Evaluation of a brief educational program for dementia carers: the AENEAS study.
OBJECTIVE
To evaluate the efficacy of a practical, easily implemented, educational intervention in group format for informal carers of persons with dementia.


METHODS
Multi-centre, randomised, controlled, single-blind trial involving 292 family caregivers of patients with moderate dementia in Alzheimer's disease.


RESULTS
Participants valued program components which had a practical impact on their caring role. The intervention achieved minor effects on the participants' psychological quality of life and did not reduce carer depression. It was also not associated with a lower rate of patient nursing home admissions. A subgroup analysis suggested that the intervention actually promoted the decision for nursing home placement in caregivers who were over-burdened and not coping well when they entered the study.


CONCLUSIONS
To improve dementia carer support, educational components might be intergrated into more comprehensive and individualised interventions which include problem solving and behavioural management strategies, ensure the transfer of newly acquired skills into the everyday context, and adequately deal with the emotional consequences of the caring role.
Kurz
Alexander
A
Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, Munich, Germany. alexander.kurz@lrz.tum.de
Wagenpfeil
Stefan
S
Hallauer
Johannes
J
Schneider-Schelte
Helga
H
Jansen
Sabine
S
D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000451:nursing / Q000523:psychology; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D017028:Caregivers / Q000193:education* / Q000523:psychology; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D003863:Depression / Q000175:diagnosis; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data; D015397:Program Evaluation; D011788:Quality of Life; D016037:Single-Blind Method