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No study has examined the impact of individual BPSD on dependence, a clinically important feature that reflects changing patient needs and their effect on caregivers.
Some previous studies have demonstrated that respite care has a positive effect on caregivers.5 It is possible that the influence may be greater for caregivers engaged in high-intensity care, while day care appears to be more effective for carers in paid employment (i.e., who are engaged in less intensive care) [4].
In some cases, that stress has a negative effect on caregivers' performance of their duties.
Measurement of the effect on caregivers is an under-researched area.
Based on previous research we hypothesize that the occurrence of stroke and cardiac diseases may have a detrimental effect on caregivers' mental health.
The model will include a dummy variable for study group assignment as well as the baseline value of the ISSB scores, and the parameter estimate of the dummy variable will estimate the intervention effect on caregivers at 10 weeks.
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An intervention may have no effect on caregiver outcomes yet still affect caregiving activities.
In addition, narrative synthesis showed evidence of small but statistically significant beneficial effects of home palliative care services compared to usual care on reducing symptom burden for patients (three trials, two of high quality, and one CBA with 2107 participants) and of no effect on caregiver grief (three RCTs, two of high quality, and one CBA with 2113 caregivers).
There was conflicting evidence about the effect of home palliative care on caregiver psychological well-being (five trials and one CBA, Table 28) and inconclusive evidence about the effect on caregiver social well-being (three trials, Table 29).
A similar approach will be used to test the intervention effect on caregiver burden and distress.
It also has a beneficial effect on caregiver burden and may just be the first step towards covering the many needs of these women.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com