Monday, April 21
Grant Miller: Managerial Incentives in Public Service Delivery
Kuo, Li-Min, Huei-Ling Huang, Hsiu-Li Huang, Jersey Liang, Yi-Chen Chiu, Sien-Tsong Chen, Yam-Ting Kwok, Wen-Chiun Hsu, and Yea-Ing L. Shyu. 2013. "A home-based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression: a randomized controlled trial." International Journal of Geriatric Psychiatry, 28(5): 504-513.
Objectives Little is known about the longitudinal effects of training programs on family caregivers' health-related quality of life (HRQoL) and depressive symptoms over time. Therefore, the purpose of this study was to examine the effects of a home-based caregiver training program on HRQoL and depressive symptoms for family caregivers of older persons with dementia. Methods Outcomes (caregivers' HRQoL and depressive symptoms) were assessed before the training program (baseline), and at 2weeks, 3months, and 6months afterwards. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version. Depressive symptoms were measured using the Chinese version Center for Epidemiologic Studies Depression Scale. Results Family caregivers who received the individualized home-based training program had better health outcomes in bodily pain (b=12.37, p<0.013), role disability due to emotional problems (b=17.74, p<0.013), vitality (b=12.40, p<0.001), better mental summary score (b=5.14, p<0.003), and decreased risk for depression (odds ratio=0.15, confidence interval=0.040.65, p<0.013) than those in the control group during the 6months following the training program. Conclusion Our home-based caregiver training program improved caregivers' HRQoL, especially role limitations due to emotional problems, and decreased their risk for depression.