Effects of the TCARE® Intervention on Caregiver Burden and Depressive Symptoms: Preliminary Findings From a Randomized Controlled Study
We examined the effects of a manualized care management protocol specifically designed for care managers working with caregivers, the Tailored Caregiver Assessment and Referral® (TCARE®) protocol, on caregiver identity discrepancy, burden, and depressive symptoms. Preliminary data from a longitudina...
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| Veröffentlicht in: | The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 2011-09, Vol.66 (5), p.640-647 |
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| container_title | The journals of gerontology. Series B, Psychological sciences and social sciences |
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| creator | MONTGOMERY, Rhonda J. V KWAK, Jung KOSLOSKI, Karl O'CONNELL VALUCH, Katharine |
| description | We examined the effects of a manualized care management protocol specifically designed for care managers working with caregivers, the Tailored Caregiver Assessment and Referral® (TCARE®) protocol, on caregiver identity discrepancy, burden, and depressive symptoms.
Preliminary data from a longitudinal, randomized, controlled intervention study with 266 family caregivers served by 52 care managers in 4 states were analyzed using repeated measures random effects regression procedures. Caregivers in the intervention and control groups were repeatedly assessed for up to 9 months on caregiver identity discrepancy, 3 areas of caregiving burden-objective, relationship, and stress burdens; depression; and intention for nursing home placement.
We found significant group by time interaction effects for caregiver identity discrepancy, relationship burden, stress burden, depression, and intention for nursing home placement. Caregivers in the intervention group experienced significant improvement on these measures, whereas caregivers in the control group worsened on these measures over time.
The preliminary findings provide strong support for effectiveness of the TCARE® protocol on improving caregiver well-being and mental health outcomes. |
| doi_str_mv | 10.1093/geronb/gbr088 |
| format | Article |
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Preliminary data from a longitudinal, randomized, controlled intervention study with 266 family caregivers served by 52 care managers in 4 states were analyzed using repeated measures random effects regression procedures. Caregivers in the intervention and control groups were repeatedly assessed for up to 9 months on caregiver identity discrepancy, 3 areas of caregiving burden-objective, relationship, and stress burdens; depression; and intention for nursing home placement.
We found significant group by time interaction effects for caregiver identity discrepancy, relationship burden, stress burden, depression, and intention for nursing home placement. Caregivers in the intervention group experienced significant improvement on these measures, whereas caregivers in the control group worsened on these measures over time.
The preliminary findings provide strong support for effectiveness of the TCARE® protocol on improving caregiver well-being and mental health outcomes.</description><identifier>ISSN: 1079-5014</identifier><identifier>EISSN: 1758-5368</identifier><identifier>DOI: 10.1093/geronb/gbr088</identifier><identifier>PMID: 21840840</identifier><identifier>CODEN: JGBSF3</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult and adolescent clinical studies ; Aged ; Algorithms ; Alzheimer Disease - psychology ; Alzheimer Disease - therapy ; Biological and medical sciences ; Burden ; Caregivers ; Caregivers - psychology ; Carers ; Caretaker syndrome ; Cognition Disorders - psychology ; Cognition Disorders - therapy ; Cost of Illness ; Depression ; Depression - diagnosis ; Depression - psychology ; Depression - therapy ; Discrepancies ; Family Relations ; Female ; Geriatrics ; Health care management ; Humans ; Identity ; Identity Crisis ; Institutionalization ; Intervention ; Journal of Gerontology: Social Sciences ; Longitudinal Studies ; Male ; Manuals as Topic ; Medical sciences ; Mental depression ; Mental health ; Middle Aged ; Mood disorders ; Needs Assessment ; Nursing Homes ; Patient Care Management - methods ; Personality Assessment ; Protocol ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Referral and Consultation ; Self Concept ; Social Values ; Stress, Psychological - complications ; Stress, Psychological - therapy ; United States ; Workload - psychology</subject><ispartof>The journals of gerontology. Series B, Psychological sciences and social sciences, 2011-09, Vol.66 (5), p.640-647</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright Oxford University Press, UK Sep 2011</rights><rights>The Author 2011. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-1fb87d9135ddad188fc0f4852b214131d1d7e72f2a278bbfd998dc538d1fac6a3</citedby><cites>FETCH-LOGICAL-c543t-1fb87d9135ddad188fc0f4852b214131d1d7e72f2a278bbfd998dc538d1fac6a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4008,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24506134$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21840840$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://econpapers.repec.org/article/oupgeronb/v_3a66b_3ay_3a2011_3ai_3a5_3ap_3a640-647.htm$$DView record in RePEc$$Hfree_for_read</backlink></links><search><creatorcontrib>MONTGOMERY, Rhonda J. V</creatorcontrib><creatorcontrib>KWAK, Jung</creatorcontrib><creatorcontrib>KOSLOSKI, Karl</creatorcontrib><creatorcontrib>O'CONNELL VALUCH, Katharine</creatorcontrib><title>Effects of the TCARE® Intervention on Caregiver Burden and Depressive Symptoms: Preliminary Findings From a Randomized Controlled Study</title><title>The journals of gerontology. Series B, Psychological sciences and social sciences</title><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><description>We examined the effects of a manualized care management protocol specifically designed for care managers working with caregivers, the Tailored Caregiver Assessment and Referral® (TCARE®) protocol, on caregiver identity discrepancy, burden, and depressive symptoms.
Preliminary data from a longitudinal, randomized, controlled intervention study with 266 family caregivers served by 52 care managers in 4 states were analyzed using repeated measures random effects regression procedures. Caregivers in the intervention and control groups were repeatedly assessed for up to 9 months on caregiver identity discrepancy, 3 areas of caregiving burden-objective, relationship, and stress burdens; depression; and intention for nursing home placement.
We found significant group by time interaction effects for caregiver identity discrepancy, relationship burden, stress burden, depression, and intention for nursing home placement. Caregivers in the intervention group experienced significant improvement on these measures, whereas caregivers in the control group worsened on these measures over time.
The preliminary findings provide strong support for effectiveness of the TCARE® protocol on improving caregiver well-being and mental health outcomes.</description><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Algorithms</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer Disease - therapy</subject><subject>Biological and medical sciences</subject><subject>Burden</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Carers</subject><subject>Caretaker syndrome</subject><subject>Cognition Disorders - psychology</subject><subject>Cognition Disorders - therapy</subject><subject>Cost of Illness</subject><subject>Depression</subject><subject>Depression - diagnosis</subject><subject>Depression - psychology</subject><subject>Depression - therapy</subject><subject>Discrepancies</subject><subject>Family Relations</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Health care management</subject><subject>Humans</subject><subject>Identity</subject><subject>Identity Crisis</subject><subject>Institutionalization</subject><subject>Intervention</subject><subject>Journal of Gerontology: Social Sciences</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Manuals as Topic</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Needs Assessment</subject><subject>Nursing Homes</subject><subject>Patient Care Management - methods</subject><subject>Personality Assessment</subject><subject>Protocol</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Referral and Consultation</subject><subject>Self Concept</subject><subject>Social Values</subject><subject>Stress, Psychological - complications</subject><subject>Stress, Psychological - therapy</subject><subject>United States</subject><subject>Workload - psychology</subject><issn>1079-5014</issn><issn>1758-5368</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkstu1DAUhiMEoqWwZIssJMQq1LckDgukMsxARSVQW9aW48vUVWIHOxlpeAKehofgyTjVDC2wwfLxsXw-__Kx_qJ4SvArglt2vLYphu543SUsxL3ikDSVKCtWi_uwx01bVpjwg-JRztcYBmn4w-KAEsExzMPi-9I5q6eMokPTlUWXi5Pz5c8f6DRMNm1smHwMCOZCJbv2G5vQ2zkZG5AKBr2zY7I5wzG62A7jFIf8Gn1OtveDDypt0coH48M6o1WKA1LoHG7FwX-zBi1imFLse9heTLPZPi4eONVn-2Sfj4ovq-Xl4kN59un96eLkrNQVZ1NJXCca0xJWGaMMEcJp7LioaEcJJ4wYYhrbUEcVbUTXOdO2wuiKCUOc0rViR8Wbne44d4M1GlpMqpdj8gO8WEbl5d-V4K_kOm4ko5g2uAKBl3uBFL_ONk9y8FnbvlfBxjnLFgtMSVvj_5JCMMEbyjiQz_8hr-OcAvwDyGHSMkEZQOUO0inmnKy7fTTB8sYLcucFufMC8B93fLKj1XcdzuOeg55UXXewbiEoJgSSh6ggxpsix7LmjbyaBlB79ue_3cr9thIAL_aAylr1Lqmgfb7jeIVrAr3-AmGx22A</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>MONTGOMERY, Rhonda J. V</creator><creator>KWAK, Jung</creator><creator>KOSLOSKI, Karl</creator><creator>O'CONNELL VALUCH, Katharine</creator><general>Oxford University Press</general><general>Oxford University Press for Gerontological Society of America</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110901</creationdate><title>Effects of the TCARE® Intervention on Caregiver Burden and Depressive Symptoms: Preliminary Findings From a Randomized Controlled Study</title><author>MONTGOMERY, Rhonda J. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Referral and Consultation</topic><topic>Self Concept</topic><topic>Social Values</topic><topic>Stress, Psychological - complications</topic><topic>Stress, Psychological - therapy</topic><topic>United States</topic><topic>Workload - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MONTGOMERY, Rhonda J. V</creatorcontrib><creatorcontrib>KWAK, Jung</creatorcontrib><creatorcontrib>KOSLOSKI, Karl</creatorcontrib><creatorcontrib>O'CONNELL VALUCH, Katharine</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MONTGOMERY, Rhonda J. V</au><au>KWAK, Jung</au><au>KOSLOSKI, Karl</au><au>O'CONNELL VALUCH, Katharine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of the TCARE® Intervention on Caregiver Burden and Depressive Symptoms: Preliminary Findings From a Randomized Controlled Study</atitle><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>66</volume><issue>5</issue><spage>640</spage><epage>647</epage><pages>640-647</pages><issn>1079-5014</issn><eissn>1758-5368</eissn><coden>JGBSF3</coden><abstract>We examined the effects of a manualized care management protocol specifically designed for care managers working with caregivers, the Tailored Caregiver Assessment and Referral® (TCARE®) protocol, on caregiver identity discrepancy, burden, and depressive symptoms.
Preliminary data from a longitudinal, randomized, controlled intervention study with 266 family caregivers served by 52 care managers in 4 states were analyzed using repeated measures random effects regression procedures. Caregivers in the intervention and control groups were repeatedly assessed for up to 9 months on caregiver identity discrepancy, 3 areas of caregiving burden-objective, relationship, and stress burdens; depression; and intention for nursing home placement.
We found significant group by time interaction effects for caregiver identity discrepancy, relationship burden, stress burden, depression, and intention for nursing home placement. Caregivers in the intervention group experienced significant improvement on these measures, whereas caregivers in the control group worsened on these measures over time.
The preliminary findings provide strong support for effectiveness of the TCARE® protocol on improving caregiver well-being and mental health outcomes.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>21840840</pmid><doi>10.1093/geronb/gbr088</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1079-5014 |
| ispartof | The journals of gerontology. Series B, Psychological sciences and social sciences, 2011-09, Vol.66 (5), p.640-647 |
| issn | 1079-5014 1758-5368 |
| language | eng |
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| source | MEDLINE; RePEc; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult and adolescent clinical studies Aged Algorithms Alzheimer Disease - psychology Alzheimer Disease - therapy Biological and medical sciences Burden Caregivers Caregivers - psychology Carers Caretaker syndrome Cognition Disorders - psychology Cognition Disorders - therapy Cost of Illness Depression Depression - diagnosis Depression - psychology Depression - therapy Discrepancies Family Relations Female Geriatrics Health care management Humans Identity Identity Crisis Institutionalization Intervention Journal of Gerontology: Social Sciences Longitudinal Studies Male Manuals as Topic Medical sciences Mental depression Mental health Middle Aged Mood disorders Needs Assessment Nursing Homes Patient Care Management - methods Personality Assessment Protocol Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Referral and Consultation Self Concept Social Values Stress, Psychological - complications Stress, Psychological - therapy United States Workload - psychology |
| title | Effects of the TCARE® Intervention on Caregiver Burden and Depressive Symptoms: Preliminary Findings From a Randomized Controlled Study |
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