Objective: Accumulating evidence of the effects of dementia caregiving on individuals, society, and health has generated intervention studies to reduce the stress among family caregivers of people with dementia. This study aims to evaluate the effectiveness of a family support program, community-based dementia caregiver intervention (CDCI), among family caregivers of people with dementia compared with a control group (no intervention).
Patients and Methods: This study is a quasi-experimental, non-randomized controlled trial conducted in six dementia relief centers of a community healthcare center in Korea. Family caregivers of 83 patients with dementia were recruited; of these 78 were included in the final study, with 40 in the intervention group and 38 in the control group. Analysis of covariance (ANCOVA) was used to compare the mean difference in the scores of the total short-form Zarit Burden Interview (SZBI), personal strain, role strain, depression, and attitude between the groups.
Results: Compared with controls, in the intervention group, the adjusted mean score of personal strain (F = 4.353, t = 0.041) and attitude toward dementia (F = 10.284, t = 0.002) differed significantly after the intervention, with a small to moderate effect. There was no significant difference in the total SZBI, role strain, or depression mean score.
Conclusion: The findings suggest that CDCI may be an effective intervention strategy to reduce personal strain and enhance the attitudes of family caregivers of people with dementia.

Keywords: community-based intervention, caregiver burden, dementia, family support program, family caregiver


中文翻译：

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评估以社区为基础的痴呆照护者干预对照护负担、抑郁和对痴呆的态度的有效性：一项准实验研究

目的：越来越多的痴呆症护理对个人、社会和健康的影响的证据已经产生了干预研究，以减轻痴呆症患者家庭护理人员的压力。本研究旨在评估与对照组（无干预）相比，在痴呆症患者的家庭照顾者中，家庭支持计划、基于社区的痴呆照顾者干预 (CDCI) 的有效性。
患者和方法：本研究是一项准实验性、非随机对照试验，在韩国一家社区医疗中心的六个痴呆症救助中心进行。招募了 83 名痴呆患者的家庭照顾者；其中 78 人被纳入最终研究，干预组 40 人，对照组 38 人。协方差分析 (ANCOVA) 用于比较各组之间的总简短 Zarit 负担访谈 (SZBI)、个人压力、角色压力、抑郁和态度的平均差异。
结果：与对照组相比，干预组干预后个人压力调整平均分（F = 4.353，t = 0.041）和对痴呆的态度（F = 10.284，t = 0.002）差异显着，影响较小至中等. SZBI 总分、角色压力或抑郁平均分无显着差异。
结论：研究结果表明，CDCI 可能是一种有效的干预策略，可以减轻痴呆症患者的个人压力并提高家庭照顾者的态度。

关键词：社区干预，照顾者负担，痴呆，家庭支持计划，家庭照顾者