The Effect of a Personalized Dementia Care Intervention for Caregivers From Australian Minority Groups

Abstract

Most caregiver interventions in a multicultural society are designed to target caregivers from the mainstream culture and exclude those who are unable to speak English. This study addressed the gap by testing the hypothesis that personalized caregiver support provided by a team led by a care coordinator of the person with dementia would improve competence for caregivers from minority groups in managing dementia. A randomised controlled trial was utilised to test the hypothesis. Sixty-one family caregivers from 10 minority groups completed the trial. Outcome variables were measured prior to the intervention, at 6 and 12 months after the commencement of trial. A linear mixed effect model was used to estimate the effectiveness of the intervention. The intervention group showed a significant increase in the caregivers' sense of competence and mental components of quality of life. There were no significant differences in the caregivers' physical components of quality of life.

Effect of multicomponent interventions on competence of family caregivers of people with dementia: A systematic review

“…Half of the included studies were conducted with at least 6 months of follow‐up, and half of the studies were conducted with intention‐to‐treat analysis. However, only a few studies provided a detailed description of the sample size calculation (Huang et al., ; Rotrou et al., ; Xiao, De Bellis, Kyriazopoulos, Draper, & Ullah, ).…”

“…Xiao et al. () found that caregiver competence improves significantly in case management intervention and has the same effect on the caregivers’ mental well‐being.…”

“…The group interventions consisted of 6–12 sessions, each of which lasted from 1–4 hr. Individualised interventions (Chiu et al., ; van der Roest, Meiland, Jonker, & Droes, ; Xiao et al., ) created a one‐to‐one connection with each family caregiver and effectively improved caregiver competence. They also had a positive effect on other caregiver aspects and PwD.…”

An international systematic review of dementia caregiving interventions for Chinese families

“…Chinese and other ethnically diverse caregivers in their interventions. 51,59,69 They did not stratify intervention outcomes by ethnicity;…”

Acceptability of psychosocial interventions for dementia caregivers: a systematic review

“… 91.3% Mahoney [ 36 ], 2001 Caregivers Social intervention, include Monitoring and counseling, support, and Activity/caregiver respite conversation. 97% Xiao [ 37 ], 2015 Caregivers Social intervention, Based on caregivers’ need, provide face-to-face coaching and support 84.7% Hebert [ 57 ], 1994 Caregivers Social intervention, include dementia education, behaviour or emotional Problem-solving, ect. 80% Mohide [ 65 ], 1990 Caregivers Social intervention, help the caregivers enhance caregiving competence and achieve a sense of control in their roles as caregivers 70% Eloniemi-Sulkava [ 54 ], 2009 Dyads Multi-component support program, include goal-oriented peer support group meetings, dementia education, 100% Martin-Carrasco [ 40 ], 2009 Caregivers Cognitive intervention, include behavioural problems handing strategies, tension and stress control, dementia education.…”