DEVELOPMENT OF A NOVEL MEASURE OF INFORMAL CAREGIVER BURNOUT Nicholas James, and Daniel Paulson, University of Central Florida, Orlando, Florida, United States Burnout is a concept which has permutated most settings over recent decades. However, due to its roots in occupational research there exists both theoretical and practical gaps to consider when measuring burnout within non-occupational settings, such as informal caregiving. This study developed and validated a measure of burnout for informal caregivers of individuals with Alzheimer’s disease and dementia, the Informal Caregiver Burnout Inventory (ICBI). Theoretical and methodological implications are discussed. Development included a 10-step method for scale development proposed by Boateng and colleagues (2018). Expert feedback on item ap- propriateness and clarity was collected from 33 caregivers or related professional experts and used to modify the original item-bank. Following this, a national sample of 255 current caregivers was gathered. This survey included the ICBI, two gold-standard measures of burnout, and measures of depres- sion and caregiver burden. Item reduction analysis was used to remove items with poor item-total and inter-domain cor- relations. The ICBI shows good item-agreement (Cronbach’s alpha= .88) and principles of Item Response Theory were used to measure item- and scale-wide information captured. Convergent validity was then compared against other meas- ures of burnout using Bland-Altman Plots. Divergent validity was similarly assessed by comparing the ICBI to a depression questionnaire. Finally, the predictive validity of each burnout measure was compared to their association with burden and depression. This study suggests that the ICBI may perform adequately as an index of caregiver burnout, and thus is ad- dress a methodological and clinical gap in current efforts to understand the dynamics of caregiving. IMPLEMENTATION OF THE FL-REACH CAREGIVER INTERVENTION: TRANSLATION IN AN OUTPATIENT MEMORY DISORDERS CLINIC Tracy Wharton, 1 Daniel Paulson, 1 Nicholas James, 1 Rosemary Laird, 2 Barbara Mendez Campos, 2 and Gayle Shepherd, 2 1. University of Central Florida, Orlando, Florida, United States, 2. Advent Health, Orlando, Florida, United States The REACH II intervention is the gold-standard in de- mentia caregiver interventions. The FL-REACH translation is a novel adaptation offered in both English and Spanish to an outpatient memory disorder clinic at an urban, Southeastern healthcare system. This pre-post feasibility trial involves 6 sessions (4 in person at the clinic and 2 by phone) with the identifed caregiver and any other family who wish to attend, which may also include the person living with dementia. The program is focused on early stage post-diagnosis, and is structured around building rapport, empowering fam- ilies to build support networks, and teaching skills and knowledge-based material. Twenty four of the 60-partici- pant target sample have consented to participate in this ongoing study. Change on the Preparedness for Caregiving Scale is signifcant (t=3.03, p=.001, Cohen’s d=2.49). Means for the Zarit Burden 12-item scale went from 24.5 to 13.17 (t=-6.65, p=.03, Cohen’s d=3.53). Access by care recipients to dangerous objects decreased (67% to 14%). Confdence in ability to use behavioral strategies in caregiving in- creased from 8% at baseline to 72% at study completion. Satisfaction surveys indicate high satisfaction with all elem- ents of the intervention. These outcomes are consistent with existing data regarding utility of the REACH framework and refect feasibility of delivering an adapted program model in an outpatient clinic environment. A future randomized con- trolled trial should examine whether early intervention and training reduces utilization of emergency care over time and improves quality of life for families. SUICIDAL IDEATION IN DEMENTIA FAMILY CAREGIVERS Frank Puga, 1 Danny Wang, 2 and Carolyn Pickering, 2 1. The University of Alabama at Birmingham, Birmingham, Alabama, United States, 2. University of Alabama at Birmingham, Birmingham, Alabama, United States Family caregivers of individuals living with Alzheimer’s disease or related dementias (ADRDs) are exposed to unique stressors that put them at risk for depression and suicidal ideation. To date, little is known about contextual factors sur- rounding suicidal ideation among ADRD family caregivers. We investigated individual caregiver characteristics (gender, age, relationship to care-recipient, history of depression and anxiety) and daily environmental stressors (behavioral symptoms of dementias; BSDs) associated with daily suicidal ideation using a micro-longitudinal design and ecological momentary assessment methods. Data were collected from a national sample of family caregivers (N=51) who com- pleted daily diaries over 21 days (n=911). Suicidal ideation was endorsed on forty-seven days (5.16%) during the sam- pling period, with 11 participants (22%) endorsing suicidal ideation at least once. Suicidal ideation did not differ based on the caregiver’s age and relationship to the care-recipient (spouse or child). Participants with a history of mild depres- sion and anxiety endorsed more days with suicidal ideation. Finally, family caregivers were more likely to endorse sui- cidal ideation on a day when more than one type of BSD was reported (OR = 1.25, 95% CI: 1.04-1.50, p = 0.018) and when BSDs were perceived as more bothersome than average (OR = 1.12, 95% CI: 1.05-1.19, p < 0.001). In this investiga- tion, we identifed descriptive and predictive factors that will inform the development of targeted interventions for ADRD caregivers at high risk of suicidal ideation. SESSION 2994 (PAPER) CHRONIC DISEASE MANAGEMENT AND MODELS OF CARE CHARACTERISTICS OF OLDER VETERANS ENROLLED IN THE ILLINOIS MEDICAL CANNABIS PATIENT PROGRAM Julie Bobitt, 1 and Hyojung Kang, 2 1. University of Illinois at Urbana-Champaign, Champaign, Illinois, United States, 2. University of Illinois - Urbana/Champaign, Champaign, Illinois, United States Veterans often struggle with disabling conditions such as chronic pain and post-traumatic stress disorder (PTSD) that tend to worsen as they age. Common treatments for these conditions include the use of opioids and benzodiazepines, GSA 2020 Annual Scientific Meeting Innovation in Aging, 2020, Vol. 4, No. S1 477 Downloaded from https://academic.oup.com/innovateage/article/4/Supplement_1/477/6038823 by guest on 21 February 2022