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Cited by 146Nursing care and researchDementia and Cognitive Impairment ResearchIntergenerational Family Dynamics and Caregiving

Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease

Drentea, Patricia, Clay, Olivio J., Roth, David L., Mittelman, Mary S.·2006·Social Science & Medicine
DOI 10.1016/j.socscimed.2006.02.020
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Abstract

Those who provide care at home for a spouse with Alzheimer's disease (AD) endure considerable challenges, including social isolation and increasing caregiving responsibilities. We examine the extent to which an intervention that helps spouse-caregivers mobilize their social support network, helps them better adapt to the caregiving role. We used detailed social support information collected from 200 spouse-caregivers participating in a randomized, controlled trial of enhanced social support services in the USA. Using random effects regression models, we found that individuals in the intervention group reported higher levels of satisfaction with their social support network over the first 5 years of the intervention than those in the support group. Higher levels of emotional support, more visits, and having more network members to whom they felt close were all individually predictive of longitudinal changes in social support network satisfaction. We conclude with a discussion of the importance of having psychological respite when caregivers spend their days in the home and are isolated.

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Crossref · 10.1016/j.socscimed.2006.02.020

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41 of 41 references verified0 citation errors · 0 not checkable

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  • Nineteen out of 23 (83%) participatory interventions were observed to have beneficial effects on at least one outcome compared with only four out of nine (44%) non-participatory interventions.

    “Nineteen out of the 23 (83%) participatory interventions were observed to have beneficial effects on at least one outcome [13,52-56,60,63,65-70,73-76,81] compared with only four out of nine (44%) non-participatory interventions [59,71,78,79].”

    From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [52]

  • In a mixed mode counselling intervention for older caregivers to Alzheimer's disease sufferers, regression analysis revealed that post-intervention (four months) the intervention group reported higher satisfaction with social support compared with the control group.

    “Regression analysis revealed that, post-intervention (four months) the intervention group reported higher satisfaction with social support in comparison with the control group.”

    From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [52]

  • In the same mixed mode counselling intervention, the observed effect remained constant over the five-year study period in which intervention group participants could attend support groups and contact counsellors.

    “The observed effect remained constant over the five year study period in which intervention group participants could attend support groups and contact counsellors.”

    From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [52]

  • Twelve out of 15 (80%) support interventions reported beneficial effects.

    “Twelve out of the 15 (80%) support interventions reported beneficial effects [52-56,63,66,68,69,73,75,76].”

    From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [52]

  • Seven out of 12 studies (58%) that recruited explicitly targeted participants reported positive effects on outcomes compared with 16 out of 20 (80%) studies with no explicit targeting.

    “Seven out of 12 studies (58%) that recruited explicitly targeted participants reported positive effects on outcomes [13,56,67,71,75,78,79], compared with 16/20 (80%) studies with no explicit targeting [52-55,59,60,63,65,66,68-70,73,74,76,81].”

    From Interventions targeting social isolation in older people: a systematic review (2011) · cites this paper as [52]

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Authors
Drentea, P., Clay, O. J., Roth, D. L., & Mittelman, M. S.
Affiliations
  • University of Alabama (US)
  • University of Alabama at Birmingham (US)
  • NYU Langone Health (US)
Corresponding author
Drentea, Patricia
ORCID
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
2006-08
Volume
63
Issue
4
Pages
957-967
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/j.socscimed.2006.02.020
OpenAlex
W1968571452
Cited by
146
References
42
Citations by year
2026: 2 · 2025: 8 · 2024: 4 · 2023: 7 · 2022: 7 · 2021: 10 · 2020: 6 · 2019: 3 · 2018: 10 · 2017: 7 · 2016: 10 · 2015: 4 · 2014: 10 · 2013: 13 · 2012: 10
FWCI
17.71
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
  • National Institutes of Health (5r01mh042216-09)
  • National Institute on Aging (P30 AG 08051, R01AG014634, P30AG008051, R01 AG-14634)
  • National Institute of Mental Health (R01 MH-42216)
Topics
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
Keywords
Alzheimer's disease, spousal caregivers, social support, caregiver interventions, emotional support, social isolation, caregiver adaptation, home care
MeSH terms
Aged, Alzheimer Disease, Counseling, Female, Humans, Male, Personal Satisfaction, Regression Analysis, Social Support, United States, Program Evaluation, Chi-Square Distribution, Caregivers, Spouses

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