Advancing family dementia caregiver interventions in low‐ and middle‐income countries: A pilot cluster randomized controlled trial of Resources for Advancing Alzheimer's Caregiver Health in Vietnam (REACH VN). Issue 1 (23rd January 2021)

• Record Type: Journal Article
• Authors: Hinton, Ladson; Nguyen, Huong; Nguyen, Hung Trong; Harvey, Danielle J; Nichols, Linda; Martindale‐Adams, Jennifer; Nguyen, Binh Thanh; Nguyen, Binh Thi Thanh; Nguyen, Anh Ngoc; Nguyen, Chinh Hong; Nguyen, Thu Thi Hoai; Nguyen, Thuy Le; Nguyen, Anh Thi Phuong; Nguyen, Ngoc Bich; Tiet, Quyen Q.; Nguyen, Tuan Anh; Nguyen, Phong Quy; Nguyen, Trung Anh; Pham, Thang
• Is Part Of: Alzheimer's & dementia. Volume 6:Issue 1(2020)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-01-23
• Subjects: Alzheimer's disease -- dementia -- family caregiving -- global health -- low ‐and middle‐income countries -- non‐pharmacological interventions -- Vietnam; Dementia -- Periodicals; Dementia -- Treatment -- Periodicals; Alzheimer's disease -- Treatment -- Periodicals; Alzheimer's disease -- Periodicals; 616.831
• DOI: 10.1002/trc2.12063
• Languages: English
• ISSNs: 2352-8737

Abstract

Abstract: Introduction: Low‐ and middle‐income countries have rapidly increasing numbers of people with dementia, yet little evidence on family caregiving interventions. We tested the preliminary efficacy and feasibility of a family caregiving intervention in northern Vietnam. Methods: Nine clusters comprising 60 family caregivers were randomized to a culturally adapted version of a four‐ to six‐session, multicomponent intervention delivered in‐home over 2 to 3 months, or enhanced control. Eligible caregivers were ≥18 years of age and scored ≥6 on the Zarit Burden Inventory (ZBI). Results: Fifty‐one caregivers (85%) completed the study. Using analysis of covariance with 3‐month assessment as the outcome and baseline assessment as a covariate, intervention group caregivers had an average ZBI (primary outcome) score 1.2 standard deviation (SD) lower ( P = .02) and Patient Health Questionnaire‐4 (psychological distress) score 0.7 SD lower ( P = .03) than controls. Discussion: In the first study of its kind in Vietnam, a culturally adapted, manualized, family caregiver intervention was both efficacious and feasible.