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Advancing family dementia caregiver interventions in low‐ and middle‐income countries: A pilot cluster randomized controlled trial of Resources for Advancing Alzheimer's Caregiver Health in Vietnam (REACH VN)

INTRODUCTION: Low‐ and middle‐income countries have rapidly increasing numbers of people with dementia, yet little evidence on family caregiving interventions. We tested the preliminary efficacy and feasibility of a family caregiving intervention in northern Vietnam. METHODS: Nine clusters comprisin...

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Detalles Bibliográficos
Autores principales: Hinton, Ladson, Nguyen, Huong, Nguyen, Hung Trong, Harvey, Danielle J, Nichols, Linda, Martindale‐Adams, Jennifer, Nguyen, Binh Thanh, Nguyen, Binh Thi Thanh, Nguyen, Anh Ngoc, Nguyen, Chinh Hong, Nguyen, Thu Thi Hoai, Nguyen, Thuy Le, Nguyen, Anh Thi Phuong, Nguyen, Ngoc Bich, Tiet, Quyen Q., Nguyen, Tuan Anh, Nguyen, Phong Quy, Nguyen, Trung Anh, Pham, Thang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7825546/
https://www.ncbi.nlm.nih.gov/pubmed/33532542
http://dx.doi.org/10.1002/trc2.12063
Descripción
Sumario:INTRODUCTION: Low‐ and middle‐income countries have rapidly increasing numbers of people with dementia, yet little evidence on family caregiving interventions. We tested the preliminary efficacy and feasibility of a family caregiving intervention in northern Vietnam. METHODS: Nine clusters comprising 60 family caregivers were randomized to a culturally adapted version of a four‐ to six‐session, multicomponent intervention delivered in‐home over 2 to 3 months, or enhanced control. Eligible caregivers were ≥18 years of age and scored ≥6 on the Zarit Burden Inventory (ZBI). RESULTS: Fifty‐one caregivers (85%) completed the study. Using analysis of covariance with 3‐month assessment as the outcome and baseline assessment as a covariate, intervention group caregivers had an average ZBI (primary outcome) score 1.2 standard deviation (SD) lower (P = .02) and Patient Health Questionnaire‐4 (psychological distress) score 0.7 SD lower (P = .03) than controls. DISCUSSION: In the first study of its kind in Vietnam, a culturally adapted, manualized, family caregiver intervention was both efficacious and feasible.