Clinical Gerontologist最新文献_第2页

Distressing Aspects of Elder Abuse Victimization: Perspective of Survivors. 老年人虐待受害的痛苦方面：幸存者的观点。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-12-25 DOI: 10.1080/07317115.2024.2445028

David Burnes, Andie MacNeil, Jessica Hsieh, Isabel Rollandi, Clara Scher, Paula Zanotti, Olivia Fiallo, Clémentine Rotsaert, Jo Anne Sirey, Mark S Lachs

{"title":"Distressing Aspects of Elder Abuse Victimization: Perspective of Survivors.","authors":"David Burnes, Andie MacNeil, Jessica Hsieh, Isabel Rollandi, Clara Scher, Paula Zanotti, Olivia Fiallo, Clémentine Rotsaert, Jo Anne Sirey, Mark S Lachs","doi":"10.1080/07317115.2024.2445028","DOIUrl":"10.1080/07317115.2024.2445028","url":null,"abstract":"Objectives: Our understanding of elder abuse (EA) phenomena has largely been shaped from the perspective of researchers and professionals whose conceptualizations often differ from the perceptions of older adults who experience mistreatment. This study sought to understand the most distressing aspects of EA victimization from the perspective of survivors.Methods: Using a descriptive phenomenological approach, individual interviews were conducted with a diverse sample (n = 32) of EA survivors, recruited from EA support and Adult Protective Services programs in New York City and Los Angeles. Analysis followed a constant comparison process involving two independent coders to understand distressing aspects of EA victimization.Results: The following themes emerged as the most distressing aspects of EA victimization: fear, disbelief, disrespect, concern for perpetrator and other family members, feelings of loss, and incongruity between survivor wishes and systemic responses. Distressing aspects of EA victimization spanned personal, relational, and systemic levels of ecological influence.Conclusions: Findings from this study advance basic knowledge on EA phenomena and carry direct implications for programs designed to support and meet the needs of survivors.Clinical implications: Findings identify particularly distressing psycho-emotional aspects of EA victimization for clinicians interacting with survivors that can serve as targets of intervention.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1200-1210"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biopsychosocial Profile of Community-Dwelling Older Adults at Risk for Direct and Indirect Self-Harm. 有直接和间接自我伤害风险的社区居住老年人的生物心理社会特征。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-04-01 DOI: 10.1080/07317115.2025.2487003

Lisa Van Hove, Beau M Nieuwenhuijs, Steven Vanderstichelen, Nico De Witte, Ellen Gorus, Lara Stas, Imke Baetens

{"title":"Biopsychosocial Profile of Community-Dwelling Older Adults at Risk for Direct and Indirect Self-Harm.","authors":"Lisa Van Hove, Beau M Nieuwenhuijs, Steven Vanderstichelen, Nico De Witte, Ellen Gorus, Lara Stas, Imke Baetens","doi":"10.1080/07317115.2025.2487003","DOIUrl":"10.1080/07317115.2025.2487003","url":null,"abstract":"Objectives: A biopsychosocial model of self-harm risk factors in older adults was explored, distinguishing between direct and indirect self-harm.Methods: A cross-sectional, matched pair sample was drawn from a community-dwelling sample of 625 adults aged 60 years and over, including 44 participants with and 44 without self-harm. Mean age was 68.7 years (age range = 60-91). Data were gathered using a survey composed of validated instruments and additional self-developed items.Results: From our total sample, 8.2% had engaged in self-harm at age 60 and over. Indirect methods (e.g. substance misuse, not eating) were most common. The presence of a mental disorder, emotional loneliness, cognitive and physical frailty, and a lack of resilience were identified as potential risk factors. Those who have engaged in direct or both types of self-harm exhibit higher levels of these factors. A stepwise regression model showed that only emotional loneliness and mental disorder(s) were significantly associated with self-harm in old age.Conclusions: Investigating self-harm (subtypes) among community-dwelling older adults is vital, especially in those with a mental disorder and emotional loneliness.Clinical implications: Clinicians should be vigilant for self-harm in older adults, particularly for indirect methods and among those with a mental disorder and who experience emotional loneliness.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1211-1222"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia. 痴呆症患者家庭照顾者负担、心理弹性过程和焦虑的关系

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-02-09 DOI: 10.1080/07317115.2025.2464868

Areum Han, Ho Kyung Lee, Ickpyo Hong

{"title":"Relationships Among Caregiver Burden, Psychological Flexibility Processes, and Anxiety in Family Caregivers of People with Dementia.","authors":"Areum Han, Ho Kyung Lee, Ickpyo Hong","doi":"10.1080/07317115.2025.2464868","DOIUrl":"10.1080/07317115.2025.2464868","url":null,"abstract":"Objectives: This cross-sectional study examined the relationships among caregiver burden, anxiety, and key psychological flexibility processes - cognitive fusion, experiential avoidance, and values-driven actions - in family caregivers of individuals with dementia.Methods: Data were collected from 191 caregivers in the United States. Structural equation modeling was used to assess direct and indirect relationships among caregiver burden, anxiety, and key psychological flexibility processes.Results: The model showed excellent fit. Caregiver burden had a significant direct effect on anxiety (59.1% of the total effect), while indirect effects accounted for 40.9%. Cognitive fusion was the only significant mediator between caregiver burden and anxiety, accounting for 20.8% of the total effect. Additionally, experiential avoidance - both alone and when preceded by cognitive fusion - significantly mediated the relationship between caregiver burden and reduced engagement in values-driven actions.Conclusions: These findings highlight cognitive fusion as a key mechanism linking caregiver burden to anxiety. Furthermore, both cognitive fusion followed by experiential avoidance and experiential avoidance alone appear to influence the relationship between caregiver burden and values-driven actions.Clinical implications: Clinicians may consider implementing skills training targeting cognitive fusion and experiential avoidance to mitigate the negative impact of caregiver burden on anxiety and values-driven actions.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1069-1080"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Systematic Review of Third-Wave Therapies to Reduce Distress and Improve Wellbeing and Quality of Life in People with Parkinson's Disease. 第三波疗法减少帕金森病患者的痛苦，改善他们的健康和生活质量的系统回顾。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-05-31 DOI: 10.1080/07317115.2025.2511957

Demetra Christodoulou, Suzanne Reeves, Naashoma P Carvalho, Judith Stellman, Rebecca L Gould

{"title":"A Systematic Review of Third-Wave Therapies to Reduce Distress and Improve Wellbeing and Quality of Life in People with Parkinson's Disease.","authors":"Demetra Christodoulou, Suzanne Reeves, Naashoma P Carvalho, Judith Stellman, Rebecca L Gould","doi":"10.1080/07317115.2025.2511957","DOIUrl":"10.1080/07317115.2025.2511957","url":null,"abstract":"Objectives: This systematic review assessed use of third-wave psychotherapies in reducing psychological distress and improving psychological well-being and quality of life in people with Parkinson's disease and critically evaluated intervention adaptations.Methods: A literature search, conducted across five databases identified randomized controlled trials (RCTs) evaluating third-wave psychotherapies for individuals with Parkinson's disease.Results: Ten RCTs were identified of which nine evaluated mindfulness-based interventions, and one acceptance and commitment therapy. Methodological quality ranged from moderate to high, but sample sizes were small, and only one study was adequately powered. Five reported on Parkinson's specific adaptations. The trial with the largest sample size reported a significant effect of Mindfulness Yoga on depression and anxiety, psychological well-being and quality of life. Other findings were mixed across all outcomes.Conclusions: There was evidence of an effect of Mindfulness Yoga on our pre-defined outcomes. Pilot and feasibility trials showed that mindfulness-based interventions were well received and provided feedback on adaptations. There was a lack of data to draw conclusions regarding non-mindfulness-based therapies.Clinical implications: Larger trials of mindfulness-based interventions are required to establish the clinical meaningfulness of treatment effects. Further research is needed to adapt and explore on non-mindfulness-based interventions such as acceptance and commitment therapy.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"916-939"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuropsychiatric Symptoms and Alzheimer's Disease Severity. A Focus on Sex-Differences. 神经精神症状和阿尔茨海默病严重程度。关注性别差异。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-06-10 DOI: 10.1080/07317115.2025.2518093

Antonina Luca, Maria Luca, Alessandro Serretti

{"title":"Neuropsychiatric Symptoms and Alzheimer's Disease Severity. A Focus on Sex-Differences.","authors":"Antonina Luca, Maria Luca, Alessandro Serretti","doi":"10.1080/07317115.2025.2518093","DOIUrl":"10.1080/07317115.2025.2518093","url":null,"abstract":"Objectives: The aim of the present study was to investigate possible sex predictors in the severity of NPS in a large cohort of patients with AD and to assess the role of severity in sex-related differences in NPS.Methods: Four hundred and twenty-four participants (295 women, mean age 78.4 ± 8.3 years, mean disease duration 7.4 ± 8.5 years) were included with a diagnosis of AD according to NINCDS/ADRDA criteria. Clinical data and presence of NPS were collected from family interview, medical records, and patient interview and examination. Dementia severity was assessed using the Clinical Dementia Rating Scale (CDRS) extended version.Results: CDRS score was available for 407 participants (mean score 2.6 ± 1.1); 407 (22.1%) patients had CRDS = 1, 104 (25.5%) had CRDS = 2, 127 (31.2%) had CRDS = 3, 64 (15.7%) had CDRS = 4 and 22 (15.4%) had CDRS = 5. Apathy (85.7%), agitation or restlessness (75.1%) and paranoia (59.4%) were the most common NPS. Higher CDRS scores were associated with several neuropsychiatric features, including apathy, wandering and physical aggression. In the sex-stratified analysis, NPS were associated with more severe AD only in men.Conclusions: Our findings suggest relevant sex differences in NPS with increasing severity.Clinical implications: A timely and targeted behavioral management could improve treatment outcome.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1179-1185"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Simple Reminiscence on Reminiscence Functions in Older Adults with Mild Cognitive Impairment Due to Alzheimer's Disease. 简单记忆对老年阿尔茨海默病轻度认知障碍患者记忆功能的影响。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-06-10 DOI: 10.1080/07317115.2025.2518100

Gema Soria-Urios, Jesus Gonzalez-Moreno, Encarnacion Satorres, Juan C Meléndez

{"title":"Effects of Simple Reminiscence on Reminiscence Functions in Older Adults with Mild Cognitive Impairment Due to Alzheimer's Disease.","authors":"Gema Soria-Urios, Jesus Gonzalez-Moreno, Encarnacion Satorres, Juan C Meléndez","doi":"10.1080/07317115.2025.2518100","DOIUrl":"10.1080/07317115.2025.2518100","url":null,"abstract":"Objectives: Simple reminiscence has been used as a non-pharmacological strategy to improve emotional well-being and adaptation in older adults, particularly those with mild cognitive impairment due to Alzheimer's disease. This study examined the effects of a simple reminiscence-based intervention on different reminiscence functions in this population.Methods: 113 participants were randomly assigned to an experimental (n = 61) or control group (n = 52). The experimental group received 16 reminiscence sessions over eight weeks. Assessments occurred pre-, post-intervention, and at follow-up. The eight subscales of the Reminiscence Functions Scale served as the study's primary outcome variables. Intervention effects were analyzed using 2 × 3 mixed ANOVAs (group × time).Results: The results showed significant improvements in adaptive reminiscence functions, including identity, problem-solving, and preparation for death, as well as in the prosocial functions of conversation and teaching/informing in the experimental group compared to the control group.Conclusions: These findings suggest that simple reminiscence can be an effective strategy for preserving and enhancing adaptive reminiscence functions in older adults with mild cognitive impairment due to Alzheimer's disease. Clinical Implications: This intervention can be integrated into routine care for individuals with cognitive impairment, helping maintain emotional-cognitive functioning and improve quality of life.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1026-1037"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Illness Intrusiveness, Perceived Control, and Quality of Life in Older Adults with Arthritis and Multimorbidity. 老年关节炎和多重疾病患者的疾病侵入性、感知控制和生活质量。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2025-01-22 DOI: 10.1080/07317115.2025.2454977

Sama Joshi, M Carrington Reid, Irina Mindlis

{"title":"Illness Intrusiveness, Perceived Control, and Quality of Life in Older Adults with Arthritis and Multimorbidity.","authors":"Sama Joshi, M Carrington Reid, Irina Mindlis","doi":"10.1080/07317115.2025.2454977","DOIUrl":"10.1080/07317115.2025.2454977","url":null,"abstract":"Objectives: Arthritis is associated with poor quality of life (QOL) among older adults; and QOL is even worse among those with arthritis and multimorbidity (MM). Illness intrusiveness and perceived control have been identified in studies of single illnesses as modifiable mechanisms for QOL, but are understudied in older adults with arthritis and MM. We investigated the role of these potential mechanisms with QOL among older adults with arthritis and MM.Methods: Secondary analysis of a sample of older adults aged ≥ 62 years with arthritis and MM (N = 228) using PROCESS macro for SPSS.Results: Participants were on average 72 years with 4 chronic illnesses, and high levels of pain intensity and illness intrusiveness. Perceived control was a significant mediator (but not moderator) in the relationship between illness intrusiveness and QOL, even after adjustment for pain intensity [β = -0.16, 95% CI (-0.13, -0.06)].Conclusions: Lower levels of illness intrusiveness were associated with improved QOL through greater perceived control. Longitudinal studies are needed to further assess these mechanisms in older adults with arthritis and MM to adapt existing interventions.Clinical implications: Perceived control may be a target for future behavioral interventions to improve QOL in this population.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1308-1319"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dementia Care Partner Preparedness and Desire to Seek Long-Term Care at Hospital Discharge: Mediating Roles of Care Receiver Clinical Factors. 出院时痴呆症护理伙伴的准备情况和寻求长期护理的愿望：护理接受者临床因素的中介作用。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-08-05 DOI: 10.1080/07317115.2024.2388144

Ashley Kuzmik, Marie Boltz

{"title":"Dementia Care Partner Preparedness and Desire to Seek Long-Term Care at Hospital Discharge: Mediating Roles of Care Receiver Clinical Factors.","authors":"Ashley Kuzmik, Marie Boltz","doi":"10.1080/07317115.2024.2388144","DOIUrl":"10.1080/07317115.2024.2388144","url":null,"abstract":"Objectives: The purpose of this study was to explore the mediating roles of care receiver clinical factors on the relationship between care partner preparedness and care partner desire to seek long-term care admission for persons living with dementia at hospital discharge.Methods: This study analyzed data from the Family centered Function-focused Care (Fam-FFC), which included 424 care receiver and care partner dyads. A multiple mediation model examined the indirect effects of care partner preparedness on the desire to seek long-term care through care receiver clinical factors (behavioral and psychological symptoms of dementia [BPSD], comorbidities, delirium severity, physical function, and cognition).Results: Delirium severity and physical function partially mediated the relationship between care partner preparedness and care partner desire to seek long-term care admission (B = -.011; 95% CI = -.019, -.003, and B = -.013; 95% CI = -.027, -.001, respectively).Conclusions: Interventions should enhance care partner preparedness and address delirium severity and physical function in hospitalized persons with dementia to prevent unwanted nursing home placement at hospital discharge.Clinical implications: Integrating care partner preparedness and care receiver clinical factors (delirium severity and physical function) into discharge planning may minimize care partner desire to seek long-term care.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1057-1068"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, Attitude, and Practice of Care Providers Toward Non-Pharmacological Intervention for Managing Behavioural and Psychological Symptoms in Australian Aged Care Residents with Dementia: A Cross-Sectional Survey. 护理人员对非药物干预治疗澳大利亚老年痴呆症患者行为和心理症状的认识、态度和实践：一项横断面调查。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-10-28 DOI: 10.1080/07317115.2024.2419929

Hunduma Dinsa Ayeno, Mustafa Atee, Gizat M Kassie, Tuan Anh Nguyen

{"title":"Knowledge, Attitude, and Practice of Care Providers Toward Non-Pharmacological Intervention for Managing Behavioural and Psychological Symptoms in Australian Aged Care Residents with Dementia: A Cross-Sectional Survey.","authors":"Hunduma Dinsa Ayeno, Mustafa Atee, Gizat M Kassie, Tuan Anh Nguyen","doi":"10.1080/07317115.2024.2419929","DOIUrl":"10.1080/07317115.2024.2419929","url":null,"abstract":"Objectives: This study aimed to assess the knowledge, attitude, and practice of the healthcare professionals and paid caregivers toward non-pharmacological interventions (NPIs) for managing behavioural and psychological symptoms of dementia (BPSD) in Australian residential aged care homes (RACHs).Methods: A cross-sectional, online survey was completed by RACH staff and physicians over the period 6 March-31 August 2023. Descriptive statistics were used to present the results.Results: Ninety-six respondents participated (41.7% aged 35-54 years, 80.2% female, 38.5% nurses). While 50-65% of the respondents were extremely familiar with 15 of NPIs, only 22% believed there was a sufficient funding for their implementation, and 6% felt there were sufficient human resources. Although 66% of the respondents viewed NPIs as more useful than medications, only 46% expected consistent positive outcomes from NPIs. The most used NPIs were redirection, behaviour management, and validation therapy.Conclusions: The study highlights that barrier such as inadequate funding, limited human resources, skepticism about NPIs' effectiveness, unfamiliarity with certain NPIs, and unfavourable attitude toward NPIs are likely to slow NPI adoption for BPSD management.Clinical implication: To improve practice, it is essential to address these barriers through targeted education, and training, increased funding, and enhancement of the workforce.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1038-1056"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation and Evaluation of a Virtual Skills-Based Dementia Caregiver Group Intervention within a VA Setting: A Pilot Study. 在退伍军人事务部环境中实施和评估基于虚拟技能的痴呆症照护者小组干预：试点研究。

IF 2.4 3区医学

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-10-21 DOI: 10.1080/07317115.2024.2418834

Katie L Granier, Rebecca Ingram

{"title":"Implementation and Evaluation of a Virtual Skills-Based Dementia Caregiver Group Intervention within a VA Setting: A Pilot Study.","authors":"Katie L Granier, Rebecca Ingram","doi":"10.1080/07317115.2024.2418834","DOIUrl":"10.1080/07317115.2024.2418834","url":null,"abstract":"Objectives: This study sought to design, implement, and evaluate a 6-week skills-based telehealth group for dementia caregivers within a VA setting.Methods: The protocol was designed based on a CBT skill-building approach and was evaluated using the four levels of evaluation developed by Kirkpatrick (1998). Eight spousal caregivers of individuals with MCI or dementia participated in the pilot group within a VA geriatric clinic. Methods included comparison of pre- and post-intervention outcome measures (caregiver burden, depression, anxiety, flourishing) and inductive narrative analysis of qualitative feedback from participants.Results: Qualitatively, the intervention was well received and participants identified several areas of subjective learning and skill implementation including increased behavioral and communication skills, knowledge, and connection with resources. However, paired-sample t-tests of group outcomes revealed no significant differences on measures of caregiver burden, depression, anxiety, and flourishing pre- and post-intervention.Conclusions: Based on Kirkpatrick's levels of evaluation, this study revealed positive reception of a group-based intervention for dementia caregivers within a VA setting, but further investigation of intervention effectiveness is needed given the lack of significant change found on outcome measures. A virtual skills-based group may be a feasible option for dementia caregiver intervention within VA settings that warrants further investigation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"987-997"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0