Programmatic research outcomes used to establish the evidence-base of dementia caregiving support programs: An analysis of Best Programs for Caregiving

IF 6.8 Q1 CLINICAL NEUROLOGY

Alzheimer''s and Dementia: Translational Research and Clinical Interventions Pub Date : 2025-06-11 DOI:10.1002/trc2.70092

Morgan J. Minyo, Sara M. Powers, David M. Bass, Rachel M. Cannon, Katie Maslow, Zoe F. Fete, Megan K. Huth

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引用次数: 0

Abstract

INTRODUCTION

A substantial number of evidence-based dementia caregiving support programs positively impact family and friend caregivers. Researchers and service organizations have successfully translated and delivered a subset of these programs to caregivers and are included in Best Programs for Caregiving (BPC). This investigation examined the programmatic caregiver research outcomes reported in peer-reviewed articles of BPC programs to understand how programs impact caregivers in the community and identify underrepresented outcomes.

METHODS

Peer-reviewed, published research articles that (1) reported at least one dementia caregiver outcome, and (2) used a controlled trial or pre/posttest study design were abstracted from the BPC database. Across 45 evidence-based programs in BPC, 128 articles met inclusion criteria for data coding and descriptive analysis. Research outcomes (e.g., stress, depressive symptoms), efficacy findings (e.g., beneficial, no effect), and the type of study design used (e.g., pre/posttest, treatment/control) were coded from each article.

RESULTS

Twelve programmatic outcomes were identified focusing on Caregiver Well-Being and Caregiver Support. Caregiver Well-Being outcomes were frequently assessed by BPC programs, including symptoms of depression, reported in 81 (63.3%) articles, and care-related stress, strain, and/or burden, reported in 75 (58.6%) articles. By comparison, Caregiver Support outcomes were infrequently measured including quantity of family/friend support, reported in 17 (13.3%) articles, and quantity of community service use, reported in 13 (10.2%) articles. High percentages of beneficial findings were reported for both Caregiver Well-Being and Caregiver Support outcomes. Articles reported beneficial findings using pre/posttest and treatment/control group designs similarly across caregiver outcomes.

DISCUSSION

The majority of BPC programs positively impact caregiver well-being outcomes but limited attention is given to other person-centered and strength-based research outcomes including supports for caregivers, unmet needs, and positive aspects of caregiving. Additional research is needed by both established and new non-pharmacological caregiving interventions to target and evaluate the impact of these underrepresented outcomes.

Highlights

Best Programs for Caregiving is an online database of dementia caregiving programs.
BPC programs mainly target deficit-focused, medical-based, well-being outcomes.
Few BPC programs target positive aspects of caregiving and service use outcomes.
More research is needed to evaluate underrepresented caregiver outcomes.

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项目研究成果用于建立痴呆护理支持项目的证据基础：最佳护理项目分析

大量以证据为基础的痴呆症护理支持项目对家庭和朋友照顾者产生了积极影响。研究人员和服务机构已经成功地将这些程序的一个子集翻译并交付给护理人员，并被纳入最佳护理程序（BPC）。本研究考察了同行评议的BPC项目文章中报道的程序化护理人员研究结果，以了解项目如何影响社区中的护理人员，并确定未被充分代表的结果。方法：从BPC数据库中提取经同行评审、已发表的研究文章(1)报道至少一种痴呆症护理者结局，(2)采用对照试验或测试前/测试后研究设计。在BPC的45个循证项目中，128篇文章符合数据编码和描述性分析的纳入标准。研究结果（例如，压力、抑郁症状）、疗效发现（例如，有益、无影响）和所使用的研究设计类型（例如，前/后测试、治疗/对照）从每篇文章中进行编码。结果确定了12个项目结果，重点关注照顾者幸福感和照顾者支持。照护者的健康状况经常通过BPC项目进行评估，包括81篇（63.3%）文章报道的抑郁症状，以及75篇（58.6%）文章报道的与照护相关的压力、紧张和/或负担。相比之下，护理人员支持的结果很少被测量，包括17篇（13.3%）文章中报告的家庭/朋友支持的数量，以及13篇（10.2%）文章中报告的社区服务使用的数量。据报道，照顾者幸福感和照顾者支持结果的有益结果百分比很高。文章报道了使用前/后测试和治疗/对照组设计的有益结果，这些设计在护理结果上相似。大多数BPC项目积极影响照顾者的福祉结果，但对其他以人为中心和基于力量的研究结果的关注有限，包括对照顾者的支持，未满足的需求和照顾的积极方面。现有的和新的非药物护理干预措施都需要进一步的研究来针对和评估这些未被充分代表的结果的影响。最佳护理计划是一个痴呆症护理计划的在线数据库。BPC项目主要针对以赤字为重点、以医疗为基础的健康结果。很少有BPC计划针对护理和服务使用结果的积极方面。需要更多的研究来评估未被充分代表的照顾者的结果。

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来源期刊

Alzheimer''s and Dementia: Translational Research and Clinical Interventions Medicine-Psychiatry and Mental Health

CiteScore

10.10

自引率

2.10%

发文量

134

审稿时长

10 weeks

期刊介绍： Alzheimer''s & Dementia: Translational Research & Clinical Interventions (TRCI) is a peer-reviewed, open access,journal from the Alzheimer''s Association®. The journal seeks to bridge the full scope of explorations between basic research on drug discovery and clinical studies, validating putative therapies for aging-related chronic brain conditions that affect cognition, motor functions, and other behavioral or clinical symptoms associated with all forms dementia and Alzheimer''s disease. The journal will publish findings from diverse domains of research and disciplines to accelerate the conversion of abstract facts into practical knowledge: specifically, to translate what is learned at the bench into bedside applications. The journal seeks to publish articles that go beyond a singular emphasis on either basic drug discovery research or clinical research. Rather, an important theme of articles will be the linkages between and among the various discrete steps in the complex continuum of therapy development. For rapid communication among a multidisciplinary research audience involving the range of therapeutic interventions, TRCI will consider only original contributions that include feature length research articles, systematic reviews, meta-analyses, brief reports, narrative reviews, commentaries, letters, perspectives, and research news that would advance wide range of interventions to ameliorate symptoms or alter the progression of chronic neurocognitive disorders such as dementia and Alzheimer''s disease. The journal will publish on topics related to medicine, geriatrics, neuroscience, neurophysiology, neurology, psychiatry, clinical psychology, bioinformatics, pharmaco-genetics, regulatory issues, health economics, pharmacoeconomics, and public health policy as these apply to preclinical and clinical research on therapeutics.