title: [Family members' experiences of caring for persons with dementia and outreach counseling--an interpretative phenomenological study].
abstract: BACKGROUND
  Almost two-thirds of the 110,000 people living with dementia in Switzerland receive home care from family members. Outreach counselling can reduce the burden for family caregivers and delay nursing home placement. However, little is known of how this works and how caregivers experience the counselling. The Canton of Aargau Alzheimer's Association has been conducting a pilot project to demonstrate the necessity, effectiveness and practicability of outreach counselling in (their canton).
  
  
  OBJECTIVE
  As a part of the evaluation of the project this study explored how family members experience the process of caring for a relative with dementia and outreach counselling.
  
  
  METHODS
  Interpretive phenomenology–a qualitative approach–was used to analyse data from interviews with twelve family caregivers.
  
  
  RESULTS
  Most family members felt supported in caregiving by outreach counselling. Three aspects of the counselling were especially important to the participants: being understood and taken seriously by the counsellor; receiving answers to their most pressing questions concerning the illness and being supported when difficult decision had to be taken; regaining personal time and learning how to better interact with the person with dementia. Two participants would have wished for more help by the counsellor.
  
  
  CONCLUSIONS
  To meet the needs of the family members, consultants should have sufficient experience in dementia patient care and should be strongly networked across the local health and welfare system. This study shows that family members can experience outreach counselling as a great support in their caregiving roles.
authors.affiliation: 1 Institut für Pflegewissenschaft, Universität Basel, Schweiz.|2 Alzheimervereinigung Aargau, Schweiz.
authors.forename: Samuel
authors.initials: S
authors.lastname: Vögeli
authors.affiliation: 1 Institut für Pflegewissenschaft, Universität Basel, Schweiz.|3 Abteilung Praxisentwicklung Pflege, Universitätsspital Basel, Schweiz.
authors.forename: Irena Anna
authors.initials: IA
authors.lastname: Frei
authors.affiliation: 1 Institut für Pflegewissenschaft, Universität Basel, Schweiz.|4 Inselspital Universitätsspital Bern, Schweiz.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Spichiger
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000451:nursing* / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D003142:Communication; D003159:Community-Institutional Relations; D017281:Cost of Illness; D003376:Counseling; D005260:Female; D006301:Health Services Needs and Demand; D006701:Home Nursing / Q000523:psychology*; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012944:Social Support; D013557:Switzerland
keywords: Beratung; Demenz; Pflegende Angehörige; counseling; dementia; family caregiver; qualitative Forschung; qualitative research