Evaluation of a care management program on family caregivers of persons with dementia

被引:0
作者
Jackson, Victoria L. [1 ,2 ]
Whitney, Robin L. [1 ,3 ]
Harvath, Theresa A. [1 ,4 ]
Partridge, Eileen [1 ,2 ]
机构
[1] Univ Calif Davis, Hlth Aging Clin, Hlth, 3160 Folsom Blvd,Suite 1400, Sacramento, CA 95816 USA
[2] Univ Calif Davis, Betty Irene Moore Sch Nursing, 2570 48th St, Sacramento, CA 95817 USA
[3] San Jose State Univ, Valley Fdn Sch Nursing, Hlth Bldg 420, One Washington Sq, San Jose, CA 95192 USA
[4] Univ Minnesota, Sch Nursing, 6-125A Weaver Densford Hall,308 Harvard St SE, Minneapolis, MN 55455 USA
关键词
Dementia; Family caregivers; Care management; Nurse practitioners; INTERVENTIONS;
D O I
10.1016/j.gerinurse.2023.10.001
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
As the U.S. population ages, dementia due to Alzheimer's or other disease is concerning for healthcare pro-viders. Family caregivers (FCGs) of persons with dementia (PWDs) may experience negative outcomes. The University of California, Davis, Health (UCDH) Alzheimer's and Dementia Care (ADC) Program provides care management for PWDs and their FCGs. This pilot study evaluates the program's effect on FCG depression, strain, and distress. Despite an increase in dementia severity in PWDs, FCGs experienced decreased levels of depression, strain, and distress following 12 to 18 months in the UCDH ADC Program. Other findings include PWDs experiencing reductions in severity of neuropsychiatric symptoms and remaining at home with FCGs. Despite limitations, such as a relatively small sample size and lack of sample diversity, this pilot study dem-onstrated positive outcomes to both PWDs and their FCGs and contributes to the literature supporting dementia care management programs. Future projects should address these limitations to understand the experiences of a diverse population and to make dementia care management programs sustainable.(c) 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
引用
收藏
页码:310 / 317
页数:8
相关论文
共 24 条
  • [1] Administration for Community Living, 2022, 2022 national strategy to support family caregivers
  • [2] Agency for Healthcare Research and Quality, Care management: implications for medical practice, health policy, and health services research
  • [3] Ahuja R., 2023, Guiding the care journey: building dementia workforce and system capacity through care navigation
  • [4] 2023 Alzheimer's disease facts and figures
    不详
    [J]. ALZHEIMERS & DEMENTIA, 2023, 19 (04) : 1598 - 1695
  • [5] [Anonymous], DEF
  • [6] Assistant Secretary for Planning and Evaluation, 2017, National Plan to Address Alzheimer's disease: 2017 Update
  • [7] Bodenheimer Thomas., 2009, Care Management of Patients with Complex Health Care Needs
  • [8] Redesigning Systems Of Care For Older Adults With Alzheimer's Disease
    Callahan, Christopher M.
    Sachs, Greg A.
    LaMantia, Michael A.
    Unroe, Kathleen T.
    Arling, Greg
    Boustani, Malaz A.
    [J]. HEALTH AFFAIRS, 2014, 33 (04) : 626 - 632
  • [9] Centers for Medicare and Medicaid Services, 2023, Physicians and other clinicians: CMS flexibilities to fight COVID-19
  • [10] Centers for Medicare Medicaid Services, 2023, GUID IMPR DEM EXP GU