Abstract
Objectives
To investigate the effects of a national support program on family caregivers for
long-term care (LTC) recipients.
Design
A single-blinded randomized controlled trial compared the 8-week Caregiver Orientation
for Mobilizing Personal Assets and Strengths for Self-Care (COMPASS) program consisting
of 6 individual in-home, 3 group support, and 2 telephone sessions with a multicomponent
intervention, and a control group.
Setting and Participants
In total, 969 caregivers who were living with LTC recipients assessed as having a
high caregiving burden in 12 Korean cities.
Measures
The primary outcomes were depression, burden, and stress levels of caregivers, the
secondary outcomes were caregiver self-efficacy, positive aspects of caregiving, social
support, social activities, and health risk behaviors. These outcomes were measured
at baseline and after the 8-week program, analyzed using modified intention-to-treat,
per-protocol (PP), and non-PP analyses.
Results
The modified intention-to-treat analysis revealed significant improvements in burden
(effect size, = 0.010, P = .008), depression ( = 0.012, P = .003), and health risk behaviors ( = 0.010, P = .012) for the experimental group compared with the control group. However, there
were no significant differences between the 2 groups in improving stress (P = .997), social support (P = .234), or social activities (P = .816). The PP analysis indicated that the COMPASS program was successful in increasing
positive aspects of caregiving ( = 0.013, P = .004) and self-efficacy ( = 0.010, P = .032) compared with the control group.
Conclusions and Implications
The COMPASS program was effective in family caregivers of LTC recipients in critical
aspects of physical and psychological outcomes, especially in demonstrating the important
role of participating in group support sessions. It is feasible for the program to
become a formal national support program as part of the national insurance system
in Republic of Korea.
Keywords
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Article info
Publication history
Published online: June 30, 2020
Footnotes
This work was supported by the Ministry Health and Welfare, Republic of Korea.
Identification
Copyright
© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
