Louis D. Burgio

University of Alabama

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Rebecca S. Allen

University of Alabama

Michelle S. Bourgeois

University of South Florida

Richard Schulz

University of Alberta

Laura N. Gitlin

Drexel University

Bernard T. Engel

University of Calgary

David L. Roth

Johns Hopkins University

Fei Sun

Michigan State University

J. Michael Hardin

Samford University

Daniel W. Durkin

New York Medical College

Matthew J. Wynn

University of California, San Francisco

Cooperative Institutions

University of Alabama

Connecticut State Department of Education

University of Pittsburgh

University of Alabama at Birmingham

Johns Hopkins University

Institute on Aging

National Institute on Aging

University of Michigan–Ann Arbor

Johns Hopkins Medicine

Geriatric Research Education and Clinical Center

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Interventions for in-home caregivers: A review of research 1990 to present.

Joel Kennet Louis D. Burgio Richard Schulz

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Citations (55)

STIMULUS VARIATION AS A MEANS OF ENHANCING PUNISHMENT EFFECTS

Journal of Applied Behavior Analysis (1988)

Marjorie H. Charlop Louis D. Burgio Brian A. Iwata Martin T. Ivancic

We compared the effects of varied punishers (presentation of one of three available punishers) with the single presentation of one of the punishers on the occurrence of inappropriate behaviors with three developmentally delayed children. Two children were presented with varied‐punisher conditions in which either overcorrection, time‐out, or a verbal “no” was presented contingent upon inappropiate behavior. A loud noise was substituted for overcorrection for a third child. Results of the multielement with reversal design indicated that both punishment formats produced a decrease in the target behaviors with the varied‐punisher format slightly more effective than the single presentations of the punishers. The results suggest the use of varied punishers as a means of enhancing the effects of less intrusive procedures to effectively reduce inappropriate behaviors.

Punishment (psychology)

Stimulus (psychology)

10.1901/jaba.1988.21-89

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Citations (31)

Interventions for the Behavioral Complications of Alzheimer's Disease: Behavioral Approaches

International Psychogeriatrics (1996)

Louis D. Burgio

A majority of patients with dementia of the Alzheimer type (DAT) display behavioral disturbances of varying degrees of severity. These disturbances include both behavioral excesses and deficits. The behavioral excesses reported in this population include physical aggression, wandering, and disruptive vocalization, to name but a few (Burgio et al., 1988b). Disruptive behaviors have been reported in at least 50% of individuals diagnosed with DAT (Cummings et al., 1987). Research has shown that individuals with dementia frequently display severe deficits in performing activities of daily living such as feeding, bathing, and dressing (Burgio et al., 1988b). Although these deficits are, in part, a natural result of the dementing illness, it has long been recognized by gerontologists that many demented individuals display “excess deficits” (Brody et al., 1971), i.e., symptoms of functional incapacity greater than those warranted by the actual organic impairment.

Bathing

10.1017/s1041610296003079

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Citations (58)

Racial Differences in Perceived Burden of Rural Dementia Caregivers

Journal of Applied Gerontology (2009)

Fei Sun Jordan I. Kosberg James D. Leeper Allan V. Kaufman Louis D. Burgio

This study explores whether religiosity explains racial differences in caregiving burden for a rural sample of dementia family caregivers. Data are from a probability sample of 74 non-Hispanic White and 67 African American dementia caregivers in rural Alabama. SPSS macros for estimating indirect effects in multiple mediator models are used to test the mediation effects of religiosity. White caregivers report higher burden, are less likely to use religious coping, and less likely to engage in organized religion than do African American caregivers. Church attendance is found to significantly ( B = —.57, p < .05) mediate the racial differences on caregiving burden ( R 2 = .07). Religious involvement in general, and church attendance in particular, seem to provide both spiritual and social psychological benefits to dementia caregivers. Thus, supplementing formal services with the services provided by religious organizations may be important in rural areas where formal resources are scarce.

Attendance

Family Caregivers

Caregiver Burden

Church attendance

10.1177/0733464809343205

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Citations (40)

Caregiver Appraisals of Functional Dependence in Individuals With Dementia and Associated Caregiver Upset

Journal of Aging and Health (2005)

Laura N. Gitlin David L. Roth Louis D. Burgio David Loewenstein Laraine Winter

To evaluate psychometric properties and response patterns of the Care-giver Assessment of Function and Upset (CAFU), a 15-item multidimensional measure of dependence in dementia patients and caregiver reaction.640 families were administered the CAFU (53% White, 43% African American, and 4% mixed race and ethnicity). We created a random split of the sample and conducted exploratory factor analyses on Sample 1 and confirmatory factor analyses on Sample 2. Convergent and discriminant validity were evaluated using Spearman rank correlation coefficients.A two-factor structure for functional items was derived, and excellent factorial validity was obtained. Convergent and discriminant validity were obtained for function and upset measures. Differential response patterns for dependence and caregiver upset were found for caregiver race, relationship, and care recipient gender but not for caregiver gender.The CAFU is easily administered, reliable, and valid for evaluating appraisals of dependencies and upsetting care areas.

Discriminant validity

Convergent validity

Upset

10.1177/0898264304274184

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Citations (73)

Bladder and Bowel Incontinence

Springer eBooks (1989)

Louis D. Burgio Kathryn L. Burgio

Urge incontinence

Fecal Incontinence

Affect

10.1007/978-1-4613-8844-9_4

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Citations (2)

The four-factor model of depressive symptoms in dementia caregivers: A structural equation model of ethnic differences.

Psychology and Aging (2008)

David L. Roth Michelle L. Ackerman Ozioma C. Okonkwo Louis D. Burgio

Previous studies have suggested that 4 latent constructs (depressed affect, well-being, interpersonal problems, somatic symptoms) underlie the item responses on the Center for Epidemiological Studies Depression (CES-D) Scale. This instrument has been widely used in dementia caregiving research, but the fit of this multifactor model and the explanatory contributions of multifactor models have not been sufficiently examined for caregiving samples. The authors subjected CES-D data (N = 1,183) from the initial Resources for Enhancing Alzheimer's Caregiver Health Study to confirmatory factor analysis methods and found that the 4-factor model provided excellent fit to the observed data. Invariance analyses suggested only minimal item-loading differences across race subgroups and supported the validity of race comparisons on the latent factors. Significant race differences were found on 3 of the 4 latent factors both before and after controlling for demographic covariates. African Americans reported less depressed affect and better well-being than White caregivers, who reported better well-being and fewer interpersonal problems than Hispanic caregivers. These findings clarify and extend previous studies of race differences in depression among diverse samples of dementia caregivers.

Affect

Depression

Measurement Invariance

10.1037/a0013287

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Citations (90)

Application of Psychosocial Interventions for Treating Behavioral and Psychological Symptoms of Dementia

International Psychogeriatrics (2000)

Louis D. Burgio Susan E. Fisher

We performed a selective review of the research literature on psychosocial interventions for behavioral and psychological symptoms of dementia (BPSD). The review is limited to: (a) only papers published since 1996; (b) studies that target behavioral excess; and (c) studies with some measure of experimental control.

10.1017/s1041610200007274

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Citations (24)

Resources for Enhancing Alzheimer's Caregiver Health (REACH): Overview, Site-Specific Outcomes, and Future Directions

The Gerontologist (2003)

Richard Schulz Louis D. Burgio Robert Burns Carl Eisdorfer Dolores Gallagher–Thompson

Established in 1995, Resources for Enhancing Alzheimer’s Caregiver Health (REACH) is a unique, multisite research program sponsored by the National Institute on Aging and the National Institute on Nursing Research. The primary purpose of REACH is to carry out social and behavioral research on interventions designed to enhance family caregiving for Alzheimer’s disease (AD) and related disorders. Specifically, REACH has two goals: to test the effectiveness of multiple different interventions and to evaluate the pooled effect of REACH interventions overall. REACH developed from a National Institutes of Health initiative that acknowledged the well-documented burdens associated with family caregiving as well as the existence of promising family caregiver interventions reported in the literature.

Family Caregivers

Aging in Place

Caregiver Burden

10.1093/geront/43.4.514

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Citations (243)

List of Contributors

Elsevier eBooks (2010)

Michelle Sondra Ballan Steve Balsis Frederic C. Blow Michelle Braun Kathryn Brogan

10.1016/b978-0-12-374961-1.10028-4

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Citations (0)