The effectiveness of a telephone support program for caregivers of frail older adults.
OBJECTIVE
The purpose of this study was to evaluate the effectiveness of a telephone support group program on spouses and adult child caregivers of frail older adults.


METHODS
The Telephone Support Group (TSG) model is a multicomponent group program offered in 12 weekly, 90-minute group sessions. It includes emotion-focused and problem-focused coping strategies, education, and support. We recruited for this study 36 spouses and 61 adult children and randomly assigned them to TSG or to usual services. We assessed the participants before and after the completion of TSG or usual services.


RESULTS
The results indicated that, for adult child caregivers, TSG was more effective than usual services in reducing burden, depression, social support, and pressing problems, and increasing knowledge and use of community services. We found no significant differences for spouse caregivers.


CONCLUSIONS
This is the first study to compare the effectiveness of TSG for adult child and spouse caregivers of frail older adults. TSG showed itself to be an effective means of delivering support to adult child caregivers of frail older adults but not to spouses. More research is needed about how to make TSG effective for spouse caregivers.
Smith
Tamara L
TL
Institute of Gerontology, School of Social Welfare, RI 217, University at Albany, State University of New York, 135 Western Avenue, Albany, NY 12222, USA.
Toseland
Ronald W
RW
D032721:Adult Children / Q000523:psychology*; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D005260:Female; D016330:Frail Elderly; D006266:Health Education; D006801:Humans; D008297:Male; D012657:Self-Help Groups; D012944:Social Support; D018454:Spouses / Q000523:psychology*; D013689:Telephone; D016896:Treatment Outcome