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The Tele.TAnDem Intervention: Telephone-based CBT for Family Caregivers of People With Dementia.

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.

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  • Publisher Full Text
  • 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.

    Source

    The Gerontologist 58:2 2018 03 19 pg e118-e129

    MeSH

    Adaptation, Psychological
    Adult
    Aged
    Caregivers
    Cognitive Behavioral Therapy
    Compassion Fatigue
    Dementia
    Depression
    Female
    Germany
    Humans
    Male
    Outcome Assessment (Health Care)
    Quality of Life
    Telemedicine

    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 -