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A problem-solving intervention for hospice family caregivers: A randomized clinical trial

Journal of the American Geriatrics Society Apr 15, 2019

Demiris G, et al. - In this 4-year trial involving 514 caregivers, researchers determined how caregiver quality of life and anxiety are influenced by the implementation of a problem-solving intervention (Problem-Solving Intervention to Support Caregivers in End-of-Life Care Settings [PISCES]) to support hospice caregivers. They randomized caregivers to three groups: the attention control (AC) group, which included 172 caregivers receiving standard care with added “friendly calls”; a group comprising 171 caregivers receiving standard care and PISCES delivered face to face (F2F); and another group including 171 caregivers receiving standard care and PISCES delivered via videoconferencing (VC). Post-intervention reduced anxiety and improved social, financial, and physical quality of life were observed among caregivers in the F2F condition vs AC. Caregivers in the VC condition vs AC condition showed no differences. Overall, improved caregiver outcomes were achieved with the PISCES intervention and it was effective when delivered in person.

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