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The Tele.TAnDem Intervention: Telephone-based CBT for Family Caregivers of People With Dementia.
Gerontologist 2018; 58(2):e118-e129G

Abstract

Background and Objectives

This study evaluated the effectiveness of a telephone-based cognitive-behavioral therapy for family caregivers of people with dementia in existing health care provision structures.

Research Design and Methods

Two hundred seventy-three family caregivers of people with dementia were randomly assigned to receive the intervention or usual care. Usual care included unrestricted access to community resources. Intervention group participants received twelve 50-min sessions of individual cognitive-behavioral therapy by trained psychotherapists within 6 months. Symptoms of depression, emotional well-being, physical health symptoms, burden of care, coping with the care situation and challenging behavior were assessed after the intervention ended and at a 6-month follow-up. Intention-to-treat analyses using latent change models were applied.

Results

Intention-to-treat analyses showed improved emotional well-being (γ = 9.59, p = .001), fewer symptoms of depression (γ = -0.23, p = .043), fewer physical health symptoms (γ = -0.25, p = .019), improved coping with the care situation (γ = 0.25, p = .005) and the behavior of the care recipient (γ = 0.23, p = .034) compared with usual care. Effects for coping (γ = 0.28, p = .006 and γ = 0.39, p < .001, respectively) and emotional well-being (γ = 7.61, p = .007) were also found at follow-up.

Discussion and Implications

The CBT-based telephone intervention increased mental and physical health as well as coping abilities of family caregivers of people with dementia. The intervention can be delivered by qualified CBT therapists after an 8-h training session in existing health care provision structures.

Authors+Show Affiliations

Department of Counseling and Clinical Psychology, Institute of Psychology, Friedrich Schiller University Jena, Germany.Institute of Psychology, University of Hildesheim, Germany.Department of Counseling and Clinical Psychology, Institute of Psychology, Friedrich Schiller University Jena, Germany.Institute of Psychology, University of Hildesheim, Germany.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29190357

Citation

Wilz, Gabriele, et al. "The Tele.TAnDem Intervention: Telephone-based CBT for Family Caregivers of People With Dementia." The Gerontologist, vol. 58, no. 2, 2018, pp. e118-e129.
Wilz G, Reder M, Meichsner F, et al. The Tele.TAnDem Intervention: Telephone-based CBT for Family Caregivers of People With Dementia. Gerontologist. 2018;58(2):e118-e129.
Wilz, G., Reder, M., Meichsner, F., & Soellner, R. (2018). The Tele.TAnDem Intervention: Telephone-based CBT for Family Caregivers of People With Dementia. The Gerontologist, 58(2), pp. e118-e129. doi:10.1093/geront/gnx183.
Wilz G, et al. The Tele.TAnDem Intervention: Telephone-based CBT for Family Caregivers of People With Dementia. Gerontologist. 2018 03 19;58(2):e118-e129. PubMed PMID: 29190357.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Tele.TAnDem Intervention: Telephone-based CBT for Family Caregivers of People With Dementia. AU - Wilz,Gabriele, AU - Reder,Maren, AU - Meichsner,Franziska, AU - Soellner,Renate, PY - 2017/07/05/received PY - 2017/12/1/pubmed PY - 2018/11/27/medline PY - 2017/12/1/entrez SP - e118 EP - e129 JF - The Gerontologist JO - Gerontologist VL - 58 IS - 2 N2 - Background and Objectives: This study evaluated the effectiveness of a telephone-based cognitive-behavioral therapy for family caregivers of people with dementia in existing health care provision structures. Research Design and Methods: Two hundred seventy-three family caregivers of people with dementia were randomly assigned to receive the intervention or usual care. Usual care included unrestricted access to community resources. Intervention group participants received twelve 50-min sessions of individual cognitive-behavioral therapy by trained psychotherapists within 6 months. Symptoms of depression, emotional well-being, physical health symptoms, burden of care, coping with the care situation and challenging behavior were assessed after the intervention ended and at a 6-month follow-up. Intention-to-treat analyses using latent change models were applied. Results: Intention-to-treat analyses showed improved emotional well-being (γ = 9.59, p = .001), fewer symptoms of depression (γ = -0.23, p = .043), fewer physical health symptoms (γ = -0.25, p = .019), improved coping with the care situation (γ = 0.25, p = .005) and the behavior of the care recipient (γ = 0.23, p = .034) compared with usual care. Effects for coping (γ = 0.28, p = .006 and γ = 0.39, p < .001, respectively) and emotional well-being (γ = 7.61, p = .007) were also found at follow-up. Discussion and Implications: The CBT-based telephone intervention increased mental and physical health as well as coping abilities of family caregivers of people with dementia. The intervention can be delivered by qualified CBT therapists after an 8-h training session in existing health care provision structures. SN - 1758-5341 UR - https://www.unboundmedicine.com/medline/citation/29190357/The_Tele_TAnDem_Intervention:_Telephone_based_CBT_for_Family_Caregivers_of_People_With_Dementia_ L2 - https://academic.oup.com/gerontologist/article-lookup/doi/10.1093/geront/gnx183 DB - PRIME DP - Unbound Medicine ER -