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Randomized Controlled Trial
. 2015 Apr;23(4):391-402.
doi: 10.1016/j.jagp.2014.08.002. Epub 2014 Aug 13.

A randomized controlled trial of a community-based dementia care coordination intervention: effects of MIND at Home on caregiver outcomes

Jeremy A Tanner  1 , Betty S Black  2 , Deirdre Johnston  2 , Edward Hess  3 , Jeannie-Marie Leoutsakos  3 , Laura N Gitlin  4 , Peter V Rabins  2 , Constantine G Lyketsos  3 , Quincy M Samus  5
Affiliations
Randomized Controlled Trial

A randomized controlled trial of a community-based dementia care coordination intervention: effects of MIND at Home on caregiver outcomes

Jeremy A Tanner et al. Am J Geriatr Psychiatry. 2015 Apr.

Abstract

Objective: To assess whether MIND at Home, a community-based, multicomponent, care coordination intervention, reduces unmet caregiving needs and burden in informal caregivers of persons with memory disorders.

Methods: An 18-month randomized controlled trial of 289 community-living care recipient (CR)-caregiver (informal caregivers, i.e., unpaid individuals who regularly assisted the CR) dyads from 28 postal code areas of Baltimore, Maryland was conducted. All dyads and the CR's primary care physician received the written needs assessment results and intervention recommendations. Intervention dyads then received an 18-month care coordination intervention delivered by nonclinical community workers to address unmet care needs through individualized care planning, referral and linkage to dementia services, provision of caregiver dementia education and skill-building strategies, and care progress monitoring by an interdisciplinary team. Primary outcome was total percent of unmet caregiver needs at 18 months. Secondary outcomes included objective and subjective caregiver burden measures, quality of life (QOL), and depression.

Results: Total percent of unmet caregiver needs declined in both groups from baseline to 18 months, with no statistically significant between-group difference. No significant group differences occurred in most caregiver burden measures, depression, or QOL. There was a potentially clinically relevant reduction in self-reported number of hours caregivers spent with the CR for MIND participants compared with control subjects.

Conclusion: No statistically significant impacts on caregiver outcomes were found after multiple comparison adjustments. However, MIND at Home appeared to have had a modest and clinically meaningful impact on informal caregiver time spent with CRs.

Keywords: Dementia; care coordination; caregiver; community-based; intervention.

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Figures

Figure 1
Figure 1
Participant Flowchart
Figure 2
Figure 2
Baseline domains with at least one unmet need among caregivers (% of participants)
See this image and copyright information in PMC

References

    1. Alzheimer's Association Alzheimer's Disease Facts and Figures. Alzheimer's & Dementia 2013. 2013;9:208–245. - PubMed
    1. Rabins P. The caregiver's role in Alzheimer's disease. Dement Geriatr Cogn Disord. 1998;9:25–28. - PubMed
    1. Brodaty H, Woodward M, Boundy K, et al. Prevalence and Predictors of Burden in Caregivers of People with Dementia. Am J Geriatr Psychiatry. 2013 - PubMed
    1. Covinsky KE, Newcomer R, Fox P, et al. Patient and caregiver characteristics associated with depression in caregivers of patients with dementia. J Gen Intern Med. 2003;18:1006–1014. - PMC - PubMed
    1. Capistrant BD, Moon JR, Berkman LF, et al. Current and long-term spousal caregiving and onset of cardiovascular disease. J Epidemiol Community Health. 2012;66:951–956. - PMC - PubMed

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