<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732021000200317</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.2002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ensayo controlado aleatorizado de un programa multicomponente para cuidadores informales de pacientes con Alzheimer]]></article-title>
<article-title xml:lang="en"><![CDATA[Randomized controlled trial of a multicomponent program for informal caregivers of Alzheimer's patients]]></article-title>
<article-title xml:lang="pt"><![CDATA[Ensaio controlado randomizado de um programa multicomponente para cuidadores informais de pacientes com Alzheimer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerquera Córdoba]]></surname>
<given-names><![CDATA[Ara Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tiga Loza]]></surname>
<given-names><![CDATA[Diana Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Anaya]]></surname>
<given-names><![CDATA[William Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dugarte Peña]]></surname>
<given-names><![CDATA[Edwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaimes Espíndola]]></surname>
<given-names><![CDATA[Lisseth Rocío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plata Osma]]></surname>
<given-names><![CDATA[Leidy Johanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pontificia Bolivariana Seccional Bucaramanga Escuela de Ciencias Sociales ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Manuela Beltrán Seccional Bucaramanga  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Manuela Beltrán Seccional Bucaramanga Programa de Fonoaudiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Pontificia Bolivariana Seccional Bucaramanga Escuela de Ingenierías ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Manuela Beltrán Seccional Bucaramanga  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Pontificia Bolivariana Seccional Bucaramanga Facultad de Psicología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>12</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732021000200317&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732021000200317&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732021000200317&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo Evaluar la eficacia del programa multicomponente más respiro en la sobrecarga y el apoyo social de cuidadores informales de pacientes con Trastorno Neurocognitivo Mayor tipo Alzheimer.  Materiales y Método Ensayo controlado aleatorizado en paralelo en 58 cuidadores aleatorizados a uno de los tres grupos de comparación: Grupo de intervención multicomponente más respiro (n=19), grupo de sólo respiro (n=19) y grupo control (n=20), se evaluaron la sobrecarga y el apoyo social mediante las escalas de Zarit y Medical Outcomes Study, en línea de base, post intervención a 5 meses y un seguimiento a 10 meses. La evaluación del efecto se realizó mediante un modelo de efectos mixtos de covarianza no estructurada.  Resultados Los cuidadores fueron en su mayoría los hijos de los pacientes (72%), mujeres (76%) con una edad media de 55.1(12) años y con educación inferior a secundaria (58%). Se encontró una reducción significativa de la sobrecarga de 13.1 (IC95% -19.3:6.9) puntos en el grupo multicomponente más respiro, con un sostenimiento del efecto a 10 meses (p&lt;0.001). Se encontró un incremento, aunque no significativa del apoyo social post intervención de 10.8 (-1,7; 23,4) para el grupo multicomponente y respiro, sin embargo, el efecto se incrementó en el tiempo logrando un aumento a 13,2 puntos (p=0.039) a los 10 meses de seguimiento. No se observó un efecto significativo en la sobrecarga ni apoyo social para el grupo que solo recibió respiro.  Conclusiones El programa multicomponente más respiro mostró tener un efecto benéfico en la sobrecarga y apoyo social de cuidadores de Alzheimer.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective To evaluate the efficiency of a multicomponent plus respite care program on care burden and social support for informal caregivers of patients with major neurocognitive disorders associated with Alzheimer's disease.  Materials and Methods A parallel randomized controlled trial was conducted with 58 caregivers who were randomly allocated to one of the following three comparison groups: a multicomponent plus respite care group (n=19), a respite care group (n=19), and a control group (n=20). Burden and social support were assessed by using the Zarit Scale and Medical Outcomes Study at baseline with a post-intervention at 5 months and follow-up at 10 months. The assessment of effects was measured by using a mixed-effects model with an unstructured covariance matrix.  Results Caregivers were mostly patients' children (72%), female (76%) having a mean age of 55.1 years (12) and less than secondary education (58%). A significant reduction of 13.1% (95%CI -19.3:6.9) in caregiver burden was found in the multicomponent plus respite care group, showing a sustained effect at 10 months (p&lt;0.001). A non-significant increase of 10.8% (-1.7;23.4) in post-intervention social support was found in the multicomponent plus respite care group. However, the effects increased over time achieving an increase at 13.2% (p=0.039) at the 10-month follow-up. No significant effects on caregiver burden or social support were reported for the respite care group.  Conclusions The multicomponent plus respite care group demonstrated beneficial effects on care burden and social support for Alzheimer's caregivers.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo Avaliar a eficácia do programa multicomponente mais alívio na sobrecarga e suporte social de cuidadores informais de pacientes com Transtorno Neurocognitivo Maior do tipo Alzheimer.  Método Ensaio controlado randomizado em paralelo em 58 cuidadores randomizados para um dos três grupos de comparação: Grupo de intervenção multicomponente mais alívio (n=19), grupo apenas alívio (n=19) e grupo de controle (n=20), foram avaliados a sobrecarga e suporte social usando as escalas de Zarit e Medical Outcomes Study, linha de base, pós-intervenção em 5 meses e um acompanhamento de 10 meses. A avaliação do efeito foi realizada usando um modelo de efeitos mistos de covariância não estruturada.  Resultados Os cuidadores eram, em sua maioria, filhos dos pacientes (72%), mulheres (76%) com uma de idade de média de 55,1 (12) anos e com escolaridade inferior ao ensino médio (58%). Foi encontrada uma redução significativa na sobrecarga de 13,1 (IC95% -19,3:6,9) pontos no grupo multicomponente mais alívio, com uma sustentação de efeito em 10 meses (p&lt;0,001). Foi encontrado um aumento, embora não significativo, no suporte social pós-intervenção de 10,8 (-1,7; 23,4) para o grupo multicomponente e alívio, no entanto, o efeito aumentou ao longo do tempo, alcançando um aumento para 13,2 pontos (p=0,039) aos 10 meses de acompanhamento. Nenhum efeito significativo na sobrecarga ou suporte social foi observado para o grupo que apenas recebeu alívio.  Conclusões O programa de multicomponente mais alívio mostrou ter um efeito benéfico na sobrecarga e no suporte social dos cuidadores de Alzheimer.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cuidador Familiar]]></kwd>
<kwd lng="es"><![CDATA[Demencia]]></kwd>
<kwd lng="es"><![CDATA[Apoyo Social]]></kwd>
<kwd lng="es"><![CDATA[Sobrecarga]]></kwd>
<kwd lng="es"><![CDATA[Programa Multicomponente]]></kwd>
<kwd lng="en"><![CDATA[Family Caregiver]]></kwd>
<kwd lng="en"><![CDATA[Dementia]]></kwd>
<kwd lng="en"><![CDATA[Social Support]]></kwd>
<kwd lng="en"><![CDATA[Overload]]></kwd>
<kwd lng="en"><![CDATA[Multi-Component Program]]></kwd>
<kwd lng="pt"><![CDATA[Cuidador Familiar]]></kwd>
<kwd lng="pt"><![CDATA[Demência]]></kwd>
<kwd lng="pt"><![CDATA[Suporte Social]]></kwd>
<kwd lng="pt"><![CDATA[Sobrecarga]]></kwd>
<kwd lng="pt"><![CDATA[Programa Multicomponente]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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