Effect of a single-session mindfulness-based intervention for reducing stress in family caregivers of people with dementia: study protocol for a randomized controlled trial.

IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Patrick Pui Kin Kor, Kee Lee Chou, Steven H Zarit, Julieta Galante, Wai Chi Chan, Alex Pak Lik Tsang, Daniel Lok Lam Lai, Daphne Sze Ki Cheung, Ken Hok Man Ho, Justina Yat Wa Liu
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Abstract

Background: Caregiver stress can pose serious health and psychological concerns, highlighting the importance of timely interventions for family caregivers of people with dementia. Single-session mindfulness-based interventions could be a promising yet under-researched approach to enhancing their mental well-being within their unpredictable, time-constrained contexts. This trial will evaluate the effectiveness and feasibility of a blended mindfulness-based intervention consisting of a single session and app-based follow-up in reducing caregiver stress.

Methods/design: The study is a single-blinded randomized controlled trial with two arms (intervention versus an education session on dementia care) and assessments at baseline, 8 weeks, and 6 months. The eligibility criteria include: family caregivers aged 18 years or older; providing care for an individual with a confirmed medical diagnosis of dementia for at least 3 months prior to recruitment, with a minimum of 4 hours of daily contact; and exhibiting a high level of caregiver stress. The intervention comprises a 90-minute group-based session with various mindfulness practices and psychoeducation. Participants will receive a self-practice toolkit to guide their practice over a duration of 8 weeks. Sharing activities will be implemented through an online social media platform. The primary outcome is perceived caregiving stress. The secondary outcomes include depressive symptoms, positive aspects of caregiving, dyadic relationship, trait mindfulness, and neuropsychiatric symptoms of care recipients. The feasibility outcomes include eligibility and enrollment, attendance, adherence to self-practice, and retention, assessed using mixed methods.

Discussion: The study will contribute to the evidence base by investigating whether a single-session mindfulness intervention is effective and feasible for reducing caregiver stress among family caregivers of people with dementia.

Trial registration: ClinicalTrials.gov, NCT06346223. Registered on April 3, 2024.

基于正念的单次干预对减轻痴呆症患者家庭照顾者压力的效果:随机对照试验研究方案。
背景:照顾者的压力可能会带来严重的健康和心理问题,这凸显了对痴呆症患者的家庭照顾者进行及时干预的重要性。基于正念的单次干预可能是一种很有前景但研究不足的方法,可以在不可预测、时间有限的情况下提高他们的心理健康水平。本试验将评估基于正念的混合干预的有效性和可行性,该干预包括单次治疗和基于应用程序的后续治疗,以减轻护理人员的压力:该研究是一项单盲随机对照试验,分为两组(干预与痴呆症护理教育课程),分别在基线、8 周和 6 个月进行评估。资格标准包括:年龄在18岁或18岁以上的家庭护理者;在招募前至少3个月内为确诊为痴呆症的患者提供护理,每天至少接触4小时;表现出高度的护理压力。干预措施包括 90 分钟的小组课程,其中包括各种正念练习和心理教育。参与者将收到一个自我练习工具包,用于指导他们进行为期 8 周的练习。分享活动将通过在线社交媒体平台进行。主要结果是感知到的护理压力。次要结果包括抑郁症状、护理的积极方面、夫妻关系、正念特质和护理对象的神经精神症状。可行性结果包括资格和注册、出勤、坚持自我练习和保留,采用混合方法进行评估:讨论:本研究将通过调查单次正念干预对于减轻痴呆症患者家庭照顾者的压力是否有效和可行,为证据基础做出贡献:试验注册:ClinicalTrials.gov,NCT06346223。注册日期:2024 年 4 月 3 日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Psychology
BMC Psychology Psychology-Psychology (all)
CiteScore
3.90
自引率
2.80%
发文量
265
审稿时长
24 weeks
期刊介绍: BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.
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