Lily Xiao, Shahid Ullah, Ying Yu, Claudia Meyer, Michael Chapman, Langduo Chen, Kai Ping TAN, Sue McKechnie, Mel Ottaway, Andre Queiroz De Andrade, Julie Ratcliffe, Craig Whitehead, Kam Tran, Yao Wang, Alison Kitson
{"title":"虚拟issupport项目对护理人员和痴呆症患者的影响","authors":"Lily Xiao, Shahid Ullah, Ying Yu, Claudia Meyer, Michael Chapman, Langduo Chen, Kai Ping TAN, Sue McKechnie, Mel Ottaway, Andre Queiroz De Andrade, Julie Ratcliffe, Craig Whitehead, Kam Tran, Yao Wang, Alison Kitson","doi":"10.1002/alz.70747","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> INTRODUCTION</h3>\n \n <p>We conducted a virtual iSupport Program intervention for carers of people living with dementia (PLWD).</p>\n </section>\n \n <section>\n \n <h3> METHODS</h3>\n \n <p>We applied a pragmatic randomized controlled trial to evaluate a multicomponent program delivered virtually in four organizations (July 2022 to December 2024). The primary outcome was quality of life (QoL) of carers and PLWD at 12 months post-baseline, and the secondary outcomes were carers’ self-efficacy, social support, reactions to behavior, PLWD's behavior frequency, hospital admissions, and emergency department presentations.</p>\n </section>\n \n <section>\n \n <h3> RESULTS</h3>\n \n <p>One hundred forty-nine carers enrolled in the study. The intervention group reported increased mental-health-related QoL points of 12.0 (<i>p</i> < 0.001), self-efficacy points of 14.8 to 18.5 (<i>p</i> < 0.001), social support points of 0.25 (<i>p</i> < 0.028), reduced reactions to behavior points of -0.25 (<i>p</i> < 0.028), and a 60% lower hospital admission rate (<i>p</i> = 0.045) at 12 months compared with the usual care group.</p>\n </section>\n \n <section>\n \n <h3> DISCUSSION</h3>\n \n <p>The virtual iSupport Program showed benefits for both carers and PLWD in a 12-month intervention.</p>\n </section>\n \n <section>\n \n <h3> TRIAL REGISTRATION</h3>\n \n <p>Australia New Zealand Clinical Trials Registry: ACTRN12622000199718.</p>\n </section>\n \n <section>\n \n <h3> Highlights</h3>\n \n <div>\n <ul>\n \n <li>A total of 149 dementia carers participated in the virtual iSupport program intervention trial.</li>\n \n <li>The program included skills training, peer support, and access to care services.</li>\n \n <li>The program improved mental health-related quality of life for carers.</li>\n \n <li>The program improved self-efficacy, social support, and reduced distress for carers.</li>\n \n <li>The program reduced 60% hospital admission rate for people with dementia.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":7471,"journal":{"name":"Alzheimer's & Dementia","volume":"21 10","pages":""},"PeriodicalIF":11.1000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://alz-journals.onlinelibrary.wiley.com/doi/epdf/10.1002/alz.70747","citationCount":"0","resultStr":"{\"title\":\"Effects of a virtual iSupport Program on carers and people with dementia\",\"authors\":\"Lily Xiao, Shahid Ullah, Ying Yu, Claudia Meyer, Michael Chapman, Langduo Chen, Kai Ping TAN, Sue McKechnie, Mel Ottaway, Andre Queiroz De Andrade, Julie Ratcliffe, Craig Whitehead, Kam Tran, Yao Wang, Alison Kitson\",\"doi\":\"10.1002/alz.70747\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> INTRODUCTION</h3>\\n \\n <p>We conducted a virtual iSupport Program intervention for carers of people living with dementia (PLWD).</p>\\n </section>\\n \\n <section>\\n \\n <h3> METHODS</h3>\\n \\n <p>We applied a pragmatic randomized controlled trial to evaluate a multicomponent program delivered virtually in four organizations (July 2022 to December 2024). The primary outcome was quality of life (QoL) of carers and PLWD at 12 months post-baseline, and the secondary outcomes were carers’ self-efficacy, social support, reactions to behavior, PLWD's behavior frequency, hospital admissions, and emergency department presentations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> RESULTS</h3>\\n \\n <p>One hundred forty-nine carers enrolled in the study. The intervention group reported increased mental-health-related QoL points of 12.0 (<i>p</i> < 0.001), self-efficacy points of 14.8 to 18.5 (<i>p</i> < 0.001), social support points of 0.25 (<i>p</i> < 0.028), reduced reactions to behavior points of -0.25 (<i>p</i> < 0.028), and a 60% lower hospital admission rate (<i>p</i> = 0.045) at 12 months compared with the usual care group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> DISCUSSION</h3>\\n \\n <p>The virtual iSupport Program showed benefits for both carers and PLWD in a 12-month intervention.</p>\\n </section>\\n \\n <section>\\n \\n <h3> TRIAL REGISTRATION</h3>\\n \\n <p>Australia New Zealand Clinical Trials Registry: ACTRN12622000199718.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Highlights</h3>\\n \\n <div>\\n <ul>\\n \\n <li>A total of 149 dementia carers participated in the virtual iSupport program intervention trial.</li>\\n \\n <li>The program included skills training, peer support, and access to care services.</li>\\n \\n <li>The program improved mental health-related quality of life for carers.</li>\\n \\n <li>The program improved self-efficacy, social support, and reduced distress for carers.</li>\\n \\n <li>The program reduced 60% hospital admission rate for people with dementia.</li>\\n </ul>\\n </div>\\n </section>\\n </div>\",\"PeriodicalId\":7471,\"journal\":{\"name\":\"Alzheimer's & Dementia\",\"volume\":\"21 10\",\"pages\":\"\"},\"PeriodicalIF\":11.1000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://alz-journals.onlinelibrary.wiley.com/doi/epdf/10.1002/alz.70747\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alzheimer's & Dementia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.70747\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alzheimer's & Dementia","FirstCategoryId":"3","ListUrlMain":"https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.70747","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Effects of a virtual iSupport Program on carers and people with dementia
INTRODUCTION
We conducted a virtual iSupport Program intervention for carers of people living with dementia (PLWD).
METHODS
We applied a pragmatic randomized controlled trial to evaluate a multicomponent program delivered virtually in four organizations (July 2022 to December 2024). The primary outcome was quality of life (QoL) of carers and PLWD at 12 months post-baseline, and the secondary outcomes were carers’ self-efficacy, social support, reactions to behavior, PLWD's behavior frequency, hospital admissions, and emergency department presentations.
RESULTS
One hundred forty-nine carers enrolled in the study. The intervention group reported increased mental-health-related QoL points of 12.0 (p < 0.001), self-efficacy points of 14.8 to 18.5 (p < 0.001), social support points of 0.25 (p < 0.028), reduced reactions to behavior points of -0.25 (p < 0.028), and a 60% lower hospital admission rate (p = 0.045) at 12 months compared with the usual care group.
DISCUSSION
The virtual iSupport Program showed benefits for both carers and PLWD in a 12-month intervention.
TRIAL REGISTRATION
Australia New Zealand Clinical Trials Registry: ACTRN12622000199718.
Highlights
A total of 149 dementia carers participated in the virtual iSupport program intervention trial.
The program included skills training, peer support, and access to care services.
The program improved mental health-related quality of life for carers.
The program improved self-efficacy, social support, and reduced distress for carers.
The program reduced 60% hospital admission rate for people with dementia.
期刊介绍：
Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
