{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T09:45:24Z","timestamp":1782812724034,"version":"3.54.5"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Mid-America Regional Council"},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["K01 MD014177"],"award-info":[{"award-number":["K01 MD014177"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Few dementia caregiver support programs have been tested in real-world settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We tested the feasibility and pre- post-program outcome changes (e.g., preparedness for caregiving) of the first short message service texting program to support informal caregivers of people with dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed observational data from 147 caregivers of people with dementia participating in a service program. This program was a remote, asynchronous, and bidirectional texting program focused on dementia education, skill-building, and community resources that lasted six months. We measured outcomes via surveys and metrics of program usage over six months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two caregivers experienced technical issues during the program, 12.9% unsubscribed, and 68.8% read most texts thoroughly. Most caregivers (64.3\u201375.9%) reported the two highest levels of acceptability in four four-level items ranging from not at all to a lot\/extremely. Levels of preparedness for caregiving and unmet needs improved from pre- to post-program testing in the full sample. We only observed pre- to post-program changes in depressive symptoms and strain when restricting the sample to those with worse baseline levels of those outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Acceptability and pre- to post-program changes in this real-world implementation of a texting caregiver support program were encouraging, though smaller than those observed in efficacy research trials, consistent with findings from other implemented caregiver programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261450936","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T07:10:17Z","timestamp":1779865817000},"page":"405-415","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility, acceptability, and pre- post-program outcome changes of the real-world implementation of an informal caregiver support program via text message"],"prefix":"10.1177","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1013-7847","authenticated-orcid":false,"given":"Jaime","family":"Perales-Puchalt","sequence":"first","affiliation":[{"name":"Neurology, University of Kansas Alzheimer's Disease Center, Fairway, KS, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Baker","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binod","family":"Wagle","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Godar","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayra","family":"Nieto Gomez","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayden","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betty","family":"Drees","sequence":"additional","affiliation":[{"name":"University of Missouri-Kansas City School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Fracach\u00e1n-Cabrera","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Ram\u00edrez-Mantilla","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","article-title":"2024 Alzheimer's disease facts and figures","volume":"20","author":"Alzheimer's Association","year":"2024","unstructured":"Alzheimer's Association. 2024 Alzheimer's disease facts and figures. 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