title: Trajectories of health-related quality of life among family caregivers of individuals with dementia: A home-based caregiver-training program matters.
abstract: To determine distinct courses of change in health-related quality of life (HRQoL) among family caregivers of individuals with dementia and how participating in a home-based caregiver-training program affects the probability of belonging to each course. Sixty three caregivers were in the intervention group, and 66 caregivers were in the control group of a single-blinded randomized clinical trial. Two distinct trajectories of HRQoL were identified: a well-functioning trajectory and a poor-functioning trajectory. Caregivers who received the training program were more likely than those who did not have a well-functioning trajectory of HRQoL over 18 months. This trajectory included bodily pain (b = 1.02, odds ratio [OR] = 2.76), general health perception (b = 1.28, OR = 3.60), social functioning (b = 1.12, OR = 3.05), vitality (b = 1.51, OR = 4.49), general mental health (b = 1.08, OR = 2.94), and mental component summary (b = 1.27, OR = 3.55). Home-based caregiver training can be considered as part of the protocol for managing patients with dementia and their caregivers.
  
  
  
  NCT02667951.
authors.affiliation: School of Gerontology Health Management, College of Nursing, Taipei Medical University, 250 Wu Hsing St., Taipei 11031, Taiwan, ROC.
authors.forename: Li-Min
authors.initials: LM
authors.lastname: Kuo
authors.affiliation: Department of Gerontological Care and Management, Chang Gung University of Science and Technology, 261 Wenhwa 1st Road, Kwei-shan District, Taoyuan City 33303, Taiwan, ROC.
authors.forename: Huei-Ling
authors.initials: HL
authors.lastname: Huang
authors.affiliation: School of Public Health and Institute of Gerontology, University of Michigan, 500 S State St., Ann Arbor, MI 48109, USA.
authors.forename: Jersey
authors.initials: J
authors.lastname: Liang
authors.affiliation: Division of Neurology, Far Eastern Memorial Hospital, 21 Section 2, Nanya S. Road, Banciao District, New Taipei City 22056, Taiwan, ROC.
authors.forename: Yam-Ting
authors.initials: YT
authors.lastname: Kwok
authors.affiliation: Dementia Center, Department of Neurology, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC; School of Medicine, College of Medicine, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan, ROC.
authors.forename: Wen-Chuin
authors.initials: WC
authors.lastname: Hsu
authors.affiliation: School of Nursing, College of Medicine, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan, ROC.
authors.forename: Chin-Yi
authors.initials: CY
authors.lastname: Liu
authors.affiliation: Department of Gerontological Care and Management, Chang Gung University of Science and Technology, 261 Wenhwa 1st Road, Kwei-shan District, Taoyuan City 33303, Taiwan, ROC; School of Nursing, College of Medicine, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan, ROC; Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan, ROC; Traumatological Division, Department of Orthopedics, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC; Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Niaosng District, Kaohsiung 83301, Taiwan, ROC. Electronic address: yeaing@mail.cgu.edu.tw.
authors.forename: Yea-Ing L
authors.initials: YL
authors.lastname: Shyu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000193:education* / Q000523:psychology; D003704:Dementia / Q000451:nursing*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology; D020377:Self Efficacy; D066107:Social Skills; D013663:Teaching / Q000193:education*
keywords: Dementia; Family caregiver-training program; Health-related QoL; Trajectory group