Recent Updates of Therapeutic Intervention Programs for Caregivers of Patient with Dementia: Proposal of Hospital-Based Individual Therapy
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초록
Caring for people with dementia is associated with multiple devastating social, financial, physical, and psychological challenges. There is strong evidence that multicomponent tailored caregiver intervention is effective in improving caregiver well-being and delaying institutionalization. In US, the government is actively funding for developing caregiver program and to prove its efficacy through randomized controlled trials (RCTs) to translate into practice. Even with the introduction of Korean Long-term Care Plan, still, the most of the patients with dementia are being cared by the family members. The distress of caregiving is enormous, but structured therapeutic intervention program which efficacy is proven through RCT is very insufficient in Korea. The purpose of this article is to review the caregiver intervention programs of ongoing clinical trials comparing US and Korea, and to propose a tailored, therapeutic intervention program (I-CARE; A multicenter, randomized trial to assess efficacy of therapeutic intervention programs for decreasing caregiver burden in dementia caregiver) for hospital-care in Korea.
Abstract
Caring for people with dementia is associated with multiple devastating social, financial, physical, and psychological challenges. There is strong evidence that multicomponent tailored caregiver intervention is effective in improving caregiver well-being and delaying institutionalization. In US, the government is actively funding for developing caregiver program and to prove its efficacy through randomized controlled trials (RCTs) to translate into practice. Even with the introduction of Korean Long-term Care Plan, still, the most of the patients with dementia are being cared by the family members. The distress of caregiving is enormous, but structured therapeutic intervention program which efficacy is proven through RCT is very insufficient in Korea. The purpose of this article is to review the caregiver intervention programs of ongoing clinical trials comparing US and Korea, and to propose a tailored, therapeutic intervention program (I-CARE; A multicenter, randomized trial to assess efficacy of therapeutic intervention programs for decreasing caregiver burden in dementia caregiver) for hospital-care in Korea.
참고문헌 (26)
- 2012national study on the prevalence of dementia in Korean elders, "Kim KW", Seoul National University Bundang Hospital; Ministry of Health & Welfare, ~ (2012)
- Annual report on the cause of death statistics 2005, "Korea National Statistical Office", Korea National Statistical Office, ~ (2006)
- Schulz R, "Family caregiving of persons with dementia : prevalence, health effects, and support strategies", Am J Geriatr Psychiatry, 12, pp.240~249 (2004)
- Brodaty H, "The Prince Henry Hospital dementia caregivers’ training programme", Int J Geriatr Psychiatry, 12, pp.183~192 (1997)
- Lazarus RS, "Stress, appraisal, and coping" (1984), Springer Publishing Company
- Zarit SH, "Interventions with care givers of dementia patients : comparison of two approaches", Psychol Aging, 2, pp.225~232 (1987)
- Akkerman RL, "Reducing anxiety in Alzheimer’s disease family caregivers : the effectiveness of a nine-week cognitive-behavioral intervention", Am J Alzheimers Dis Other Demen, 19, pp.117~123 (2004)
- Olazarán J, "Nonpharmacological therapies in Alzheimer’s disease : a systematic review of efficacy", Dement Geriatr Cogn Disord, 30, pp.161~178 (2010)
- A systematic evidence review of interventions for nonprofessional caregivers of individuals with dementia, "Goy E", Evidence-based Synthesis Program (ESP) Center, Portland VA Medical Center, ~ (2010)
- Jensen M, "Effectiveness of educational interventions for informal caregivers of individuals with dementia residing in the community : systematic review and meta-analysis of randomised controlled trials", Int J Geriatr Psychiatry, 30, pp.130~143 (2015)
- Livingston G, "Long-term clinical and cost-effectiveness of psychological intervention for family carers of people with dementia : a single-blind, randomised, controlled trial", Lancet Psychiatry, 1, pp.539~548 (2014)
- Chien LY, "Caregiver support groups in patients with dementia : a meta-analysis", Int J Geriatr Psychiatry, 26, pp.1089~1098 (2011)
- Somme D, "Analysis of case management programs for patients with dementia : a systematic review", Alzheimers Dement, 8, pp.426~436 (2012)
- Tremont G, "Psychosocial telephone intervention for dementia caregivers : a randomized, controlled trial", Alzheimers Dement, 11, pp.541~548 (2015)
- The Alzheimer’s disease supportive services program: 2013 report on completed grants final report, "Gould E", RTI, ~ (2013)
- Glasgow RE, "Evaluating the public health impact of health promotion interventions : the RE-AIM framework", Am J Public Health, 89, pp.1322~1327 (1999)
- Altpeter M, "From evidence to practice : using the RE-AIM framework to adapt the REACHII caregiver intervention to the community", Dementia(London), 14, pp.104~113 (2015)
- Mittelman MS, "Translating research into practice : case study of a community-based dementia caregiver intervention", Health Aff(Millwood), 33, pp.587~595 (2014)
- Teri L, "Translation of two evidence-based programs for training families to improve care of persons with dementia", Gerontologist, 52, pp.452~459 (2012)
- Samia LW, "The Maine Savvy Caregiver Project : translating an evidence-based dementia family caregiver program within the RE-AIM Framework", J Gerontol Soc Work, 57, pp.640~661 (2014)
- Gitlin LN, "Translation of a dementia caregiver intervention for delivery in homecare as a reimbursable Medicare service : outcomes and lessons learned", Gerontologist, 50, pp.847~854 (2010)
- 이슬아, "치매노인 주부양자의 심리적 조호부담 경감을 위한 인지행동적 집단프로그램 개발: 예비연구", Korean Journal of Clinical Psychology, 32(4), pp.853~874 (2013), 한국임상심리학회[DOI]
- 박명화, "복합적 심리교육 프로그램이 치매 환자 가족의 부양부담, 우울, 문제대처행위에 미치는 효과", 노인간호학회지, 17(1), pp.10~19 (2015), 노인간호학회[DOI]
- Nehen HG, "Supporting dementia patients and their caregivers in daily life challenges: review of physical, cognitive and psychosocial intervention studies", Eur J Neurol, 22, pp.246~252 (2015)
- Supiano KP, "Sudden-On-Chronic Death and Complicated Grief in Bereaved Dementia Caregivers : Two Case Studies of Complicated Grief Group Therapy", J Soc Work End Life Palliat Care, 11, pp.267~282 (2015)
- Gitlin LN, "Translating evidencebased dementia caregiving interventions into practice : state-of-the-science and next steps", Gerontologist, 55, pp.210~226 (2015)