Tele-Mindfulness for Dementia's Family Caregivers: a Randomized Trial with a Usual Care Control Group.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Current Alzheimer research Pub Date : 2022-05-14 DOI:10.2174/1567205019666220514131015

Shadi Zarei, G. Lakhanpal, J. Sadavoy

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引用次数: 2

Abstract

BACKGROUND Caring for a family member with dementia is stressful and challenging. Family caregivers, as a vulnerable marginalized population and invisible backbone of the health care system, need accessible and effective interventions that are tailored to their particular needs. OBJECTIVES To evaluate the feasibility and effectiveness of a live online mindfulness-based cognitive therapy (tele-MBCT) intervention for family caregivers of individuals with dementia. METHOD Family caregivers were assigned to a tele-MBCT intervention or a usual care control group. Tele-MBCT participants attended eight weekly live online training and practiced mindfulness practices at home. All participants completed surveys at baseline, post-intervention, and 4-week follow-up. RESULTS 26 participants (age 60±13 years) were enrolled and randomized (14 into the intervention and 12 into the control group), and 92.3% completed the study. 88% of the participants were female, and 70% were caring for a parent for the mean of 5.12±2.88 years. 84% of the participants in the intervention group attended at least seven sessions and the average of daily practice was 23.58±45.71 minutes. All participants were satisfied with the intervention, and 88.8% were satisfied with the online delivery method. Participants in the intervention group showed Pre-Post improvement in self-compassion (t (11) = -2.49, p=0.03) and coping strategies (t (11) = 3.62, p=0.004) compared to the control group. CONCLUSION Tele-MBCT is a feasible intervention and may improve psychological outcomes and adaptive coping in family caregivers of individuals with dementia. A larger controlled trial is warranted.

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痴呆症家庭照顾者的远程正念:常规护理对照组的随机试验。

照顾患有痴呆症的家庭成员是一项压力和挑战。家庭照护者作为弱势边缘人群和卫生保健系统的无形支柱，需要针对其特殊需求提供可获得和有效的干预措施。目的评估在线正念认知疗法(远程- mbct)干预痴呆患者家庭护理人员的可行性和有效性。方法将家庭照顾者分为远程mbct干预组和常规护理对照组。远程mbct参与者每周参加8次实时在线培训，并在家练习正念练习。所有参与者在基线、干预后和4周随访时完成调查。结果共纳入26例患者(年龄60±13岁)，随机分组(干预组14例，对照组12例)，92.3%的患者完成了研究。88%的参与者为女性，70%的参与者照顾父母，平均为5.12±2.88年。干预组84%的参与者至少参加了7次练习，平均每天练习23.58±45.71分钟。所有参与者都对干预感到满意，88.8%的参与者对在线交付方式感到满意。干预组在自我同情(t (11) = -2.49, p=0.03)和应对策略(t (11) = 3.62, p=0.004)方面均较对照组有改善。结论远程mbct是一种可行的干预手段，可改善痴呆患者家庭照顾者的心理结局和适应性应对。有必要进行更大规模的对照试验。

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

Current Alzheimer research 医学-神经科学

CiteScore

4.00

自引率

4.80%

发文量

审稿时长

4-8 weeks

期刊介绍： Current Alzheimer Research publishes peer-reviewed frontier review, research, drug clinical trial studies and letter articles on all areas of Alzheimer’s disease. This multidisciplinary journal will help in understanding the neurobiology, genetics, pathogenesis, and treatment strategies of Alzheimer’s disease. The journal publishes objective reviews written by experts and leaders actively engaged in research using cellular, molecular, and animal models. The journal also covers original articles on recent research in fast emerging areas of molecular diagnostics, brain imaging, drug development and discovery, and clinical aspects of Alzheimer’s disease. Manuscripts are encouraged that relate to the synergistic mechanism of Alzheimer''s disease with other dementia and neurodegenerative disorders. Book reviews, meeting reports and letters-to-the-editor are also published. The journal is essential reading for researchers, educators and physicians with interest in age-related dementia and Alzheimer’s disease. Current Alzheimer Research provides a comprehensive ''bird''s-eye view'' of the current state of Alzheimer''s research for neuroscientists, clinicians, health science planners, granting, caregivers and families of this devastating disease.