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• W2031146034 abstract "To the Editor: The results of controlled evaluation studies examining the effects of professional support to caregivers of dementia patients living in the community are inconsistent. Some showed positive effects on caregivers1–3 or delayed patient admissions to nursing homes3,4; others showed no positive effects.5–8 In our randomized controlled trial (n = 138), conducted with patients located through general practitioners, we studied the effects of an intervention on the sense of competence of primary caregivers and the number of admissions of dementia patients.9 The intervention consisted of emotional and practical support for primary caregivers 4 hours a week for 10 months, implemented by specially trained home health aides.10,11 The intervention was based on the family-support model,12 which suggests ways of alleviating problems identified in the family-crisis model.12 Sense of competence refers to the primary caregiver's feeling of being able to care for the dementia patient and was assessed with a questionnaire (α = .79) derived from the family-crisis model12 and the Burden Interview.13 Controlled analysis of covariance (variables see Table 1) revealed no significant overall effect of the intervention on change in primary caregiver's sense of competence between pre- and posttest. The subgroup female caregivers sharing a household with the dementia patient showed a significantly more favorable change in sense of competence in the experimental group compared with the control group (β = .42; P = .04). Process evaluation through analysis of diaries of the specialized home health aides revealed that practical support was accepted by the whole experimental group, whereas only females sharing a household with the dementia patient accepted emotional support. There were significantly fewer admissions to a nursing or retirement home in the experimental group than in the control group (Table 1). These results indicate that a modest investment of specialized professional support may be effective and especially beneficial for females sharing a household with the dementia patient." @default.
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• W2031146034 date "1995-04-01" @default.
• W2031146034 modified "2023-09-25" @default.
• W2031146034 title "HOME CARE FOR DEMENTIA PATIENTS" @default.
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• W2031146034 doi "https://doi.org/10.1111/j.1532-5415.1995.tb05829.x" @default.
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