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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...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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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 |
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author | 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 |
author_facet | 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 |
author_sort | Hinton, Ladson |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7825546 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78255462021-02-01 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) 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 Alzheimers Dement (N Y) Research Articles 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. John Wiley and Sons Inc. 2021-01-23 /pmc/articles/PMC7825546/ /pubmed/33532542 http://dx.doi.org/10.1002/trc2.12063 Text en © 2021 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles 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 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) |
title | 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) |
title_full | 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) |
title_fullStr | 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) |
title_full_unstemmed | 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) |
title_short | 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) |
title_sort | 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) |
topic | Research Articles |
url | 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 |
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