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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Background characteristics and treatment-related factors associated with treatment success or failure in a non-pharmacological intervention for dementia caregivers
International psychogeriatrics, v 29(6), pp 1005-1014
01 Jun 2017
PMID: 28260539
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Non-pharmacological interventions for persons with dementia often rely on family caregivers for implementation. However, caregivers differ in their readiness to use strategies. This study examines dyadic characteristics and treatment-related mechanisms associated with treatment success (high readiness to use strategies) and failure (low readiness to use strategies) at the conclusion of the Advancing Caregiver Training (ACT) intervention.
Methods: Caregiver and person with dementia characteristics and treatment-related variables (treatment participation, number and type of strategies introduced and enacted) were examined in 110 caregivers in intervention. Interventionists rated readiness (1 = precontemplation; 2 = contemplation; 3 = preparation; 4 = action) of caregivers to use strategies at the final ACT session. Univariate analyses examined dyadic characteristics, and Multiple Analysis of Covariance (MANCOVA) and Analyses of Covariance (ANCOVA) examined treatment-related factors associated with readiness to use strategies at treatment completion.
Results: At treatment completion, 28.2% (N = 31) scored in pre-action and 71.8% (N = 79) at action. Caregivers at pre-action readiness levels were more likely than those at action to be a spouse, report greater financial difficulties and be managing fewer problem behaviors. Although both groups were introduced an equivalent number of non-pharmacological strategies, caregivers at pre-action were less likely than those at action to report enacting strategies.
Conclusions: Certain dyadic characteristics and treatment-related factors were associated with treatment failure including financial strain and lack of strategy integration. Findings suggest that developing intervention components to address financial concerns and increase opportunities for practicing strategies and then using them between treatment sessions may be important for caregivers at risk of treatment failure.
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Details
- Title
- Background characteristics and treatment-related factors associated with treatment success or failure in a non-pharmacological intervention for dementia caregivers
- Creators
- Karen C. Rose - Widener UniversityLaura N. Gitlin - Johns Hopkins University
- Publication Details
- International psychogeriatrics, v 29(6), pp 1005-1014
- Publisher
- Cambridge Univ Press
- Number of pages
- 10
- Grant note
- RO1 AG22254 / National Institute on Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR) National Institute on Aging (NIA); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000401162300013
- Scopus ID
- 2-s2.0-85014528551
- Other Identifier
- 991020112089804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Psychiatry
- Psychology
- Psychology, Clinical