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The Development of a Caregiver-focused, Web-based Program to Assess and Manage Behavioral and Psychological Symptoms of Dementia
Journal article   Open access

The Development of a Caregiver-focused, Web-based Program to Assess and Manage Behavioral and Psychological Symptoms of Dementia

Helen C. Kales, Laura N. Gitlin, Barbara Stanislawski, Katherine Marx, Molly Turnwald, Daphne C. Watkins and Constantine G. Lyketsos
Alzheimer disease and associated disorders, v 31(3)
01 Jul 2017
PMID: 27849639
url
https://hdl.handle.net/2027.42/163990View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open
url
https://doi.org/10.1097/WAD.0000000000000177View
Published, Version of Record (VoR) Open

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Pathology Science & Technology
Background/Objectives: Behavioral and psychological symptoms of dementia (BPSD) are nearly universal in dementia and associated with multiple negative outcomes. Current real-world management is largely pharmacologic, despite poor risk/benefit. The WeCareAdvisor was designed to enable family caregivers to assess, manage, and track BPSD using nonpharmacologic strategies. Design: In-depth qualitative data were collected from family caregivers of people with dementia to inform: (1) style of approach and "look and feel" of the tool, and (2) the types of psychoeducation most needed by caregivers. Results: We conducted 4 focus groups and a technology survey (n=26) as well as additional individual semistructured interviews (n=12) with family caregivers. Main themes of the qualitative work included: (1) need to minimize difficulty and training time; (2) importance of "one-stop shopping" for information; and (3) necessity for information to be tailored to the caregiver and person with dementia. This information was then combined with effective existing evidence-based behavioral strategies to create a web-based tailored caregiver-support tool. Conclusions: The We Care Advisor was designed with input on functionality and content by end-users, family caregivers. The randomized controlled trial of We Care Advisor will test whether the tool improves outcomes including caregiver upset and burden and frequency and severity of BPSD.

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30 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Pathology
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