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.