IN-HOME-PDCaregivers: The effects of a combined home visit and peer mentoring intervention for caregivers of homebound individuals with advanced Parkinson's disease.

Humans Caregivers / psychology House Calls Mentoring Mentors Parkinson Disease / psychology Quality of Life
Caregiving Intervention Parkinson's disease Peer mentoring Peer support

Journal

Parkinsonism & related disorders
ISSN: 1873-5126
Titre abrégé: Parkinsonism Relat Disord
Pays: England
ID NLM: 9513583

Informations de publication

Date de publication:
01 2023
Historique:
received: 23 09 2022
revised: 10 11 2022
accepted: 11 11 2022
pmc-release: 01 01 2024
pubmed: 30 11 2022
medline: 11 1 2023
entrez: 29 11 2022
Statut: ppublish

Résumé

Family caregivers of people with advanced Parkinson's Disease (PD) are at high risk of caregiver strain, which independently predicts adverse patient outcomes. We tested the effects of one year of interdisciplinary, telehealth-enhanced home visits (IN-HOME-PD) with 16 weeks of peer mentoring on caregiver strain compared with usual care. We enrolled homebound people with advanced PD (PWPD) and their primary caregiver as IN-HOME-PD dyads. We trained experienced PD family caregivers as peer mentors. Dyads received four structured home visits focused on advanced symptom management, home safety, medications, and psychosocial needs. Starting at approximately four months, caregivers spoke weekly with a peer mentor for 16 weeks. We compared one-year change in caregiver strain (MCSI, range 0-72) with historical controls, analyzed intervention acceptability, and measured change in anxiety, depression, and self-efficacy. Longitudinally, IN-HOME-PD caregiver strain was unchanged (n = 51, 23.34 (SD 9.43) vs. 24.32 (9.72), p = 0.51) while that of controls worsened slightly (n = 154, 16.45 (10.33) vs. 17.97 (10.88), p = 0.01). Retention in peer mentoring was 88.2%. Both mentors and mentees rated 100% of mentoring calls useful, with mean satisfaction of 91/100 and 90/100, respectively. There were no clinically significant improvements in anxiety, depression, or self-efficacy. Interdisciplinary telehealth-enhanced home visits combined with peer mentoring mitigated the worsening strain observed in caregivers of less advanced individuals. Mentoring was met with high satisfaction. Future caregiver-led peer mentoring interventions are warranted given the growing, unmet needs of PD family caregivers. NCT03189459.

Identifiants

DOI: 10.1016/j.parkreldis.2022.11.014 PMID: 36446676 PMC: PMC9825655
pubmed: 36446676
pii: S1353-8020(22)00382-0
doi: 10.1016/j.parkreldis.2022.11.014
pmc: PMC9825655
mid: NIHMS1853147
pii:
doi:

Banques de données

ClinicalTrials.gov
['NCT03189459']

Types de publication

Clinical Study Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

105222

Subventions

Organisme : NINDS NIH HHS
ID : K23 NS097615
Pays : United States
Organisme : NINDS NIH HHS
ID : L30 NS084235
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG064200
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG066512
Pays : United States

Informations de copyright

Copyright © 2022 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no competing interests.

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Auteurs

Jori E Fleisher (JE)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Jori_Fleisher@rush.edu.

Madhuvanthi Suresh (M)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Madhuvanthi_suresh@rush.edu.

Ellen C Klostermann (EC)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: eckwallace@gmail.com.

Jeanette Lee (J)

Department of Social Work and Community Health, Rush University Medical Center, 710 South Paulina Street, Chicago, IL, 60612, USA. Electronic address: jparked@gmail.com.

Serena P Hess (SP)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: serenahess773@gmail.com.

Erica Myrick (E)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: emyrick@umich.edu.

Daniela Mitchem (D)

Department of Social Work and Community Health, Rush University Medical Center, 710 South Paulina Street, Chicago, IL, 60612, USA. Electronic address: Daniela_mitchem@rush.edu.

Katheryn Woo (K)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Katheryn_woo@rush.edu.

Brianna J Sennott (BJ)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Brianna_j_sennott@rush.edu.

Natalie P Witek (NP)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Natalie_p_witek@rush.edu.

Sarah Mitchell Chen (SM)

Department of Social Work and Community Health, Rush University Medical Center, 710 South Paulina Street, Chicago, IL, 60612, USA. Electronic address: sarah_m_chen@rush.edu.

James C Beck (JC)

Parkinson's Foundation, 1359 Broadway, Suite 1509, New York, NY, 10018, USA. Electronic address: jbeck@parkinson.org.

Bichun Ouyang (B)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Bichun_ouyang@rush.edu.

Jayne R Wilkinson (JR)

Corporal Michael J. Crescenz VA Medical Center, 3900 Woodland Avenue, Philadelphia, PA, 19104, USA; Department of Neurology, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA. Electronic address: jayne.wilkinson@va.gov.

Deborah A Hall (DA)

Department of Neurological S,ciences, Rush University Medical Center, 1725 West Harrison Street, Suite 755, Chicago, IL, 60612, USA. Electronic address: Deborah_a_hall@rush.edu.

Joshua Chodosh (J)

Division of Geriatric Medicine and Palliative Care, Department of Medicine, New York University Grossman School of Medicine, 227 E. 30th Street, TRB 839, New York, NY, 10016, USA; VA New York Harbor Healthcare System, Medicine Service, 423 E. 23rd Street, New York, NY, 10010, USA. Electronic address: Joshua.chodosh@nyulangone.org.

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Classifications MeSH

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questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Aidants › IN-HOME-PDCaregivers: The effects of a...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Pratique professionnelle › Visites à domicile › IN-HOME-PDCaregivers: The effects of a...
questionsmedicales.fr › Éducation › Mentorat › IN-HOME-PDCaregivers: The effects of a...
questionsmedicales.fr › Personnes › Mentors › IN-HOME-PDCaregivers: The effects of a...
questionsmedicales.fr › Maladies du système nerveux › Maladies neurodégénératives › Maladie de Parkinson › IN-HOME-PDCaregivers: The effects of a...
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