Effects of a virtual iSupport Program on carers and people with dementia

Abstract

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. Show more