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Enhancing caregiver health : findings from the resources for enhancing Alzheimer 's caregiver health II intervention . OBJECTIVES To examine the relationships between changes from baseline to post-Resources for Enhancing Alzheimer 's Caregiver Health ( REACH ) intervention in caregiver ( CG ) self-reported health , burden , and bother . DESIGN Randomized , multisite clinical trial . SETTING CG and care recipient ( CR ) homes in five U.S. cities . PARTICIPANTS Four hundred ninety-five dementia CG and CR dyads ( 169 Hispanic , 160 white , and 166 African American ) receiving intervention and their controls . INTERVENTION CGs were assigned to the REACH intervention or a no-treatment control group . Intervention subjects received individual risk profiles and the REACH intervention through nine in-home and three telephone sessions over 6 months . Control subjects received two brief " check-in " telephone calls during this 6-month period . MEASUREMENTS The primary outcome was change in CG health status from baseline to after the intervention . Secondary outcomes were CG burden and bother after the intervention . RESULTS After the intervention , CGs reported better self-rated health , sleep quality , physical health , and emotional health , which was related to less burden and bother with their caregiving role than for CGs not receiving the intervention . Changes in depression appeared to mediate these relationships . Several racial and ethnic group differences existed in physical and emotional health , as well as in total frustration with caregiving , emotional burden , and CG-rated bother with CR 's activities of daily living and instrumental activities of daily living at baseline and at follow-up , although differences between baseline and posttest did not vary according to race . CONCLUSION A structured , multicomponent skills training intervention that targeted CG self-care behaviors as one of five target areas , improved self-reported health status , and decreased burden and bother in racially and ethnically diverse CGs of people with dementia .
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Intervention_Other
post-Resources for Enhancing Alzheimer 's Caregiver Health ( REACH ) intervention
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Intervention_Control
REACH intervention
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Intervention_Control
no-treatment control group
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Intervention_Educational
REACH intervention through
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Intervention_Educational
in-home
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Intervention_Educational
telephone sessions
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Intervention_Educational
"
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Intervention_Control
check-in " telephone calls
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Outcome_Physical
change in CG health status
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Outcome_Physical
CG burden and bother after the intervention
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Outcome_Physical
self-rated health
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Outcome_Physical
sleep quality
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Outcome_Physical
physical health
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Outcome_Mental
emotional health
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Outcome_Mental
depression
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Outcome_Physical
physical
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Outcome_Mental
emotional health
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Outcome_Mental
total frustration with caregiving
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Outcome_Mental
emotional burden
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Outcome_Mental
CG-rated bother
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Outcome_Physical
self-reported health status
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Outcome_Mental
burden
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Participant_Condition
Alzheimer 's
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Participant_Sample-size
Four hundred ninety-five
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Participant_Condition
dementia CG and CR dyads
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Participant_Condition
dementia