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Effect of Family Caregiver Skills Training on Perceived Quality of Care and Depressive Symptoms

Year: 2017
Type: conference-abstract
Abstract: One national strategy to better support family caregivers in the U.S. is to increase effective training programs. We conducted a two-arm randomized controlled trial to evaluate the effectiveness of HI-FIVES, a skills training program for caregivers of community-dwelling Veterans recently referred to receive home and community-based services. Caregivers in the HI-FIVES group received five individually-tailored training phone calls and four weekly group training sessions delivered by a RN. Caregivers in usual care received information about VA Caregiver Support Program services. The perceived quality measure was: 0 is the worst, and 10 the best, possible VA healthcare received in the past 3 months. The CESD-10 assessed depressive symptoms (0–30). Linear models with an unstructured covariance matrix were estimated to test intervention effects on outcomes at 3, 6, and 12 months. Among the 242 dyads, caregivers’ (patients’) mean age was 61 (73) years, 54% (53%) were Black, and 89% (4%) were female. Model-estimated mean baseline caregiver perceived quality of VAHCS care was 8.34 (95% CI: 8.10, 8.57); the modeled mean difference between HI-FIVES and controls at 3 months was 0.28 (p=.18); 0.53 (p<.001) at 6 months; and 0.46 (p=0.054) at 12 months. Model-estimated mean baseline patient perceived quality of VAHCS care was 8.43 (95% CI 8.16, 8.70); the modeled mean difference between HI-FIVES and controls at 3 months was 0.29 (p=.27); 0.31 (p=0.26) at 6 months; and 0.48 (p=0.03) at 12 months. Model-estimated mean baseline caregiver CESD-10 was 8.96 (95% CI: 8.21, 9.72). No significant differences were observed in CESD-10 scores.
Language: English
Subfield: Pharmacy
Open Access status: gold
Estimated APC paid: $3,977
OpenAlex ID: W2724836986
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