EFFECTIVENESS OF A PSYCHOSOCIAL INTERVENTION PROGRAM FOR CAREGIVERS OF PATIENTS WITH ALZHEIMER'S DISEASE IN THE PREVENTION OR REDUCTION CAREGIVER BURDEN. EDUCA STUDY
Author(s)
Montse Balañá, Psychologist, HOR COORDINATOR1, Manuel Martín, Psychiatric, Medical Doctor2, Sonia Pons, Medical, Doctor, Medical Adviser3, Ana Luisa Gobartt, Medical, Doctor, Medical Adviser11Novartis Pharmaceuticals, Barcelona, Spain; 2 Clinica Padre Menni, Pamplona, Spain; 3 Laboratorios Esteve, Barcelona, Spain
OBJECTIVES: Caregivers's patients with Alzheimer's disease (AD) experience physical and psychical stress due to the caring. This study evaluated the benefits of a Psychosocial Intervention Program (PIP) on caregivers' burden METHODS: A epidemiological, prospective, randomized, multicenter study was conducted by psychiatrists who recruited 115 primary caregivers's of patients with AD (DMS-IV criteria and MMSE score = 10 – 26) and at least 2 impaired instrumental activities of daily living (IADL score) by Lawton & Brody Test. Caregivers were randomized to receive either PIP (intervention group (IG), n=60) or standard care (control group (CG), n=55). PIP consisted on individual sessions (scheduled every 1-2 weeks during 4 months) of teaching strategies to reduce caregiver burnout. Caregivers stress, quality of life (QoL) and perceived health were measured using validated scales (Zarit, SF-36, GHQ-28) at baseline, after a 4-month and a 10-month follow-up period RESULTS: The profile of patient with AD was a 77-years-old woman, with moderate dementia (MMSEscore=18.74) and high impairment of daily living activities (mean IADLscore=2.17). The caregiver profile was a 60-years-old woman, wife or adult daughter, who is being careing for 3 years and care daily time was >12 hours, without refund. Changes in caregiver burden (baseline Zaritscore – final Zaritscore) showed an improvement in the IG (-8.09 points) and a worsening grouping the CG (+2.08 points), with statistically significance (p=0.0083). The IG showed significant improvements in all the well-being perception areas measured by the SF-36scores and significantly lower score in the GHQ-28score (p=0.0004). Caregivers and therapists considered PIP “useful/very useful” in a 97.7% and 88,6 % respectively at the end of PIP, and in a 93,2% and 86,3% at 6 moths after PIP ending. CONCLUSION: Caregivers' psychosocial training can minimize caregiver distress and may help to develop strategies for coping problems. PIP improves QoL and the perceived health of caregivers of patients with AD.
Conference/Value in Health Info
2007-10, ISPOR Europe 2007, Dublin, Ireland
Value in Health, Vol. 10, No. 6 (November/December 2007)
Code
PMH57
Topic
Methodological & Statistical Research, Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes, PRO & Related Methods, Stated Preference & Patient Satisfaction
Disease
Mental Health, Neurological Disorders