Caregivers’ education decreases depressive symptoms and burden in caregivers of patients with dementia

Sakurai, Hirofumi; Terayama, Hideyuki; Jaime, R.; Otakeguchi, K.; Hirao, Kentaro; Sato, Toshio; Shimizu, Soichiro; Kanetaka, Hidekazu; Umahara, Takahiko; Hanyu, Haruo

doi:10.1016/j.jns.2017.08.3202

Cited by 1 publication

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“…On the other hand, non-pharmacological therapy has to be in the first line of the treatment of BPSD [28] in order to avoid adverse events associated with antipsychotic drugs. Non-pharmacological therapy comprises a variety of interventions for BPSD management, such as aromatherapy [29], music therapy [30], massage [31], doll therapy [32], petassisted interventions [33], bright light treatment [34], Snoezelen rooms [35], and cognitive-behavior therapy [36], as well as interventions with caregivers such as caregiver's education [37]. Moreover, over the last few years, a combination of non-pharmacological interventions (among the aforementioned) are utilized and seems to become more popular since it has a good effectiveness in BPSD management [38,39].…”

Section: Introductionmentioning

confidence: 99%

Rationale, Design, and Methodology of a Prospective Cohort Study for Coping with Behavioral and Psychological Symptoms of Dementia: The RECage Project1

Poptsi

Tsolaki

Bergh

et al. 2021

JAD

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Background: Behavioral and psychological symptoms of dementia (BPSD) are quite challenging problems during the dementia course. Special Care Units for people with dementia (PwD) and BPSD (SCU-B) are residential medical structures, where BPSD patients are temporarily admitted, in case of unmanageable behavioral disturbances at home. Objective: RECage (REspectful Caring for AGitated Elderly) aspires to assess the short and long-term effectiveness of SCU-Bs toward alleviating BPSD and improving the quality of life (QoL) of PwD and their caregivers. Methods: RECage is a three-year, prospective study enrolling 500 PwDs. Particularly, 250 community-dwelling PwDs presenting with severe BPSD will be recruited by five clinical centers across Europe, endowed with a SCU-B, for a short period of time; a second similar group of 250 PwD will be followed by six other no-SCU-B centers solely via outpatient visits. RECage’s endpoints include short and long-term SCU-B clinical efficacy, QoL of patients and caregivers, cost-effectiveness of the SCU-B, psychotropic drug consumption, caregivers’ attitude toward dementia, and time to nursing home placement. Results: PwDs admitted in SCU-Bs are expected to have diminished rates of BPSD and better QoL and their caregivers are also expected to have better QoL and improved attitude towards dementia, compared to those followed in no-SCU-Bs. Also, the cost of care and the psychotropic drug consumption are expected to be lower. Finally, PwDs followed in no-SCU-Bs are expected to have earlier admission to nursing homes. Conclusion: The cohort study results will refine the SCU-B model, issuing recommendations for implementation of SCU-Bs in the countries where they are scarce or non-existent.

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