title: The effect of a family therapy and technology-based intervention on caregiver depression.
abstract: OBJECTIVE
  The majority of persons with Alzheimer's disease (AD) are cared for at home by a family member such as a spouse or daughter. Caregiving places enormous demands on these caregivers, and the negative consequences associated with caregiving are well documented. This paper reports results from the Miami site of the REACH (Resources for Enhancing Alzheimer's Caregiver Health) program that examined the efficacy of a family therapy and technology-based intervention in reducing depressive symptoms (according to the Center for Epidemiological Studies Depression scale) among family caregivers of AD patients at 6 months and 18 months follow-up.
  
  
  METHODS
  There were 225 White American and Cuban American caregivers that were randomized into a structural ecosystems therapy, structural ecosystems therapy + computer-telephone integrated system, or minimal support control condition.
  
  
  RESULTS
  Caregivers in the combined family therapy and technology intervention experienced a significant reduction in depressive symptoms at 6 months. The 18-month follow-up data indicated that the intervention was particularly beneficial for Cuban American husband and daughter caregivers.
  
  
  CONCLUSIONS
  The results indicate that information technology has a promising role in alleviating distress and depression among groups of AD caregivers. The data also demonstrate that interventions have differential impacts according to ethnic group and the caregiver-patient relationship.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, 1695 N.W. 9th Avenue, Suite 3204, Miami, FL 33136, USA. sczaja@med.miami.edu
authors.forename: Carl
authors.initials: C
authors.lastname: Eisdorfer
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Czaja
authors.forename: David A
authors.initials: DA
authors.lastname: Loewenstein
authors.forename: Mark P
authors.initials: MP
authors.lastname: Rubert
authors.forename: Soledad
authors.initials: S
authors.lastname: Argüelles
authors.forename: Victoria B
authors.initials: VB
authors.lastname: Mitrani
authors.forename: José
authors.initials: J
authors.lastname: Szapocznik
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000628:therapy*; D017028:Caregivers / Q000523:psychology*; D003201:Computers; D003462:Cuba / Q000208:ethnology; D003863:Depression / Q000208:ethnology / Q000209:etiology / Q000628:therapy*; D005006:Ethnicity; D005196:Family Therapy; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D020407:Internet; D008297:Male; D013315:Stress, Psychological; D017216:Telemedicine; D013689:Telephone; D014481:United States; D044465:White People