scholarly journals Virtual CARE for Caregivers of PWD: Adapting to the New Normal

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1028-1029
Author(s):  
Steven Shirk ◽  
Maureen O'Connor ◽  
Jaye McLaren ◽  
Kendra Pugh ◽  
Andrew Nguyen ◽  
...  

Abstract Caregivers of persons with dementia (PWD) often experience increases in depression, anxiety, and burden as the disease progresses. In fact, as the PWD’s neuropsychiatric symptoms increase and independence in ADLS decrease, caregivers psychological and physical health outcomes worsen. The literature suggests that caregiver interventions that teach specific skills are more beneficial than psychoeducational interventions, particularly regarding the amelioration of the psychological impacts of informal caregiving. However, because of caregiving demands, caregiver’s own physical limitations, and competing obligations, it can be difficult to attend caregiver support or education programs outside the home. With the emergence of the COVID-19 pandemic, arranging such interventions became more complex, Therefore, we report on preliminary qualitative outcomes of a study investigating the feasibility and acceptability of converting an in-person, group dementia caregiver education intervention, CARE, to a telehealth platform. We report the findings of two objectives: 1) lessons learned when attempting to convert an in-person group intervention to telehealth and 2) experience and perceived benefit of attending a virtual group from the perspective of the participants of our first two groups. Briefly, our findings demonstrate the strong need for technological support. Participants report positive experience regarding the convenience of attending the group from their home, the benefits of the assigned exercises, and the support they found from other group members. The COVID-19 pandemic has forced many to embrace the virtual option as they adapt to a new normal. There are undoubtedly hurdles to overcome, but there are also advantages to be leveraged.

2019 ◽  
Vol 39 (4) ◽  
pp. 368-376 ◽  
Author(s):  
Rebecca Bruening ◽  
Nina Sperber ◽  
Katherine Miller ◽  
Sara Andrews ◽  
Karen Steinhauser ◽  
...  

Development and evaluation of supportive caregiver interventions has become a national priority. This study’s aim was to evaluate how caregivers participating in the Department of Veterans Affairs (VA) Caregiver Support Program (CSP) use and value supportive services. Qualitative semi-structured interviews ( N = 50 caregivers) were the core of a mixed-methods design, and surveys ( N = 160) were supplemental. Caregivers who had used CSP services valued emotional, functional, and health care navigational support, calling support groups and the program coordinator their “lifeline.” However, many described a lack of connection with the program—not knowing about or successfully engaging in program services—and needed more information about available resources. Caregivers in rural areas or caring for individuals with specific diseases reported needing tailored services to meet their unique needs. Policy makers and practitioners should proactively promote supportive services for caregivers. Future research should explore strategies for reducing barriers to accessing tailored support to meet the needs of a diverse caregiver population.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1040-1040
Author(s):  
Sheung-Tak Cheng

Abstract Despite plenty of reviews on the benefits of nonpharmacological interventions for dementia informal caregivers, large-scale review on the effects of these interventions on the care-recipients (CRs) is lacking. We searched PsycINFO, CINAHL with Full Text, MEDLINE, and PubMed from inception to end of 2020 and found 144 articles that reported randomized controlled trials of caregiver interventions using CR outcomes. Interventions were found to reduce neuropsychiatric symptoms and mood disturbance, enhance cognition and quality of life, and delay institutionalization and mortality, with care coordination/case management, educational intervention with psychotherapeutic components, and direct training of the care-recipient (with caregiver involvement) being the more potent interventions. However, the effects were generally small to very small. Together with existing findings on caregiver outcomes, a tripartite scaffolding model of caregiver support is proposed. Future directions in terms of developing consensual guidelines, a registry of intervention manuals, and family-centered programs are discussed.


2012 ◽  
Vol 24 (9) ◽  
pp. 1368-1386 ◽  
Author(s):  
Sabine Nunnemann ◽  
Alexander Kurz ◽  
Stefan Leucht ◽  
Janine Diehl-Schmid

ABSTRACTBackground: Frontotemporal lobar degeneration (FTLD) is a relatively rare disease compared to Alzheimer' disease (AD), but nevertheless causes higher burden and stress to caregivers. Only little is known about the problems and needs of the caregivers of patients with FTLD. Such information is crucial for the development of caregiver support interventions. The aim of the current study is to systematically review publications on (1) burden, problems, and needs of FTLD caregivers, and (2) the feasibility and efficacy of caregiver interventions in FTLD.Methods: A systematic review was conducted. Medical, psychological, and social sciences databases were searched for publications on burden, problems, needs of FTLD caregivers, and support interventions.Results: Very little published data are available on burden, problems, and needs of FTLD caregivers. Burden among FTLD caregivers is higher than among AD caregivers and correlated with neuropsychiatric symptoms. Specific problems include delayed diagnosis, young age of patients, behavioral disturbances, lack of information and suitable care facilities, caregivers' depression, social isolation, and neglect of personal needs. Hardly any literature is available on the actual needs of FTLD caregivers. Regarding interventions for caregivers, no randomized controlled trials exist. Eight publications could be identified that provide narrative reports on structured caregiver support groups or respite care in combination with caregiver support intervention or advanced practice nursing.Conclusion: More research and funding are needed to elucidate the complex construct of burden of FTLD caregivers to identify and quantify their problems and needs in order to develop helpful interventions and services.


2021 ◽  
Vol 50 (11) ◽  
pp. 16-25
Author(s):  
Benjamin Nitsche ◽  
Frank Straube

Die COVID-19-Pandemie ist eine der größten Krisen, die die internationalen Logistiknetze seit Jahrzehnten getroffen und weitreichende Folgen für die künftige Gestaltung, Planung und Verwaltung von Logistiknetzen hat. Auf der Grundlage eines Fokusgruppen-Workshops mit 25 Logistikmanagern und einer anschließenden Umfrage unter 37 Fachleuten versucht diese Studie, künftige Entwicklungspfade für internationale Logistiknetze zu skizzieren. Genauer gesagt werden logistische Erkenntnisse aus der Bewältigung der zweiten Welle beschrieben, eine Schwachstellenanalyse logistischer Krisenmanagementansätze durchgeführt, zukünftige Entwicklungsszenarien bewertet und Handlungsbereiche abgeleitet.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S285-S286
Author(s):  
Maria P Aranda ◽  
Debra Cherry

Abstract An increasing number of families, funders, and community providers seek very brief psychosocial caregiver interventions, yet the evidence for such condensed interventions is not established. Based on the Savvy Caregiver Program, we explored the feasibility, acceptability, and outcome trends for a condensed 3-session version titled, Savvy Express. Based on a single-group, pre- and post-test intervention design, we examined post-intervention and 3-month data on 116 English-speaking racially and ethnically diverse care partners caring family members with Alzheimer’s disease and related dementias. 41% of the sample was non-Latino white and comprised of Latinas, African Americans and Asian American/API. Most care partners were either adult children or spouses caring for someone with AD or other dementia. Over 80% were college educated. Two of three participants completed all 3 classes. Our findings indicate significant improvements in caregiver levels of depressive symptomatology and anxiety, competence, management of the situation, reduction of expectations, making positive comparisons, and reactivity to the family member’s memory behavior. Upwards of 90% would recommend the program to other caregivers. Savvy Express is a brief caregiver intervention with high acceptability and feasibility. Improvements in care partner psychosocial outcomes signal a promising practice to reduce the burden of caregiving. A major focus of the paper focuses on barriers and facilitators to uptake of the study procedures and intervention with community-based partners. Future work is needed to establish the efficacy of Savvy Express across a longer observation period, and with less educated, low-income participants, and limited English-speaking families.


2008 ◽  
Vol 29 (4) ◽  
pp. 363-382 ◽  
Author(s):  
Robert A. Stern ◽  
Lisa A. D'Ambrosio ◽  
Maureen Mohyde ◽  
Anastasia Carruth ◽  
Beth Tracton-Bishop ◽  
...  

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