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Effects of a virtual iSupport Program on carers and people with dementia
Lily Xiao1, Shahid Ullah2, Ying Yu1
1College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Introduction:
We conducted a virtual iSupport Program intervention for carers of people living with dementia (PLWD).
Methods:
We applied a pragmatic randomized controlled trial to evaluate a multicomponent program delivered virtually in four organizations (July 2022 to December 2024). The primary outcome was quality of life (QoL) of carers and PLWD at 12 months post-baseline, and the secondary outcomes were carers' self-efficacy, social support, reactions to behavior, PLWD's behavior frequency, hospital admissions, and emergency department presentations.
Results:
One hundred forty-nine carers enrolled in the study. The intervention group reported increased mental-health-related QoL points of 12.0 (p < 0.001), self-efficacy points of 14.8 to 18.5 (p < 0.001), social support points of 0.25 (p < 0.028), reduced reactions to behavior points of -0.25 (p < 0.028), and a 60% lower hospital admission rate (p = 0.045) at 12 months compared with the usual care group.
Discussion:
The virtual iSupport Program showed benefits for both carers and PLWD in a 12-month intervention.
Trial Registration:
Australia New Zealand Clinical Trials Registry: ACTRN12622000199718.
Highlights:
A total of 149 dementia carers participated in the virtual iSupport program intervention trial. The program included skills training, peer support, and access to care services. The program improved mental health-related quality of life for carers. The program improved self-efficacy, social support, and reduced distress for carers. The program reduced 60% hospital admission rate for people with dementia.
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