Memory and communication support strategies in dementia: effect of a training program for informal caregivers

Liddle, Jacki, Smith-Conway, Erin R., Baker, Rosemary, Angwin, Anthony J., Gallois, Cindy, Copland, David A., Pachana, Nancy A., Humphreys, Michael S., Byrne, Gerard J. and Chenery, Helen J. (2012) Memory and communication support strategies in dementia: effect of a training program for informal caregivers. International Psychogeriatrics, 24 12: 1927-1942. doi:10.1017/S1041610212001366


Author Liddle, Jacki
Smith-Conway, Erin R.
Baker, Rosemary
Angwin, Anthony J.
Gallois, Cindy
Copland, David A.
Pachana, Nancy A.
Humphreys, Michael S.
Byrne, Gerard J.
Chenery, Helen J.
Title Memory and communication support strategies in dementia: effect of a training program for informal caregivers
Journal name International Psychogeriatrics   Check publisher's open access policy
ISSN 1041-6102
1741-203X
Publication date 2012-10-01
Year available 2012
Sub-type Article (original research)
DOI 10.1017/S1041610212001366
Open Access Status Not yet assessed
Volume 24
Issue 12
Start page 1927
End page 1942
Total pages 16
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
Abstract Background: People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.
Formatted abstract
Background:
People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia.  The effectiveness of the training on the caregiver experience and the well-being of the person with dementia
was evaluated.

Methods:
A pre-test/post-test controlled trial was undertaken with caregiver–care-recipient dyads living in the community. Measures of the carers’ knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months postintervention.  The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.

Results:
Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni’s correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers’ knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p=0.028) and increased perceptions of positive aspects of caregiving (p=0.039), both at a level approaching significance.  The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p=0.0126). The frequency of observed depressive behaviors was not
significantly different between groups.

Conclusions:

This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.
Keyword Knowledge translation
Community Care
Cognitive Rehabilitation
Communication skills
Wellbeing
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID 511208
Institutional Status UQ

 
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Created: Thu, 04 Oct 2012, 00:18:12 EST by Dr Jacki Liddle on behalf of UQ Centre for Clinical Research