对痴呆症患者的家庭护理人员进行在线培训,以便在家中提供生活回顾抑郁干预的可行性。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Christina E Miyawaki, Angela McClellan, Erin D Bouldin
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引用次数: 0

摘要

目标:为了缓解美国老年人(≥65 岁)中抑郁症状和痴呆症的高发病率,我们开发了一种抑郁干预方法--照顾者提供的生活回顾(C-PLR),并与同步小组虚拟培训相比,在线教授家庭照顾者生活回顾技能,并研究了其可行性和实施效果(N = 20 个二元组):我们在全国范围内招募了家庭照顾者-受照顾者二人组,采用横断面、混合方法的二人组设计,收集了受照顾者抑郁(主要结果)、生活满意度、照顾者负担、照顾回报和二人组关系质量(次要结果)的干预前和干预后测量数据,并采用 t 检验进行了比较。我们采用忠实度评分来衡量护理人员按照协议提供生活回顾的可行性:结果:C-PLR 干预后,护理对象的抑郁症状明显减轻(p = 0.034),护理人员的奖励从前期到后期有所增加(p = 0.019)。护理人员的定性访谈支持了定量结果,即经过在线培训的护理人员有能力在不增加护理人员负担的情况下实施干预,并高度遵守协议(16 人中有 15.9 ± 0.27 人):这项试点研究表明,C-PLR 可对护理人员和受护者的心理健康产生积极影响。这项创新、经济高效且易于实施的活动适用于任何一方,无论他们是否存在任何与健康相关的缺陷。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility of training family caregivers of people living with dementia online to deliver life review depression intervention at home.

Objectives: To alleviate the high prevalence of depressive symptoms and dementia in older Americans (≥65 years), we developed a depression intervention, Caregiver-Provided Life Review (C-PLR), and taught family caregivers life review skills online compared to a synchronous group virtual training, and examined the feasibility and delivery impact (N = 20 dyads).

Method: In a cross-sectional, mixed-methods dyadic design, we recruited family caregiver-care recipient dyads nationwide, collected the pre- and post-intervention measures on care recipients' depression (primary outcome), life satisfaction, caregivers' burden, caregiving rewards, and dyads' relationship quality (secondary outcomes), and compared them using t-tests. We took fidelity scores to measure caregivers' feasibility of delivering life reviews adhering to the protocol.

Results: Care recipients' depressive symptoms declined significantly following the C-PLR intervention (p = 0.034) and caregivers' rewards increased from the pre- to post-period (p = 0.019). Caregivers' qualitative interviews supported the quantitative results that online-trained caregivers' ability to deliver the intervention with high adherence to protocol (15.9 ± 0.27 out of 16) without increasing caregiver burden.

Conclusion: This pilot study suggested that the C-PLR could make a positive impact on both caregivers' and care recipients' mental health. This innovative, cost-effective, and easily implemented activity can be used by any dyad regardless of whether they have any health-related deficits.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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