Memory and communication support strategies in dementia: Effect of a training program for informal caregivers

Jacki Liddle, Erin R. Smith-Conway, Rosemary Baker, Anthony J. Angwin, Cindy Gallois, David A. Copland, Nancy A. Pachana, Michael S. Humphreys, Gerard J. Byrne, Helen J Chenery

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26 Citations (Scopus)

Abstract

BACKGROUND: People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.

METHODS: A pre-test/post-test controlled trial was undertaken with caregiver-care-recipient dyads living in the community. Measures of the carers' knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months post-intervention. The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.

RESULTS: Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni's correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers' knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p = 0.028) and increased perceptions of positive aspects of caregiving (p = 0.039), both at a level approaching significance. The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p = 0.0126). The frequency of observed depressive behaviors was not significantly different between groups.

CONCLUSIONS: This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.

Original languageEnglish
Pages (from-to)1927-42
Number of pages16
JournalInternational Psychogeriatrics
Volume24
Issue number12
DOIs
Publication statusPublished - Dec 2012
Externally publishedYes

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Caregivers
Dementia
Communication
Education
Depression
Control Groups
Research

Cite this

Liddle, J., Smith-Conway, E. R., Baker, R., Angwin, A. J., Gallois, C., Copland, D. A., ... Chenery, H. J. (2012). Memory and communication support strategies in dementia: Effect of a training program for informal caregivers. International Psychogeriatrics, 24(12), 1927-42. https://doi.org/10.1017/S1041610212001366
Liddle, Jacki ; Smith-Conway, Erin R. ; Baker, Rosemary ; Angwin, Anthony J. ; Gallois, Cindy ; Copland, David A. ; Pachana, Nancy A. ; Humphreys, Michael S. ; Byrne, Gerard J. ; Chenery, Helen J. / Memory and communication support strategies in dementia : Effect of a training program for informal caregivers. In: International Psychogeriatrics. 2012 ; Vol. 24, No. 12. pp. 1927-42.
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abstract = "BACKGROUND: People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.METHODS: A pre-test/post-test controlled trial was undertaken with caregiver-care-recipient dyads living in the community. Measures of the carers' knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months post-intervention. The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.RESULTS: Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni's correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers' knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p = 0.028) and increased perceptions of positive aspects of caregiving (p = 0.039), both at a level approaching significance. The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p = 0.0126). The frequency of observed depressive behaviors was not significantly different between groups.CONCLUSIONS: This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.",
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Liddle, J, Smith-Conway, ER, Baker, R, Angwin, AJ, Gallois, C, Copland, DA, Pachana, NA, Humphreys, MS, Byrne, GJ & Chenery, HJ 2012, 'Memory and communication support strategies in dementia: Effect of a training program for informal caregivers' International Psychogeriatrics, vol. 24, no. 12, pp. 1927-42. https://doi.org/10.1017/S1041610212001366

Memory and communication support strategies in dementia : Effect of a training program for informal caregivers. / Liddle, Jacki; Smith-Conway, Erin R.; Baker, Rosemary; Angwin, Anthony J.; Gallois, Cindy; Copland, David A.; Pachana, Nancy A.; Humphreys, Michael S.; Byrne, Gerard J.; Chenery, Helen J.

In: International Psychogeriatrics, Vol. 24, No. 12, 12.2012, p. 1927-42.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Memory and communication support strategies in dementia

T2 - Effect of a training program for informal caregivers

AU - Liddle, Jacki

AU - Smith-Conway, Erin R.

AU - Baker, Rosemary

AU - Angwin, Anthony J.

AU - Gallois, Cindy

AU - Copland, David A.

AU - Pachana, Nancy A.

AU - Humphreys, Michael S.

AU - Byrne, Gerard J.

AU - Chenery, Helen J

PY - 2012/12

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N2 - BACKGROUND: People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.METHODS: A pre-test/post-test controlled trial was undertaken with caregiver-care-recipient dyads living in the community. Measures of the carers' knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months post-intervention. The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.RESULTS: Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni's correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers' knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p = 0.028) and increased perceptions of positive aspects of caregiving (p = 0.039), both at a level approaching significance. The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p = 0.0126). The frequency of observed depressive behaviors was not significantly different between groups.CONCLUSIONS: This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.

AB - BACKGROUND: People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.METHODS: A pre-test/post-test controlled trial was undertaken with caregiver-care-recipient dyads living in the community. Measures of the carers' knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months post-intervention. The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.RESULTS: Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni's correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers' knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p = 0.028) and increased perceptions of positive aspects of caregiving (p = 0.039), both at a level approaching significance. The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p = 0.0126). The frequency of observed depressive behaviors was not significantly different between groups.CONCLUSIONS: This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.

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