Dement Neurocogn Disord.  2016 Jun;15(2):29-36. 10.12779/dnd.2016.15.2.29.

Recent Updates of Therapeutic Intervention Programs for Caregivers of Patient with Dementia: Proposal of Hospital-Based Individual Therapy

• Yeom J
• Yoo R
• Bae S
• Kang Y
• Kim GH
• Na HR
• Choi SH
• Jeong JH

• KMID: 2442852
• DOI: http://doi.org/10.12779/dnd.2016.15.2.29

Abstract

Caring for people with dementia is associated with multiple devastating social, financial, physical, and psychological challenges. There is strong evidence that multicomponent tailored caregiver intervention is effective in improving caregiver well-being and delaying institutionalization. In US, the government is actively funding for developing caregiver program and to prove its efficacy through randomized controlled trials (RCTs) to translate into practice. Even with the introduction of Korean Long-term Care Plan, still, the most of the patients with dementia are being cared by the family members. The distress of caregiving is enormous, but structured therapeutic intervention program which efficacy is proven through RCT is very insufficient in Korea. The purpose of this article is to review the caregiver intervention programs of ongoing clinical trials comparing US and Korea, and to propose a tailored, therapeutic intervention program (I-CARE; A multicenter, randomized trial to assess efficacy of therapeutic intervention programs for decreasing caregiver burden in dementia caregiver) for hospital-care in Korea.

Keyword

caregivers; people with dementia; burden; therapeutic intervention

MeSH Terms

Caregivers*
Dementia*
Financial Management
Humans
Institutionalization
Korea
Long-Term Care

Figure

• 

  Fig. 1 I-CARE. CBT: cognitive behavioral therapy, I-CARE: Intervention program for CAREgivers of patient with dementia, IADL: Instrumental Activities of Daily Living.

Reference

1. Kim KW, Gwak KP, Kim BJ, Kim SY, Kim SK, Kim JL, et al. 2012 national study on the prevalence of dementia in Korean elders. Seongnam: Seoul National University Bundang Hospital;Ministry of Health & Welfare;2012.

2. Korea National Statistical Office. Annual report on the cause of death statistics 2005. Daejeon: Korea National Statistical Office;2006.

3. Schulz R, Martire LM. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr Psychiatry. 2004; 12:240–249.

4. Brodaty H, Gresham M, Luscombe G. The Prince Henry Hospital dementia caregivers' training programme. Int J Geriatr Psychiatry. 1997; 12:183–192.

5. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer Publishing Company;1984.

6. Zarit SH, Anthony CR, Boutselis M. Interventions with care givers of dementia patients: comparison of two approaches. Psychol Aging. 1987; 2:225–232.

7. Akkerman RL, Ostwald SK. Reducing anxiety in Alzheimer's disease family caregivers: the effectiveness of a nine-week cognitive-behavioral intervention. Am J Alzheimers Dis Other Demen. 2004; 19:117–123.

8. Olazarán J, Reisberg B, Clare L, Cruz I, Peña-Casanova J, Del Ser T, et al. Nonpharmacological therapies in Alzheimer's disease: a systematic review of efficacy. Dement Geriatr Cogn Disord. 2010; 30:161–178.

9. Goy E, Freeman M, Kansagara D. A systematic evidence review of interventions for nonprofessional caregivers of individuals with dementia. Portland, OR: Evidence-based Synthesis Program (ESP) Center;Portland VA Medical Center;2010.

10. Jensen M, Agbata IN, Canavan M, McCarthy G. Effectiveness of educational interventions for informal caregivers of individuals with dementia residing in the community: systematic review and meta-analysis of randomised controlled trials. Int J Geriatr Psychiatry. 2015; 30:130–143.

11. Livingston G, Barber J, Rapaport P, Knapp M, Griffin M, King D, et al. Long-term clinical and cost-effectiveness of psychological intervention for family carers of people with dementia: a single-blind, randomised, controlled trial. Lancet Psychiatry. 2014; 1:539–548.

12. Chien LY, Chu H, Guo JL, Liao YM, Chang LI, Chen CH, et al. Caregiver support groups in patients with dementia: a meta-analysis. Int J Geriatr Psychiatry. 2011; 26:1089–1098.

13. Somme D, Trouve H, Dramé M, Gagnon D, Couturier Y, Saint-Jean O. Analysis of case management programs for patients with dementia: a systematic review. Alzheimers Dement. 2012; 8:426–436.

14. Tremont G, Davis JD, Papandonatos GD, Ott BR, Fortinsky RH, Gozalo P, et al. Psychosocial telephone intervention for dementia caregivers: a randomized, controlled trial. Alzheimers Dement. 2015; 11:541–548.

15. Gould E, Hughes S, O'Keeffe C, Wiener JM. Alzheimer's disease supportive services program: 2013 report on completed grants final report. RTI;2013.

16. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999; 89:1322–1327.

17. Altpeter M, Gwyther LP, Kennedy SR, Patterson TR, Derence K. From evidence to practice: using the RE-AIM framework to adapt the REACHII caregiver intervention to the community. Dementia (London). 2015; 14:104–113.

18. Mittelman MS, Bartels SJ. Translating research into practice: case study of a community-based dementia caregiver intervention. Health Aff (Millwood). 2014; 33:587–595.

19. Teri L, McKenzie G, Logsdon RG, McCurry SM, Bollin S, Mead J, et al. Translation of two evidence-based programs for training families to improve care of persons with dementia. Gerontologist. 2012; 52:452–459.

20. Samia LW, Aboueissa AM, Halloran J, Hepburn K. The Maine Savvy Caregiver Project: translating an evidence-based dementia family caregiver program within the RE-AIM Framework. J Gerontol Soc Work. 2014; 57:640–661.

21. Gitlin LN, Jacobs M, Earland TV. Translation of a dementia caregiver intervention for delivery in homecare as a reimbursable Medicare service: outcomes and lessons learned. Gerontologist. 2010; 50:847–854.

22. Lee SA, Lee MH, Ji YK, Han JW, Park JHY, Kim TH, et al. Cognitive-Behavioral Program for Care-givers of the elderly with Dementia: Preliminary study. Korean J Clin Psychol. 2013; 32:853–874.

23. Park M, Park MH, Kim HH. Effects of a multimodal psychoeducational program on burden, depression, and problem coping behaviors in family caregivers of patients with dementia. J Korean Gerontol Nurs. 2015; 17:10–19.

24. Nehen HG, Hermann DM. Supporting dementia patients and their caregivers in daily life challenges: review of physical, cognitive and psychosocial intervention studies. Eur J Neurol. 2015; 22:246–252. e19–e20.

25. Supiano KP, Andersen TC, Haynes LB. Sudden-On-Chronic Death and Complicated Grief in Bereaved Dementia Caregivers: Two Case Studies of Complicated Grief Group Therapy. J Soc Work End Life Palliat Care. 2015; 11:267–282.

26. Gitlin LN, Marx K, Stanley IH, Hodgson N. Translating evidence-based dementia caregiving interventions into practice: state-of-the-science and next steps. Gerontologist. 2015; 55:210–226.