A home-based training program improves Taiwanese family caregivers' quality of life and decreases their risk for depression: a randomized controlled trial.
OBJECTIVE
Little is known about the longitudinal effects of training programs on family caregivers' health-related quality of life (HRQoL) and depressive symptoms over time. Therefore, the purpose of this study was to examine the effects of a home-based caregiver training program on HRQoL and depressive symptoms for family caregivers of older persons with dementia.


METHODS
Outcomes (caregivers' HRQoL and depressive symptoms) were assessed before the training program (baseline), and at 2 weeks, 3 months, and 6 months afterwards. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version. Depressive symptoms were measured using the Chinese version Center for Epidemiologic Studies Depression Scale.


RESULTS
Family caregivers who received the individualized home-based training program had better health outcomes in bodily pain (b = 12.37, p < 0.013), role disability due to emotional problems (b = 17.74, p < 0.013), vitality (b = 12.40, p < 0.001), better mental summary score (b = 5.14, p < 0.003), and decreased risk for depression (odds ratio = 0.15, confidence interval = 0.04-0.65, p < 0.013) than those in the control group during the 6 months following the training program.


CONCLUSIONS
Our home-based caregiver training program improved caregivers' HRQoL, especially role limitations due to emotional problems, and decreased their risk for depression.
School of Nursing, Hsin Sheng College of Medical Care and Management, Taoyuan, Taiwan.
Li-Min
LM
Kuo
Huei-Ling
HL
Huang
Hsiu-Li
HL
Huang
Jersey
J
Liang
Yi-Chen
YC
Chiu
Sien-Tsong
ST
Chen
Yam-Ting
YT
Kwok
Wen-Chuin
WC
Hsu
Yea-Ing L
YI
Shyu
D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000193:education / Q000523:psychology; D003258:Consumer Behavior; D003704:Dementia / Q000451:nursing*; D003866:Depressive Disorder / Q000517:prevention & control*; D004505:Education, Nonprofessional / Q000458:organization & administration*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D015397:Program Evaluation; D011788:Quality of Life; D012307:Risk Factors; D013624:Taiwan