A randomized controlled trial of a home‐based training programme to decrease depression in family caregivers of persons with dementia

Aims The aim of this study was to explore distinct trajectories of caregivers’ depressive symptoms and the effects of a training programme on these trajectories over 18 months after the programme. Background Overall effects of caregiver‐training programmes on family caregivers’ depressive symptoms h...

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Bibliographic Details
Published in:Journal of advanced nursing 2017-03, Vol.73 (3), p.585-598
Main Authors: Kuo, Li‐Min, Huang, Huei‐Ling, Liang, Jersey, Kwok, Yam‐Ting, Hsu, Wen‐Chuin, Su, Pei‐Ling, Shyu, Yea‐Ing L.
Format: Article
Language:English
Subjects:
Caregivers
Caregivers - education
Caregivers - psychology
caregiving
Dementia
Depression - prevention & control
depressive symptoms
Families & family life
Family - psychology
family caregivers
Home Care Services
home‐based training programme
Humans
longitudinal study
Mental depression
nurse education
Nursing
nursing home care
Patient Education as Topic - organization & administration
randomized controlled trial
Training
trajectory group
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Summary:Aims The aim of this study was to explore distinct trajectories of caregivers’ depressive symptoms and the effects of a training programme on these trajectories over 18 months after the programme. Background Overall effects of caregiver‐training programmes on family caregivers’ depressive symptoms have been reported, but few studies explored distinct courses of changes in caregivers’ depressive symptoms and followed up intervention effects on these distinct courses. Design Randomized clinical trial. Methods Family caregivers (n = 116) were randomly assigned into experimental (n = 57) and control (n = 59) groups. The experimental group received the training programme with telephone consultation and the control group received written educational materials and social telephone follow‐ups. Caregivers’ depressive symptoms were assessed from June 2009 – March 2012 by self‐completed questionnaires before, at 2 weeks and 3, 6, 12 and 18 months after the intervention. Groups of individual trajectories were distinguished using group‐based trajectory modelling. Results Caregivers’ depressive symptoms fell into three stable trajectories: non‐depressed, mildly blue and depressed. After controlling for covariates, caregivers who received the caregiver‐training programme were less likely than those who did not experience persistent depressive symptoms (b = −1·92, odds ratio = 0·15, P 
ISSN:0309-2402
1365-2648
DOI:10.1111/jan.13157