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Individual and program Characteristics May Drive Variability in Outcomes After Caregivers Participate in a Tailored Support Intervention.
Shepherd-Banigan, Megan; Jones, Kelley A; Sullivan, Caitlin; Wang, Ke; Clark, Amy G; Van Houtven, Courtney; Olsen, Jennifer M.
Afiliación
  • Shepherd-Banigan M; Durham VA Health Care System, Durham, NC, USA.
  • Jones KA; Department of Population Health Sciences, Duke University, Durham, NC, USA.
  • Sullivan C; Duke-Margolis Center for Health Policy, Durham, NC, USA.
  • Wang K; Department of Population Health Sciences, Duke University, Durham, NC, USA.
  • Clark AG; Durham VA Health Care System, Durham, NC, USA.
  • Van Houtven C; Department of Population Health Sciences, Duke University, Durham, NC, USA.
  • Olsen JM; Rosalynn Carter Institute for Caregivers, Georgia Southwestern State University, Americus, GA, USA.
J Appl Gerontol ; 41(8): 1960-1970, 2022 08.
Article en En | MEDLINE | ID: mdl-35575158
Critically needed programs designed to support family caregivers have shown inconsistent reductions in stress and burden. To explore drivers of improvement in caregiver outcomes after participation in a support intervention we analyzed data from a one-on-one, tailored problem-solving intervention targeting caregiver wellbeing (2015-2019, n = 503). We explored data patterns across 21 individual, household, and program-level variables using elastic net regression to identify drivers of improvements, and their relative importance. Baseline subjective burden, baseline depressive symptom scores, baseline caregiver problem solving, African American race, and site and coach fixed effects were the most consistent drivers of changes across the explored caregiver outcomes. Caregiver and program characteristics may be promising avenues to target to decrease distress and burden during intervention design. Interventions focusing on highly distressed caregivers may lead to greater improvements. More research is needed to identify how site or interventionists characteristics drive positive intervention effects.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Solución de Problemas / Cuidadores Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: J Appl Gerontol Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Solución de Problemas / Cuidadores Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: J Appl Gerontol Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos