Table 2.

Intervention and Adaptation

Session	Element	Content	Adaptations/Revisions
1	Introduction Education about dementia Effects of caregiving stress Signal Breath activity	• Introduce participants and staff • Introduce program purpose and timeline • Background on dementia and Alzheimer’s Disease • Discuss effects of stress and stress-reduction techniques • Introduce Signal Breath technique	• Include caregiver notebook with specific problem behaviors and strategies to cope • Obtain input on order of classes
2	Debrief Behavior problems associated with dementia Community Resources Stages of Alzheimer’s disease Signal Breath activity	• Participants discuss progress/changes since last session • Discuss behavior problems among participants • Solutions and strategies to minimize behavior/issue • Respite care options • Review stages of Alzheimer’s Disease and strategies for each stage • Participants practice signal breath exercise	• Information on community resources was moved from Session 4 to 2 • Add more education on dementia
3	Debrief Culture and dementia Stress Management Seeking formal and informal support Tai Chi or Stretching Exercise	• Participants discuss progress/changes since last session • Discuss acculturation and how Vietnamese cultural beliefs can influence participants’ understanding of dementia • Discuss physical, psychological, and social effects of stress • Identify family members, friends, social services, or support groups for emotional support and assistance with caregiving • Introduce Tai Chi or stretching exercise	• Add more education on dementia • Replace Tai Chi with breathing meditation in this and all subsequent classes
4	Debrief Pleasant events for care recipient Pleasant activities for caregivers Tai Chi or Stretching exercise	• Participants discuss progress/changes since last session • Identify activities care recipients enjoy doing • Identify activities participants enjoy doing and managing self-care • Participants practice Tai Chi or stretching exercise
5	Navigating care/healthcare decision	• Communicate with healthcare provider about major problems/concerns • Discuss legal issues (e.g. advanced directives, power of attorney, etc.)
	Tai Chi or Breathing Exercise Review Sessions	• Participants practice Tai Chi or breathing exercise • Review material from previous sessions
6	Support Group Tai Chi or Breathing Exercise	• Arrange support group for participants after the program’s end • Participants practice Tai Chi or stretching exercise