Cited by 4Dementia and Cognitive Impairment ResearchNursing care and researchPalliative Care and End-of-Life Issues

Effects of a psychoeducational program on caregivers of patients with dementia

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Damien, Charlotte, Elands, Sophie, Van Den Berge, Delphine, Bier, Jean-Christophe·2020·Dementia and Geriatric Cognitive Disorders

Abstract

BACKGROUND: The number of demented patients has increased significantly in recent years. The many challenges that dementia causes increase the stress of their caregivers and lead to shortening the time to institutionalization compared to the general population. A psychoeducational program for these accompanying persons was set up in Brussels. This type of program resulted in a 557-day delay in institutionalization in New York City. The objective of our study was to check whether our program also has such an impact, but also to see its potential effect on the psychobehavioral disorders of patients and the burden of caregivers. METHODS: We recruited two groups without randomization: psychoeducated caregivers and caregivers interested in the program and contacted regularly (every 6 months) without having participated. They were all contacted by telephone and responded to the NCPI and Zarit Burden Scale (ZBS) questionnaires. RESULTS: We could not demonstrate any significant impact, either on the institutionalization delay (p = 0.960), on the frequency of psychobehavioral disorders in demented patients (p > 0.05), or on the burden of caregivers (p = 0.403). However, the survival rate among the demented patients with psychoeducated caregivers was significantly higher than that among the demented patients with nonpsychoeducated caregivers (p < 0.001). CONCLUSIONS: Our small-sample, nonrandomized study did not reveal any differences in institutionalization delay, caregiver burden, or perception of psychobehavioral disorders related to our psychoeducational program. A new study should be carried out on the impact of psychoeducation on the survival of demented patients, in view of our preliminary analyses.

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  • Education on disease progression and practical coping strategies were identified as key needs.

    “Education on disease progression and practical coping strategies were identified as key needs (Brooks et al., 2022b; Damien et al., 2020).”

    From Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers. (2026) · cites this paper as Damien et al., 2020

    The Introduction (p. 140) describes a psychoeducational program for dementia caregivers, and the Discussion says participants needed support or psychological education. Neither passage identifies education about disease progression or practical coping strategies as key needs. The Selection and Collected Data section says the program details are in supplementary appendices, rather than stating them in our copy (searched for program content and coping strategies). (LLM, conf=0.72)

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Research works printed but not linked: 2

  1. Mittelman MS, Ferris SH, Shulman E, Stein- berg G, Levin B. A family intervention to de- lay nursing home placement of patients with Alzheimer disease. A randomized controlled trial. JAMA. 1996 Dec; 276(21): 1725-31.
  2. Bier JC, Van den Berge D, de Wouters d'Oplinter N, Bosman N, Fery P. Evaluation of our psycho-educative program by partici- pating caregivers [in French]. Rev Med Brux. 2010 Sep; 31(4): 315-9.

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Authors
Damien, C., Elands, S., Van Den Berge, D., & Bier, J.-C.
Affiliations
Université Libre de Bruxelles (BE)
Venue
Dementia and Geriatric Cognitive Disorders
Publisher
S. Karger AG
Published
2020
Volume
49
Issue
2
Pages
138-145
ISSN
  • 1420-8008 (ISSN-L)
  • 1421-9824
OpenAlex
W3086054679
Cited by
4
References
25
Citations by year
2025: 2 · 2024: 1 · 2022: 1
FWCI
0.18
Type
journal article
Language
en
Open access
Locations
  • Dementia and Geriatric Cognitive Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
dementia, psychoeducational intervention, caregivers, caregiver burden, patient survival, Zarit Burden Interview, caregiver education
MeSH terms
Caregiver Burden, Aged, Aged, 80 and over, Dementia, Female, Humans, Institutionalization, Male, Middle Aged, Caregivers, Cost of Illness

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