TY - JOUR
T1 - Caregiving and chronic care
T2 - The guided care program for families and friends
AU - Wolff, Jennifer L.
AU - Rand-Giovannetti, Erin
AU - Palmer, Sara
AU - Wegener, Stephen
AU - Reider, Lisa
AU - Frey, Katherine
AU - Scharfstein, Daniel
AU - Boult, Chad
N1 - Funding Information:
This study was supported by the Jacob and Valeria Langeloth Foundation, The John A. Hartford Foundation, the Agency for Healthcare Research and Quality, the National Institute on Aging, Kaiser Permanente Mid-Atlantic States, Johns Hopkins HealthCare, and the Roger C. Lipitz Center for Integrated Health Care. The authors acknowledge the invaluable contributions to this study made by Johns Hopkins Community Physicians, MedStar, Battelle Centers for Public Health Research, the Centers for Medicare and Medicaid Services, Accumen, ResDAC, the University of Minnesota Survey Research Center, study consultants (Jean Giddens, RN, PhD; Kate Lorig, RN, DrPH), the nurse managers (Lora Rosenthal, RN, and Carol Groves, RN, MPA), and all of the participating patients, caregivers, physicians, and GC nurses. Aspects of this article were presented at the 2007 annual meeting of the Gerontological Society of America and the 2007 Joint Conference of the American Society on Aging and the National Council on Aging, Family Caregiving: State of the Art, Future Trends.
PY - 2009/7
Y1 - 2009/7
N2 - Background. The Guided Care Program for Families and Friends (GCPFF) is one component of "Guided Care" (GC), a model of primary care for chronically ill older adults that is facilitated by a registered nurse who has completed a supplemental educational curriculum. Methods. The GCPFF melds support for family caregivers with the delivery of coordinated and comprehensive chronic care and seeks to improve the health and well-being of both patients and their family caregivers. The GCPFF encompasses (a) an initial meeting between the nurse and the patient's primary caregiver, (b) education and referral to community resources, (c) ongoing "coaching," (d) a six-session group Caregiver Workshop, and (e) monthly Support Group meetings, all facilitated by the patient's GC nurse. Results. A cluster-randomized controlled trial of GC is underway in 14 primary care physician teams. Of 904 consented patients, 450 (49.8%) identifi ed a primary caregiver; 308 caregivers met eligibility criteria, consented to participate, and completed a baseline interview. At 6-month follow-up, intervention group caregivers ' mean Center for Epidemiological Studies Depression (CESD) and Caregiver Strain Index (CSI) scores were respectively 0.97 points ( p =.14) and 1.14 points ( p =.06) lower than control group caregivers '. Among caregivers who provided more than 14 hours of weekly assistance at baseline, intervention group caregivers ' mean CESD and CSI scores were respectively 1.23 points ( p =.20) and 1.83 points ( p =.04) lower than control group caregivers '. Conclusions. The GCPFF may benefi t family caregivers of chronically ill older adults. Outcomes will continue to be monitored at 18-months follow-up.
AB - Background. The Guided Care Program for Families and Friends (GCPFF) is one component of "Guided Care" (GC), a model of primary care for chronically ill older adults that is facilitated by a registered nurse who has completed a supplemental educational curriculum. Methods. The GCPFF melds support for family caregivers with the delivery of coordinated and comprehensive chronic care and seeks to improve the health and well-being of both patients and their family caregivers. The GCPFF encompasses (a) an initial meeting between the nurse and the patient's primary caregiver, (b) education and referral to community resources, (c) ongoing "coaching," (d) a six-session group Caregiver Workshop, and (e) monthly Support Group meetings, all facilitated by the patient's GC nurse. Results. A cluster-randomized controlled trial of GC is underway in 14 primary care physician teams. Of 904 consented patients, 450 (49.8%) identifi ed a primary caregiver; 308 caregivers met eligibility criteria, consented to participate, and completed a baseline interview. At 6-month follow-up, intervention group caregivers ' mean Center for Epidemiological Studies Depression (CESD) and Caregiver Strain Index (CSI) scores were respectively 0.97 points ( p =.14) and 1.14 points ( p =.06) lower than control group caregivers '. Among caregivers who provided more than 14 hours of weekly assistance at baseline, intervention group caregivers ' mean CESD and CSI scores were respectively 1.23 points ( p =.20) and 1.83 points ( p =.04) lower than control group caregivers '. Conclusions. The GCPFF may benefi t family caregivers of chronically ill older adults. Outcomes will continue to be monitored at 18-months follow-up.
KW - Caregiving
KW - Chronic disease
KW - Nursing
KW - Primary care
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U2 - 10.1093/gerona/glp030
DO - 10.1093/gerona/glp030
M3 - Article
C2 - 19349586
AN - SCOPUS:67649651897
SN - 1079-5006
VL - 64
SP - 785
EP - 791
JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
IS - 7
ER -