Translating the REACH OUT dementia caregiver intervention into a primary care setting: a pilot study

Asia Sikora Kessler, Gabrielle Mock, Diane Hendricks, Laura Robbins, Harpriya Kaur, Jane F. Potter, Louis D. Burgio

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The current study translated the Resources for Enhancing Alzheimer’s Caregiver Health: Offering Useful Treatments (REACH OUT), a skills-building stress and burden intervention, for the primary care setting and pilot the resulting intervention. Methods: The 16-week intervention consisted of a combination of clinic-based group and one-on-one sessions offered within a medical home, geriatrics clinic. A quasi-experimental pre- and post-test study design without a control group tested the resulting intervention. Semi-structured qualitative exit interviews evaluated program satisfaction. Results: Twenty-five caregivers participated in one of four intervention groups; 21 caregivers completed the intervention (attended at least five of six group sessions). Caregiver burden on standardized assessments was significantly reduced between pre- and post-intervention, specifically for physical/emotional strain and caregiving uncertainty. Significant reductions were found in the frequency of reported disruptive behaviors; increased caregiver confidence in handling behavior problem frequency, depressive symptoms, disruptive behaviors, and memory-related problems; and decreased bother with respect to behavioral problem frequency and care recipient depression. Program satisfaction was high. Conclusion: This work suggests that the REACH OUT program can be successfully modified for use within a primary-care medical home setting.

Original languageEnglish (US)
JournalAging and Mental Health
DOIs
StateAccepted/In press - 2020

Keywords

  • Alzheimer’s disease
  • Caregivers
  • burden
  • medical home
  • stress

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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