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Journal of Telemedicine and Telecare

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J Telemed Telecare 2008;14:443-447
doi:10.1258/jtt.2008.080608
© 2008 Royal Society of Medicine Press

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RESEARCH

Original articles

Care coordination assisted by technology for multiethnic caregivers of persons with dementia: a pilot clinical demonstration project on caregiver burden and depression

Stuti Dang * {dagger} {ddagger} , Nilber Remon §, Julia Harris *, Julie Malphurs * ** {dagger}{dagger}, Lauran Sandals * {dagger} {ddagger}, Angeles Lozada Cabrera * and Nicole Nedd *


* Geriatric Research, Education, and Clinical Center and Research Service, VA Healthcare System, Miami; {dagger} Geriatrics Institute, University of Miami Miller School of Medicine, Miami; {ddagger} Department of Medicine, University of Miami Miller School of Medicine, Miami; § University of Miami, Miami; ** Psychiatry Service, VA Healthcare System, Miami; {dagger}{dagger} Department of Psychiatry, University of Miami Miller School of Medicine, Miami, Florida, USA

Correspondence: Dr Stuti Dang, VAHCS GRECC (11GRC), 1201 NW 16 St, Miami, FL 33125, USA (Fax: +1 305 575 3365; Email: stuti.dang{at}va.gov)

We evaluated a care-coordination project assisted by a screen-phone to support and educate caregivers. A total of 113 caregivers of home-dwelling veterans with dementia were recruited to the study: 72 were white, 32 were African American and nine were Hispanic. Caregivers were assessed for burden, depression, coping, quality of life, knowledge and satisfaction. None of the outcome measures changed significantly after 12 months. Forty care-recipient and caregiver dyads responded to the 12-month telephone satisfaction survey. The respondents were more satisfied with the care-coordination (90%) aspect of the programme than the education (77%) or the monitoring (50%). The pilot project suggests that care coordination aided by screen-phones may be a useful model for caregiver support in a managed-care setting. A systematic study is now required.


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