针对路易体痴呆症患者护理人员的虚拟干预试点准实验性单臂研究。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Yan Su, Annie T Chen, Jasmine Kaneshiro, Kimiko Domoto-Reilly, Oleg Zaslavsky
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引用次数: 0

摘要

目的:本试点研究评估了以问题解决疗法为指导的基于网络的干预措施,以解决路易体痴呆(LBD)患者护理人员面临的挑战。方法:采用准实验单臂研究方法,对39名家庭照顾者(平均年龄67.62岁;69%的女性;95%的白人)。这个为期8周的项目名为“路易体痴呆老年生活体验虚拟在线社区”(VOCALE LBD),包括一个讨论平台、同伴支持、培训和解决问题的练习。测量分别在基线、干预后和1个月后进行。采用自举法分析效应大小和置信区间,并通过线性混合效应模型(lmm)评估人口统计学影响。结果:在39名参与者中,有29人完成了研究。完井和出井在人口统计学上没有显著差异。参与者的参与度很高,每周至少发表两次实质性评论。抑郁(d = -0.54)、负担(d = -0.31)和压力得分(d = -0.45)显著降低,而社会支持(d = 0.46)、积极态度(d = 0.32)和解决问题的消极态度(d = -0.63)得到改善。结论:该干预措施有望减轻照顾者负担,改善情绪幸福感,为LBD照顾者提供灵活有效的解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pilot quasi-experimental single-arm study of a virtual intervention for caregivers of persons with Lewy body dementia.

Objectives: This pilot study evaluated a web-based intervention, guided by problem-solving therapy, to address challenges faced by caregivers of individuals with Lewy body dementia (LBD).

Method: A quasi-experimental single-arm study was conducted with 39 family caregivers (mean age: 67.62 years; 69% women; 95% White). The 8-week program, Virtual Online Communities for Aging Life Experiences Lewy Body Dementia (VOCALE LBD), included a discussion platform, peer support, training, and problem-solving practice. Measurements were taken at baseline, post-intervention, and one month later. Effect sizes and confidence intervals (CIs) were analyzed using bootstrapping, and demographic impacts were assessed through linear mixed-effects models (LMMs).

Results: Of the 39 participants, 29 completed the study. There were no significant differences in demographics between completers and withdrawals. Participants' engagement was high, defined as posting substantive comments at least twice weekly. Significant reductions were observed in depressive (d = -0.54), burden (d = -0.31), and stress scores (d = -0.45), while social support (d = 0.46), positive attitudes (d = 0.32), and negative attitudes towards problem-solving (d = -0.63) improved.

Conclusion: This intervention shows promise in reducing caregiver burden and improving emotional well-being, offering a flexible, effective solution for LBD caregivers.

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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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