AI Article Synopsis
- - The study evaluated a 12-month automated voice response intervention aimed at supporting family caregivers of individuals with disruptive behaviors due to Alzheimer's disease, focusing on outcomes like caregiver stress and emotional well-being.
- - In a randomized controlled trial of 100 caregivers, the intervention group showed significant improvements in feelings of bother, anxiety, and depression, particularly among those with low mastery at the beginning.
- - The results indicate that the intervention was especially beneficial for wives of care recipients, highlighting the importance of customizing similar programs to suit individual caregiver needs and experiences.
Article Abstract
Purpose: We determine the main outcome effects of a 12-month computer-mediated automated interactive voice response (IVR) intervention designed to assist family caregivers managing persons with disruptive behaviors related to Alzheimer's disease (AD).
Design And Methods: We conducted a randomized controlled study of 100 caregivers, 51 in the usual care control group and 49 in the technology intervention group, who received yearlong access to an IVR-mediated system. The system provided caregiver stress monitoring and counseling information, personal voice-mail linkage to AD experts, a voice-mail telephone support group, and a distraction call for care recipients. We conducted analyses by using a repeated measures approach for longitudinal data and an intention-to-treat analytic approach. Outcomes included the caregiver's appraisal of the bothersome nature of caregiving, anxiety, depression, and mastery at baseline, 6, 12, and 18 months.
Results: There was a significant intervention effect as hypothesized for participants with lower mastery at baseline on all three outcomes: bother (p =.04), anxiety (p =.01), and depression (p =.007). Additionally, wives exhibited a significant intervention effect in the reduction of the bothersome nature of caregiving (p =.02).
Implications: Wives who exhibited low mastery and high anxiety benefited the most from the automated telecare intervention. Findings suggest that, to optimize outcome effects, similar interventions should be tailored to match the users' characteristics and preferences.
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| http://dx.doi.org/10.1093/geront/43.4.556 | DOI Listing |
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