Abstract:
BACKGROUND:Caregiver interventions may help improve the quality of informal care. Yet the lack of a systematic framework specifying the targets and outcomes of caregiver interventions hampers our ability to understand what has been studied, to evaluate existing programs, and to inform the design of future programs. Our goal was to develop an organizing framework detailing the components of the caregiving activities and the caregiver and care recipient outcomes that should be affected by an intervention. In so doing, we characterize what has been measured in the published literature to date and what should be measured in future studies to enable comparisons across interventions and across time. METHODS:Our data set comprises 121 reports of caregiver interventions conducted in the United States and published between 2000 and 2009. We extracted information on variables that have been examined as primary and secondary outcomes. These variables were grouped into categories, which then informed the organizing framework. We calculated the frequency with which the interventions examined each framework component to identify areas about which we have the most knowledge and under-studied areas that deserve attention in future research. RESULTS:The framework stipulates that caregiver interventions seek to change caregiving activities, which in turn affect caregiver and care recipient outcomes. The most frequently assessed variables have been caregiver psychological outcomes (especially depression and burden) and care recipient physical and health care use outcomes. CONCLUSIONS:Based on the organizing framework, we make three key recommendations to guide interventions and inform research and policy. First, all intervention studies should assess quality and/or quantity of caregiving activities to help understand to what extent and how well the intervention worked. Second, intervention studies should assess a broad range of caregiver and care recipient outcomes, including considering whether expanding to economic status and health care use of the caregiver can be accommodated, to ease subsequent economic evaluations of caregiving. Third, intervention studies should measure a common set of outcomes to facilitate cross-time and cross-study comparisons of effectiveness.
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Van Houtven CH,Voils CI,Weinberger Mdoi
10.1186/1471-2318-11-77subject
Has Abstractpub_date
2011-11-22 00:00:00pages
77issn
1471-2318pii
1471-2318-11-77journal_volume
11pub_type
杂志文章,评审相关文献
BMC Geriatrics文献大全abstract:BACKGROUND:Many survivors of the Great East Japan Earthquake that occurred in 2011 were at risk of deteriorating health, especially elderly people living in disaster-stricken areas. The objectives of this prospective study were: a) to clarify the different lifestyle and psychosocial factors associated with frailty by s...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0828-x
更新日期:2018-06-04 00:00:00
abstract:BACKGROUND:Medication safety is an important health issue for nursing home residents (NHR). They usually experience polypharmacy and often take potentially inappropriate medications (PIM) and antipsychotics. This, coupled with a frail health state, makes NHR particularly vulnerable to adverse drug events (ADE). The val...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12877-019-1027-0
更新日期:2019-01-25 00:00:00
abstract:BACKGROUND:Malnutrition, low muscle strength and muscle mass are highly prevalent in older hospitalized patients and associated with adverse outcomes. Malnutrition may be a risk factor for developing low muscle mass. We aimed to investigate the association between the risk of malnutrition and 1) muscle strength and mus...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0505-5
更新日期:2017-06-05 00:00:00
abstract:BACKGROUND:Many balance and strength tests exist that have been designed for older seniors, often aged ≥70 years. To guide strategies for preventing functional decline, valid and reliable tests are needed to detect early signs of functional decline in young seniors. Currently, little is known about which tests are bein...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-1011-0
更新日期:2019-01-09 00:00:00
abstract:BACKGROUND:As part of a nursing home intervention study, the aim of this paper was 1) to evaluate the effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care and their perceptions of the person-centredness of the environment, and 2) to o...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01677-7
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Improved usual gait speed predicts substantial reduction in mortality. A better understanding of the modifiable factors that are independently associated with improved gait speed would ensure that intervention strategies are developed based on a valid theoretical framework. Thus, we examined the independent ...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-10-25
更新日期:2010-05-19 00:00:00
abstract:BACKGROUND:In the general population, the epidemiological relationships between delirium and adverse outcomes are not well defined. The aims of this study were to: (1) construct an algorithm for the diagnosis of delirium using the Geriatric Mental State (GMS) examination; (2) test the criterion validity of this algorit...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2318-14-87
更新日期:2014-07-28 00:00:00
abstract:BACKGROUND:Due to the gradual loss of function, it is crucial for persons with dementia to discuss advance care planning in due course. However, nursing home staff, residents and their families feel uncomfortable to start this type of conversation, resulting in unknown (care) preferences. 'We DECide optimized' will pro...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12877-019-1044-z
更新日期:2019-02-04 00:00:00
abstract:BACKGROUND:With the ageing population, the number of older trauma patients has increased. The aim of this study was to assess non-surgical health care costs of older trauma patients and to identify which characteristics of older trauma patients were associated with high health care costs. METHODS:Trauma patients aged ...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/s12877-020-01825-z
更新日期:2020-10-21 00:00:00
abstract:BACKGROUND:The purpose of the study was to explore the single and combined contributions of body mass index (BMI) and lower extremity performance as modifiable physical factors, and the influence of use of a private car as an environmental factor on prevalent and incident life-space restriction in community-dwelling ol...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0956-3
更新日期:2018-11-08 00:00:00
abstract:BACKGROUND:Nicotine may aid reaction time, learning and memory, but smoking increases cardiovascular risk. Cardiovascular risk factors have been linked to increased risk of dementia. A previous meta-analysis found that current smokers were at higher risk of subsequent dementia, Alzheimer's disease, vascular dementia an...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2318-8-36
更新日期:2008-12-23 00:00:00
abstract:BACKGROUND:This paper describe the development of interRAI's second-generation home care quality indicators (HC-QIs). They are derived from two of interRAI's widely used community assessments: the Community Health Assessment and the Home Care Assessment. In this work the form in which the quality problem is specified h...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-13-127
更新日期:2013-11-19 00:00:00
abstract:BACKGROUND:There are knowledge gaps about the life situation for people ageing with Parkinson's disease (PD), with virtually no understanding of home and health dynamics. Therefore, the aim of the present study was to explore the association between aspects of health and objective as well as perceived housing in people...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0319-x
更新日期:2016-07-27 00:00:00
abstract:BACKGROUND:Cross-sectional relationships between physical activity and health have been explored extensively, but less is known about how physical activity changes with time in older people. The aim of this study was to assess baseline predictors of how objectively measured physical activity changes with time in older ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0578-1
更新日期:2017-08-14 00:00:00
abstract:BACKGROUND:Geriatric evaluation and management has become standard care for community dwelling older adults following an acute admission to hospital. It is unclear whether this approach is beneficial for the frailest older adults living in permanent residential care. This study was undertaken to evaluate (1) the feasib...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-14-48
更新日期:2014-04-16 00:00:00
abstract:BACKGROUND:Memory complaints and depressive symptoms are frequently associated in older adults and both serve as potential indicators of future cognitive decline. However, the temporal ordering of the development of these two symptoms remains unclear. The goal of the current study was to examine concurrent and temporal...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1451-1
更新日期:2020-03-02 00:00:00
abstract:BACKGROUND:Medication related harm (MRH) is a common cause of morbidity and hospital admission in the elderly, and has significant cost implications for both primary and secondary healthcare resources. The development of risk prediction models has become an increasingly common phenomenon in medicine and can be useful t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0191-8
更新日期:2016-01-19 00:00:00
abstract:BACKGROUND:Motor learning research has had little impact on clinical applications and rarely extended to research about how older adults learn motor skills. There is consistent evidence that motor skill performance and learning can be enhanced by giving learners instructions that direct their attention. The aim of this...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-9-15
更新日期:2009-05-08 00:00:00
abstract:BACKGROUND:One of the most common uses of the Internet is to search for health-related information. Although scientific evidence pertaining to cognitive health promotion has expanded rapidly in recent years, it is unclear how much of this information has been made available to Internet users. Thus, the purpose of our s...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0515-3
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:Frail older adults living in long term care (LTC) homes have a high fracture risk, which can result in reduced quality of life, pain and death. The Fracture Risk Scale (FRS) was designed for fracture risk assessment in LTC, to optimize targeting of services in those at highest risk. This study aims to examin...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-1010-1
更新日期:2018-12-27 00:00:00
abstract:BACKGROUND:Falls are a major problem for older adults. Many falls occur when a person's attention is divided between two tasks, such as a dual task (DT) involving walking. Most recently, the role of personality in walking performance was addressed; however, its association with DT performance remains to be determined. ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0691-1
更新日期:2018-01-02 00:00:00
abstract:BACKGROUND:A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disabi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01875-3
更新日期:2020-11-18 00:00:00
abstract:BACKGROUND:Neuropsychiatric symptoms (NPS) frequently occur in patients with dementia. To date, prospective studies on the course of NPS have been conducted in patients with dementia in clinical centers or psychiatric services. The primary goal of this study is to investigate the course of NPS in patients with dementia...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-14-32
更新日期:2014-03-17 00:00:00
abstract:BACKGROUND:A qualitative, interview-based study was embedded in a randomized intervention trial, the Older People Exercise and Nutrition (OPEN) study. Participants in the OPEN study were encouraged to conduct sessions of sit-to-stand (STS) exercises combined with Oral Nutritional Supplements (ONS) intake. The aim was t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01731-4
更新日期:2020-09-04 00:00:00
abstract:BACKGROUND:Venous thromboembolic events (VTE), including deep venous thrombosis and pulmonary embolism, are common in older age. It has been suggested that statins might reduce the risk of VTE however positive results from studies of middle aged subjects may not be generalisable to elderly people. We aimed to determine...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-11-8
更新日期:2011-02-22 00:00:00
abstract:BACKGROUND:The risk associated with methicillin-resistant Staphylococcus aureus (MRSA) has been decreasing for several years in intensive care departments, but is now increasing in rehabilitation and chronic-care-facilities (R-CCF). The aim of this study was to use published data and our own experience to discuss the r...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-3-5
更新日期:2003-12-12 00:00:00
abstract:BACKGROUND:Life-space mobility reflects individuals' actual mobility and engagement with society. Difficulty in hearing is common among older adults and can complicate participation in everyday activities, thus restricting life-space mobility. The aim of this study was to examine whether self-reported hearing predicts ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-015-0119-8
更新日期:2015-10-12 00:00:00
abstract:BACKGROUND:Geriatric assessment upon admission may reveal factors that contribute to adverse outcomes in hospitalized older patients. The purposes of this study were to derive a Frailty Index (FI-PAC) from the interRAI Post-Acute Care instrument (interRAI-PAC) and to analyse the predictive ability of the FI-PAC and int...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01550-7
更新日期:2020-05-05 00:00:00
abstract:BACKGROUND:A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reduc...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01946-5
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:Dementia is an increasing public health threat worldwide. The pathogenesis of dementia has not been fully elucidated yet. Inflammatory processes are hypothesized to play an important role as a driver for cognitive decline but the origin of inflammation is not clear. We hypothesize that disturbances in gut mi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01644-2
更新日期:2020-07-20 00:00:00