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Effects of the Home Environmental Skill-Building Program on the Caregiver–Care Recipient Dyad: 6-Month Outcomes From the Philadelphia REACH Initiative
Journal article   Open access   Peer reviewed

Effects of the Home Environmental Skill-Building Program on the Caregiver–Care Recipient Dyad: 6-Month Outcomes From the Philadelphia REACH Initiative

Laura N. Gitlin, Laraine Winter, Mary Corcoran, Marie P. Dennis, Sandy Schinfeld and Walter W. Hauck
The Gerontologist, v 43(4), pp 532-546
Aug 2003
DOI: https://doi.org/10.1093/geront/43.4.532
PMID: 12937332
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://academic.oup.com/gerontologist/article-pdf/43/4/532/16979137/532.1.pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.1093/geront/43.4.532View
Published, Version of Record (VoR) Open

Abstract

Clinical trial Home care Home modification
Purpose:We examine 6-month effects of the Environmental Skill-Building Program on caregiver well-being and care recipient functioning and whether effects vary by caregiver gender, race (White or non-White), and relationship (spouse or nonspouse). Design and Methods:We enrolled 255 family caregivers of community-residing persons with Alzheimer's disease or related disorders, of whom 190 participated in a follow-up interview. Caregivers were randomized to a usual care control group or intervention group that received five home contacts and one telephone contact by occupational therapists, who provided education, problem-solving training, and adaptive equipment. Baseline and 6-month follow-up included self-report measures of caregiver objective and subjective burden, caregiver well-being, and care recipient problem behaviors and physical function.Results:Compared with controls (n = 101), intervention caregivers (n = 89) reported less upset with memory-related behaviors, less need for assistance from others, and better affect. Intervention spouses reported less upset with disruptive behaviors; men reported spending less time in daily oversight; and women reported less need for help from others, better affect, and enhanced management ability, overall well-being, and mastery relative to control group counterparts. Statistically significant treatment differences were not found for hours helping with instrumental activities of daily living, upset with providing assistance with instrumental activities of daily living and activities of daily living, perceived change in somatic symptoms, White versus non-White caregivers, or care recipient outcomes. Implications:The Environmental Skill-Building Program reduces burden and enhances caregiver well-being in select domains and has added benefit for women and spouses.

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199 citations in Web of Science
221 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Web of Science research areas
Gerontology
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