing L. / A randomized controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia. In: Journal of Advanced Nursing. 2017 ; Vol. 73, No. 3.
@article{9ff356480ec54ecdb1a8463fe9878e04,
title = "A randomized controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia",
abstract = "Aims: The aim of this study was to explore distinct trajectories of caregivers' depressive symptoms and the effects of a training programme on these trajectories over 18 months after the programme. Background: Overall effects of caregiver-training programmes on family caregivers' depressive symptoms have been reported, but few studies explored distinct courses of changes in caregivers' depressive symptoms and followed up intervention effects on these distinct courses. Design: Randomized clinical trial. Methods: Family caregivers (n = 116) were randomly assigned into experimental (n = 57) and control (n = 59) groups. The experimental group received the training programme with telephone consultation and the control group received written educational materials and social telephone follow-ups. Caregivers' depressive symptoms were assessed from June 2009 - March 2012 by self-completed questionnaires before, at 2 weeks and 3, 6, 12 and 18 months after the intervention. Groups of individual trajectories were distinguished using group-based trajectory modelling. Results: Caregivers' depressive symptoms fell into three stable trajectories: non-depressed, mildly blue and depressed. After controlling for covariates, caregivers who received the caregiver-training programme were less likely than those who did not experience persistent depressive symptoms (b = -1·92, odds ratio = 0·15, P < 0·05). Conclusion: Depressive symptoms of family caregivers of persons with dementia were relatively stable and followed three distinct courses: non-depressed, mildly blue and depressed. Therefore, caregivers' depressive symptoms should be assessed as early as possible. Caregivers in the experimental group had a lower probability of persistent depressive symptoms than caregivers in the control group. Therefore, this training programme can be used by healthcare providers for persons with dementia and their caregivers. Trial registration number: NCT02667951.",
keywords = "Caregiving, Dementia, Depressive symptoms, Family caregivers, Home-based training programme, Longitudinal study, Nurse education, Nursing home care, Randomized controlled trial, Trajectory group",
author = "Li-Min Kuo and Huang, {Huei Ling} and Jersey Liang and Kwok, {Yam Ting} and Hsu, {Wen Chuin} and Su, {Pei Ling} and Shyu, {Yea Ing L}",
year = "2017",
month = "3",
day = "1",
doi = "10.1111/jan.13157",
language = "English",
volume = "73",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - A randomized controlled trial of a home-based training programme to decrease depression in family caregivers of persons with dementia

AU - Kuo, Li-Min

AU - Huang, Huei Ling

AU - Liang, Jersey

AU - Kwok, Yam Ting

AU - Hsu, Wen Chuin

AU - Su, Pei Ling

AU - Shyu, Yea Ing L

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Aims: The aim of this study was to explore distinct trajectories of caregivers' depressive symptoms and the effects of a training programme on these trajectories over 18 months after the programme. Background: Overall effects of caregiver-training programmes on family caregivers' depressive symptoms have been reported, but few studies explored distinct courses of changes in caregivers' depressive symptoms and followed up intervention effects on these distinct courses. Design: Randomized clinical trial. Methods: Family caregivers (n = 116) were randomly assigned into experimental (n = 57) and control (n = 59) groups. The experimental group received the training programme with telephone consultation and the control group received written educational materials and social telephone follow-ups. Caregivers' depressive symptoms were assessed from June 2009 - March 2012 by self-completed questionnaires before, at 2 weeks and 3, 6, 12 and 18 months after the intervention. Groups of individual trajectories were distinguished using group-based trajectory modelling. Results: Caregivers' depressive symptoms fell into three stable trajectories: non-depressed, mildly blue and depressed. After controlling for covariates, caregivers who received the caregiver-training programme were less likely than those who did not experience persistent depressive symptoms (b = -1·92, odds ratio = 0·15, P < 0·05). Conclusion: Depressive symptoms of family caregivers of persons with dementia were relatively stable and followed three distinct courses: non-depressed, mildly blue and depressed. Therefore, caregivers' depressive symptoms should be assessed as early as possible. Caregivers in the experimental group had a lower probability of persistent depressive symptoms than caregivers in the control group. Therefore, this training programme can be used by healthcare providers for persons with dementia and their caregivers. Trial registration number: NCT02667951.

AB - Aims: The aim of this study was to explore distinct trajectories of caregivers' depressive symptoms and the effects of a training programme on these trajectories over 18 months after the programme. Background: Overall effects of caregiver-training programmes on family caregivers' depressive symptoms have been reported, but few studies explored distinct courses of changes in caregivers' depressive symptoms and followed up intervention effects on these distinct courses. Design: Randomized clinical trial. Methods: Family caregivers (n = 116) were randomly assigned into experimental (n = 57) and control (n = 59) groups. The experimental group received the training programme with telephone consultation and the control group received written educational materials and social telephone follow-ups. Caregivers' depressive symptoms were assessed from June 2009 - March 2012 by self-completed questionnaires before, at 2 weeks and 3, 6, 12 and 18 months after the intervention. Groups of individual trajectories were distinguished using group-based trajectory modelling. Results: Caregivers' depressive symptoms fell into three stable trajectories: non-depressed, mildly blue and depressed. After controlling for covariates, caregivers who received the caregiver-training programme were less likely than those who did not experience persistent depressive symptoms (b = -1·92, odds ratio = 0·15, P < 0·05). Conclusion: Depressive symptoms of family caregivers of persons with dementia were relatively stable and followed three distinct courses: non-depressed, mildly blue and depressed. Therefore, caregivers' depressive symptoms should be assessed as early as possible. Caregivers in the experimental group had a lower probability of persistent depressive symptoms than caregivers in the control group. Therefore, this training programme can be used by healthcare providers for persons with dementia and their caregivers. Trial registration number: NCT02667951.

KW - Caregiving

KW - Dementia

KW - Depressive symptoms

KW - Family caregivers

KW - Home-based training programme

KW - Longitudinal study

KW - Nurse education

KW - Nursing home care

KW - Randomized controlled trial

KW - Trajectory group

UR - http://www.scopus.com/inward/record.url?scp=84991501321&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84991501321&partnerID=8YFLogxK

U2 - 10.1111/jan.13157

DO - 10.1111/jan.13157

M3 - Article

AN - SCOPUS:84991501321

VL - 73

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 3

ER -