A lack of knowledge has been linked to increased stress for caregivers
. Educational programs are an inexpensive intervention with potential
to improve caregivers' provision of care and to reduce the associated
stress. The present description is of a Huntington's disease caregiver
's participation in a training program for at-home care of a physicall
y dependent, demented person. Care knowledge was deficient prior to pa
rticipation and increased with participation. Collaterally, confidence
in providing assistance increased and stressfulness of care fell. Whi
le increased knowledge remained at follow-up, confidence and stressful
ness returned to pre-intervention levels. Measures of affect mirrored
the pattern of change in confidence and stressfulness. This suggests t
hat education increased knowledge but this gain was not associated wit
h longer term improvement in the caregiver's affect, stressfulness of
continuing to provide care, and confidence in providing care. Implicat
ions for such programs are discussed.