title: Correlates of Caregiver Participation in a Brief, Community-Based Dementia Care Management Program.
abstract: The evidence base for dementia care management interventions for informal caregivers (CGs) is strong, yet enrollment and sustained engagement in academic and community-based research trials is low. This study sought to examine rates and correlates of participation in a community-based, telephone-delivered dementia care management program designed to address logistic and practical barriers to participation in CG trials and services.
  
  
  
  Participants included 290 CGs of older, community-dwelling, low-income care recipients (CRs) who met criteria for enrollment in a collaborative dementia care management program that provides assessment, psychosocial support and education, and connection to community resources via telephone. Cross-sectional analyses examined the association between CG-related (e.g., financial status, relationship to CR, caregiving burden) and CR-related (e.g., functional limitations, symptom severity) factors and CG enrollment and engagement.
  
  
  
  The majority of CGs were non-Hispanic White, female, financially stable, and adult children of the CRs. Over half of CGs lived with the CR and provided 20 or more hours of care per week. Roughly half of CGs refused care management services. Adjusted logistic regression models revealed that perceived caregiving burden and financial status were related to initial enrollment and engagement in services once enrolled, respectively.
  
  
  
  A significant proportion of CGs refuse free, convenient, evidence-based dementia care management services, underscoring the need for further examination of correlates of program acceptance. Nonetheless, community-based programs that address barriers may improve enrollment and engagement rates among CGs, including those who are especially vulnerable to negative CG and CR outcomes.
authors.affiliation: VISN4 Mental Illness Research, Education, and Clinical Center, CPL Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania.|Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
authors.forename: Shahrzad
authors.initials: S
authors.lastname: Mavandadi
authors.affiliation: Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Samir
authors.initials: S
authors.lastname: Patel
authors.affiliation: Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
authors.forename: Amy
authors.initials: A
authors.lastname: Benson
authors.affiliation: Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
authors.forename: Suzanne
authors.initials: S
authors.lastname: DiFilippo
authors.affiliation: VISN4 Mental Illness Research, Education, and Clinical Center, CPL Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania.|Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
authors.forename: Joel
authors.initials: J
authors.lastname: Streim
authors.affiliation: VISN4 Mental Illness Research, Education, and Clinical Center, CPL Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania.|Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
authors.forename: David
authors.initials: D
authors.lastname: Oslin
mesh_terms: D000368:Aged; D017028:Caregivers / Q000193:education / Q000523:psychology; D003153:Community Health Services / Q000379:methods; D003256:Community Participation / Q000706:statistics & numerical data; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D003704:Dementia / Q000523:psychology*; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010346:Patient Care Management / Q000379:methods*; D010414:Pennsylvania; D000072858:Psychosocial Support Systems; D012959:Socioeconomic Factors
keywords: Disease management; Patient-centered care; Psychosocial support systems