Evidence map›Paper›PMID 29233097›Full record

Trial reportBMC geriatrics2017

Individualized support for informal caregivers of people with dementia - effectiveness of the German adaptation of REACH II.

Martin Berwig, Stephanie Heinrich, Jenny Spahlholz, Nina Hallensleben, Elmar Brähler, Hermann-Josef Gertz

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01690117 (German Adaptation of Resources to Enhance Alzheimer's Caregiver Health), which is not on this map. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01690117 nacompletednot on this map

German Adaptation of Resources to Enhance Alzheimer's Caregiver Health

TypeinterventionalSponsorUniversity of LeipzigRan2012 to 2015Enrolled92ConditionsDementia, Family CaregiverArmsGE-REACH-program
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. [How effective are non-pharmacological interventions for family caregivers? A systematic review with meta-analyses].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2025
    Pooled it
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  8. Trial
  9. Effects of a virtual iSupport Program on carers and people with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  10. Trial
  11. Burden and care time for dementia caregivers in the LIVE@Home.Path trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  12. The Effect of the "Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020
    Trial
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Martin BerwigClinic and Policlinic for Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany. Martin.Berwig@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0003-4322-9780
Stephanie HeinrichClinic and Policlinic for Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany.
Jenny SpahlholzDepartment of Rehabilitation Medicine, Medical Faculty, Martin Luther University of Halle-Wittenberg, Halle, Germany.
Nina HallenslebenDepartment of Medical Psychology and Medical Sociology, Medical Faculty, University of Leipzig, Leipzig, Germany.
Elmar BrählerDepartment of Medical Psychology and Medical Sociology, Medical Faculty, University of Leipzig, Leipzig, Germany.
Hermann-Josef GertzClinic and Policlinic for Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany.

Funding

Bundesministerium für Bildung und Forschung II A5-2512FSB552Bundesministerium für Gesundheit ZWDN-320-015
6 · The paper itself

Abstract

backgroundIndividualized, outreach and structured multicomponent interventions are a promising intervention approach to relieve the burden of informal caregivers of people with dementia. In this study, we adapted and evaluated a multicomponent intervention (Resources for Enhancing Alzheimer's Caregiver Health II, REACH II), which was developed in the USA, to the German health-care system. Therefore the project is called the German adaptation of REACH II (in German: Deutsche Adaptation der REACH II, DE-REACH).

methodsThe effectiveness of DE-REACH was examined in a randomized, controlled trial on 92 informal caregivers of people with dementia. The intervention comprised 12 individual two-weekly sessions (9 at home with the informal caregiver and 3 via telephone) and combined five modules. The reduction of the burden of the informal caregivers was chosen as the primary outcome.

resultsThe results showed a great stabilizing effect of the intervention on caregiver burden (effect size d = 0.91), that is, comparing pre- and post-measurements the burden decreased very slightly in the intervention group whereas it increased very strongly in the control group. After a three-month follow-up period this effect decreased from a great to a moderate effect. There were also improvements as a result of the intervention in somatization, health-related psychological quality of life and the reaction of the informal caregivers in response to challenging behaviors of the relative with dementia. Moreover, the frequency of challenging behaviors of the affected person itself was reduced in favor of the intervention.

conclusionThe findings of this study provide further evidence for the impact of multicomponent support interventions for informal caregivers of people with dementia. CLINICAL

trial registrationNCT01690117 . Registered September 17, 2012.

Indexed as

Adaptation, PsychologicalAgedAged, 80 and overCaregiversDelivery of Health CareDementiaFemaleFollow-Up StudiesGermanyHealth ResourcesHumansMaleMiddle AgedQuality of LifeTelephoneTreatment OutcomeBurdenDementiaInformal caregiverMulticomponent interventionREACH II

Identifiers

PMID29233097
PMCPMC5728045

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.