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Simple Telephone Support a Great Relief for Caregivers of Dementia Patients

Program potentially less expensive than in-person treatment options, more convenient for many caregivers

July 30, 2014 Caregivers for dementia patients must deal with enormous stress and many suffer depression. A new study has found, however, that a support program simply by telephone can significantly reduce depression and other problems for informal caregivers, such as family or friends, and is as effective as face-to-face intervention programs.

"Those caring for people with Alzheimer's disease or other forms of dementia are often under a great deal of pressure," said principal investigator Geoffrey Tremont, Ph.D, of the division of neuropsychology in the department of psychiatry at Rhode Island Hospital.

"This pressure and stress can lead to depression in the caregiver, or to negative reactions, or even to behavior problems exhibited by the individual with dementia."

He continued, "Many of these caregivers have trouble finding time to take care of themselves, allowing their own physical and mental health issues to fester. By providing these caregivers with the option of a telephone-based support program, we are able to bring the help right to them, rather than requiring the caregivers to take time away from their loved one to attend a support group or other appointment."

 

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The study by Rhode Island Hospital researchers is published online in advance of print in the journal Alzheimer's & Dementia.

The study concluded that an entirely telephone-based intervention improves caregivers' depressive symptoms and reactions to behavior problems in the care recipient and is comparable with reported results of face-to-face interventions. Caregivers received 16 telephone contacts over 6 months in the program.

A telephone-based support program is also potentially less expensive than in-person treatment options, and often more convenient for caregivers. While previous studies have shown that caregivers benefit from programs such as in-person support/group therapy sessions, this is the first such study to present data supporting a program that is delivered only by telephone.

"The number of people diagnosed with some form of dementia continues to rise," Tremont said, "and with that comes an increased need for caregivers, who often are family members. It's a lot to take on, and a great deal is expected from these caregivers. If we don't help them take care of themselves, in an easy and convenient manner, there could be negative health consequences for the caregiver, and ultimately the individual with dementia."

According to the Alzheimer's Association, there are 5 million people in the U.S. with Alzheimer's, and it is the country's sixth leading cause of death. More than 15 million family and friends provide care for those with Alzheimer's and other forms of dementia, resulting in 17.5 billion hours of unpaid care each year.

Notes:

The study was funded in part by a grant from the National Institute of Nursing Research awarded to Geoffrey Tremont, Ph.D. Tremont's principal affiliation is Rhode Island Hospital, a member hospital of the Lifespan health system in Rhode Island. He also holds an academic appointment at The Warren Alpert Medical School of Brown University.

Other Lifespan and Brown University researchers involved in the study are Jennifer Davis, Ph.D., Brian Ott, M.D., Kim Bryant, Christine Grover, Duane Bishop, M.D., George D. Papandonatos, Ph.D., Mun Sang Yue, and Pedro Gozalo, Ph.D.; as well as Richard Fortinsky, Ph.D., of the University of Connecticut School of Medicine.

Founded in 1863, Rhode Island Hospital in Providence, R.I., is a private, not-for-profit hospital and is the principal teaching hospital of The Warren Alpert Medical School of Brown University. For more information visit http://www.rhodeislandhospital.org.

 

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