Figure 1 is a flowchart of the study. Study attrition was low, with 16 dyads (7.6%) unavailable for follow-up at 3 months. The total study attrition at 12 months was 49 dyads (23.3%). This included 17 deaths (2 in the HE group, 7 in the GE group, and 8 in the CG) and 18 admissions to nursing homes (6 in the HE group, 4 in the GE group, and 8 in the CG). The other reasons for missed visits were the patient’s impaired health or the spousal caregiver’s death. Seven