Psychoeducation versus psychoeducation integrated with yoga for family caregivers of people with Alzheimer's disease: a randomized clinical trial.

IF 3.7 2区社会学 Q1 GERONTOLOGY

European Journal of Ageing Pub Date : 2023-11-25 DOI:10.1007/s10433-023-00792-9

Edivaldo Lima de Araujo, Marcos Rojo Rodrigues, Elisa Harumi Kozasa, Shirley Silva Lacerda

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Abstract

We evaluate and compare the effectiveness of two psychoeducation programs on the burden and quality of life of family caregivers of people with Alzheimer's disease: one of psychoeducation alone and the other integrated with yoga. Forty-nine participants were randomly allocated to two groups, 25 to the psychoeducation integrated with yoga group (G1) and 24 to the psychoeducation group (G2). The programs took place online through Google Meet and consisted of eight weekly meetings, lasting 30 min for psychoeducation and 30 min for yoga. Participants were evaluated by the Burden Interview Scale (BI-Zarit), Quality of Life Scale in Alzheimer's Disease-Caregiver Version (CQOL-AD), Depression, Anxiety and Stress Scale (DASS-21), Mindfulness and Awareness Scale (MAAS) and a satisfaction survey. Both groups showed reduced overload according to the BI-Zarit scale (F₍₁₎ = 4.435, p = 0.041, η²_p = 0.086) and improvement in the domains of physical health (F₍₁₎ = 4.881, p = 0.032, η²_p = 0.094), memory (F₍₁₎ = 4.192, p = 0.046, η²_p = 0.082) and money (F₍₁₎ = 4.862, p = 0.032, η²_p = 0.094) in the CQOL-AD. We detected a significantly higher improvement of G1 in memory (F₍₁₎ = 4.192, p = 0.046 η²_p = 0.082), money (F₍₁₎ = 7.147, p = 0.010, η²_p = 0.132) and friends (F₍₁₎ = 4.828, p = 0.033, η²_p = 0.093). The G1 when compared to the G2 did not demonstrate significant effects of the BI-Zarit, in the total scores CQOL-AD, MAAS and DASS-21. The study showed that both psychoeducation alone and integrated with yoga reduced the burden of family caregivers of people with Alzheimer's disease, and that the integration of online yoga practice with psychoeducation potentiated the improvement only in some aspects of the quality of life and subjective perception of burden reduction.Clinical trial registration https://ensaiosclinicos.gov.br/ , identifier RBR-794593r, retrospectively registered.

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心理教育与阿兹海默症患者家庭照顾者的心理教育结合瑜伽:一项随机临床试验。

我们评估和比较两种心理教育方案对阿尔茨海默病患者家庭照顾者的负担和生活质量的有效性:一种是单独的心理教育，另一种是与瑜伽相结合的。49名参与者被随机分为两组，25人被分为心理教育与瑜伽结合组(G1)， 24人被分为心理教育组(G2)。这些课程通过Google Meet在线进行，包括每周8次会议，持续30分钟的心理教育和30分钟的瑜伽。采用负担访谈量表(BI-Zarit)、阿尔茨海默病护理者生活质量量表(CQOL-AD)、抑郁、焦虑和压力量表(DASS-21)、正念和意识量表(MAAS)和满意度调查对参与者进行评估。根据BI-Zarit量表(F(1) = 4.435, p = 0.041， η2p = 0.086)，两组在CQOL-AD的身体健康(F(1) = 4.881, p = 0.032， η2p = 0.094)，记忆(F(1) = 4.192, p = 0.046， η2p = 0.082)和金钱(F(1) = 4.862, p = 0.032， η2p = 0.094)领域均有所改善。我们发现G1在记忆(F(1) = 4.192, p = 0.046， η2p = 0.082)，金钱(F(1) = 7.147, p = 0.010， η2p = 0.132)和朋友(F(1) = 4.828, p = 0.033， η2p = 0.093)方面有显著提高。与G2相比，G1组在CQOL-AD、MAAS和DASS-21总分中没有显示出BI-Zarit的显著影响。研究表明，单独进行心理教育和与瑜伽相结合都能减轻阿尔茨海默病患者家庭照顾者的负担，而在线瑜伽练习与心理教育相结合只在生活质量和减轻负担的主观感知方面增强了改善。临床试验注册https://ensaiosclinicos.gov.br/，标识符RBR-794593r，回顾性注册。

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来源期刊

European Journal of Ageing GERONTOLOGY-

CiteScore

6.50

自引率

7.90%

发文量

期刊介绍： The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.