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A Combined, Multimodal Intervention for Individuals with Dementia: Effects on Family Caregiver Outcomes

Research in Gerontological Nursing 

Sandy C. Burgener, PhD, GNP-BC, FAAN; Sara Marsh-Yant, MSW; and Katie Kosanda Nega, APN, GNP-BC

Received: June 10, 2009; Accepted: February 16, 2010; Posted: May 28, 2010

Few studies have tested the effects of nonpharmacological interventions designed for people in early-stage dementia on the family caregiver. This study tested a multimodal intervention (Taiji exercise and support group) for people with dementia, with some treatment group caregivers choosing to co-participate. Control group caregivers participated in educational programs. Outcome measures included role stress (Relatives Stress Scale [RSS]) and quality of the relationship with the person with dementia. Trends toward positive effects for participating caregivers were found for overall role stress and the Personal Distress subscale and quality of the relationship with the person with dementia. In comparing outcomes between the total treatment group and the control group, treatment group caregivers rated one RSS subscale, Negative Feelings toward the Care Recipient, significantly lower (more positive) than control group caregivers. A within-group difference was found for the quality of the relationship for control group caregivers (increased negativity), with no increase in treatment group caregivers. Findings support the potential benefits of the intervention for both participating and nonparticipating caregivers.

doi:10.3928/19404921-20100504-01