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Table 2 Addressed domains of the DE-REACH intervention and exemplary assignment of the risk appraisal and treatment strategies (from Heinrich [16])

From: Individualized support for informal caregivers of people with dementia – effectiveness of the German adaptation of REACH II

Domain

Session

Examples of Risk Appraisal

Examples of Treatment Strategies

Security

2

- dangerous objects are at home of person with dementia

- wandering of the person with dementia

- possibility of leaving the relative with dementia alone at home

- removal and locking away of dangerous objects

- using opportunities for identification

- designing the living space

- determining measurements (e.g. installing smoke-detectors)

- eliminate root causes for wandering

Social support

1–2

- support and help of friends

- exchange in carer support groups

- possibility of care break

- explanation of the importance of social support

- referral to support groups located nearby

- application of rehabilitation measures

- counselling to respite services

Challenging behaviors

3–10

- lack of knowledge of symptoms of dementia

- experience of burden in coping with activities of daily life or physical care of the relative with dementia, respectively

- providing information about dementias

- observation and analysis of behaviours and working out a problem-solving process

- training of various techniques, role playing or demonstrations

Emotional well-being

2–10

- experience of irritability, anger, frustration and stress states

- teaching in mood management

- learning and training of relaxation techniques

- cognitive restructuring

Self-care and preventive Health Behaviors

2–3

- sleeping problems

- appraisal of physical health

- meeting medical appointments and preventive measures

- teaching to cope with physical complaints

- instructions on physical activity

- medical appointments based on the ’medical book’

- self-monitoring and overview of existing diseases, drugs and examinations