Resources for Enhancing Alzheimer’s Caregiver Health (REACH) II

Categories

Categories associated with best practice:

  • Individual
  • Adult (ages 25-64) icon
  • Seniors (ages 65+) icon
  • Best Practices
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Determinants of Health: Personal health practices and coping skills

Overview

Resources for Enhancing Alzheimer’s Caregiver Health II (REACH II) is a multicomponent psychosocial and behavioural training intervention for caregivers (21 years and older) of patients with Alzheimer’s disease or dementia. The intervention is designed to reduce caregiver burden and depression, improve caregivers’ ability to provide self-care, provide caregivers with social support, and help caregivers learn how to manage difficult behaviors in care recipients. (source: SAMSHSA National Registry of Evidence-based Programs and Practices)

Primary Source Document

Belle SH, Burgio L, Burns R , Coon D, Czaja SJ, Gallagher-Thompson D, Gitlin L, Klinger J , Koepke KM, Lee CC, Martindale-Adams J, Nichols L, Schulz R, Stahl S, Stevens A, Winter L and Zhang, S, Enhancing the quality of life of dementia caregivers from different ethnic or racial groups: A randomized, controlled trial. Ann Intern Med. 2006:145(10); 727–738.

Contact information of developer(s) and/or implementer(s)

Julie Klinger, MA
Project Coordinator- REACH II Coordinating Center
University Center for Social and Urban Research
University of Pittsburgh
Pittsburgh, Pennsylvania
Phone: 412-624-0372

Intervention Focus

Intervention Goal / ObjectiveLevel(s) TargetedEquity Focus
Help caregivers learn how to manage difficult behaviors in care recipients.
  • Individual level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.
Provide caregivers with social support.
  • Individual level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.
Improve caregivers ability to provide self-care.
  • Individual level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.
Reduce caregiver burden and depression.
  • Individual level
People living in conditions of disadvantage are not explicitly stated to be a target population of the intervention.

Health Issue(s) that is/are addressed by the Intervention

Health Promotion

  • Mental Health

Risk Reduction

    • N/A

    Specific Activities of the Intervention

    • Counselling sessions to those who are at high risk for a chronic disease
    • Educational health information offered
    • Other training session

    Priority/Target Population for Intervention Delivery

    Life Stage

    • Adults (age 25-64 years)
    • Seniors (age 65+ years)

    Settings

    Educational Settings

      • N/A

      Community Setting

      • Home

      Outcomes

      Outcomes and Impact Chart
      Level of ImpactDescription of OutcomeEquity Focus
      Individual LevelIntervention led to stastically significant improvement in caregiver quality of life (as measured by individators of depression, burden, social support, self-care and patient problem behaviours).Reported outcomes do not distinguish findings specific to people living in conditions of disadvantage.

      Adaptability

      Implementation History

      • Multiple implementations - Different settings/populations/providers - The intervention showed significant adaptability as it has been implemented in different settings or with different populations or by different provider(s). This can include multiple implementations during the same time period. Each implementation of the intervention must have been substantially the same and must have demonstrated positive results for the primary objectives of the intervention.

      Expertise Required for Implementation within the Context of the Intervention

      • Requires specialized skills that are easily available within the context - The intervention requires the participation of personnel with advanced skills (e.g. medical doctors, epidemiologists, social workers) but that are easily available within the intervention context.

      Are there supports available for implementation

      Yes.

      Are there resources and/or products associated with the interventions

      No.