Keturah R Faurot, Isabel Roth, Elondra Harr, Jennifer Shafer, Kessonga Giscombé, Karen M Sheffield-Abdullah, Christine Lathren, Mary Brantley, Sharon W Williams, Susan A Gaylord
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Moreover, mindfulness training that addresses the unique perspectives of African American families is needed.</p><p><strong>Objectives: </strong>The study aimed to test the feasibility and acceptability of a theory-driven, telephone-delivered mindfulness intervention for caregivers of African Americans with moderate-to-severe dementia living in rural eastern North Carolina.</p><p><strong>Methods: </strong>In this single-arm, multiple-methods study, pairs of informal caregivers attended an 8-week mindfulness training program involving weekly one-hour telephone-delivered sessions, and an online retreat. Feasibility outcomes included enrollment, retention, attendance, and acceptability. Exploratory pre-post endpoints related to our theoretical model included perceived caregiver burden (Zarit Burden Interview), uncertainty intolerance (Intolerance of Uncertainty Scale), and positive emotions (Meaning and Purpose Scale).</p><p><strong>Results: </strong>Seventy-eight percent of screened individuals enrolled, 86% completed the study, and 88% attended ≥6 sessions. Participants found the program valuable, especially via telephone. Perceived burden decreased from pre-to-post intervention (mean difference [MD] -2.7, (95% CI: -4.5, -1.3; Cohen's d -0.47) and positive emotions increased (MD 2.7, 95% CI 0.81, 4.5; d = 0.37). Both inhibitory (MD -1.0, 95% CI -1.8, -0.09; d = -0.28) and prospective (MD -1.2, 95% CI -2.7, 0.3; d = -0.20) intolerance of uncertainty were lower post-intervention.</p><p><strong>Discussion: </strong>A telephone-delivered mindfulness training intervention was feasible and shows promise for reducing perceived burden among rural-dwelling informal caregivers of African Americans with dementia. Further testing in a randomized parallel-group trial comparing mindfulness training to a credible control intervention is warranted.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT04058886.</p>","PeriodicalId":73159,"journal":{"name":"Global advances in integrative medicine and health","volume":"14 ","pages":"27536130251347944"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138215/pdf/","citationCount":"0","resultStr":"{\"title\":\"Feasibility of a Telephone-Delivered Mindfulness Intervention for Informal Caregivers of Rural-Dwelling African Americans With Dementia.\",\"authors\":\"Keturah R Faurot, Isabel Roth, Elondra Harr, Jennifer Shafer, Kessonga Giscombé, Karen M Sheffield-Abdullah, Christine Lathren, Mary Brantley, Sharon W Williams, Susan A Gaylord\",\"doi\":\"10.1177/27536130251347944\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Mindfulness training has been associated with improved health outcomes among family caregivers of people living with dementia, but access to training is limited, especially in rural areas. Moreover, mindfulness training that addresses the unique perspectives of African American families is needed.</p><p><strong>Objectives: </strong>The study aimed to test the feasibility and acceptability of a theory-driven, telephone-delivered mindfulness intervention for caregivers of African Americans with moderate-to-severe dementia living in rural eastern North Carolina.</p><p><strong>Methods: </strong>In this single-arm, multiple-methods study, pairs of informal caregivers attended an 8-week mindfulness training program involving weekly one-hour telephone-delivered sessions, and an online retreat. Feasibility outcomes included enrollment, retention, attendance, and acceptability. Exploratory pre-post endpoints related to our theoretical model included perceived caregiver burden (Zarit Burden Interview), uncertainty intolerance (Intolerance of Uncertainty Scale), and positive emotions (Meaning and Purpose Scale).</p><p><strong>Results: </strong>Seventy-eight percent of screened individuals enrolled, 86% completed the study, and 88% attended ≥6 sessions. Participants found the program valuable, especially via telephone. Perceived burden decreased from pre-to-post intervention (mean difference [MD] -2.7, (95% CI: -4.5, -1.3; Cohen's d -0.47) and positive emotions increased (MD 2.7, 95% CI 0.81, 4.5; d = 0.37). Both inhibitory (MD -1.0, 95% CI -1.8, -0.09; d = -0.28) and prospective (MD -1.2, 95% CI -2.7, 0.3; d = -0.20) intolerance of uncertainty were lower post-intervention.</p><p><strong>Discussion: </strong>A telephone-delivered mindfulness training intervention was feasible and shows promise for reducing perceived burden among rural-dwelling informal caregivers of African Americans with dementia. 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引用次数: 0
摘要
背景：正念训练与痴呆症患者的家庭照顾者的健康状况改善有关，但获得训练的机会有限，特别是在农村地区。此外，还需要针对非裔美国家庭独特视角的正念训练。目的：本研究旨在测试一种理论驱动的、电话传递的正念干预的可行性和可接受性，该干预适用于居住在北卡罗来纳州东部农村的患有中重度痴呆症的非裔美国人的护理人员。方法：在这项单臂、多方法研究中，对非正式护理人员参加了为期8周的正念训练计划，包括每周一小时的电话授课和在线静修。可行性结果包括入学、留校、出勤和可接受性。与我们的理论模型相关的探索性前后终点包括感知照顾者负担（Zarit burden访谈）、不确定性不耐受（不确定性不耐受量表）和积极情绪（意义和目的量表）。结果：78%的筛查个体入组，86%完成研究，88%参加≥6次疗程。参与者发现这个项目很有价值，尤其是通过电话。感知负担从干预前到干预后下降(平均差异[MD] -2.7, (95% CI: -4.5, -1.3；Cohen’s d -0.47)和积极情绪增加(MD 2.7, 95% CI 0.81, 4.5；D = 0.37)。两种抑制(MD -1.0, 95% CI -1.8, -0.09；d = -0.28)和前瞻性(MD -1.2, 95% CI -2.7, 0.3；D = -0.20)干预后不确定性耐受降低。讨论：一种电话传递的正念训练干预是可行的，并显示出减轻居住在农村的非裔美国人痴呆症非正式照顾者的感知负担的希望。在一项比较正念训练和可信对照干预的随机平行组试验中，进一步的测试是有必要的。试验注册：ClinicalTrials.gov NCT04058886。
Feasibility of a Telephone-Delivered Mindfulness Intervention for Informal Caregivers of Rural-Dwelling African Americans With Dementia.
Background: Mindfulness training has been associated with improved health outcomes among family caregivers of people living with dementia, but access to training is limited, especially in rural areas. Moreover, mindfulness training that addresses the unique perspectives of African American families is needed.
Objectives: The study aimed to test the feasibility and acceptability of a theory-driven, telephone-delivered mindfulness intervention for caregivers of African Americans with moderate-to-severe dementia living in rural eastern North Carolina.
Methods: In this single-arm, multiple-methods study, pairs of informal caregivers attended an 8-week mindfulness training program involving weekly one-hour telephone-delivered sessions, and an online retreat. Feasibility outcomes included enrollment, retention, attendance, and acceptability. Exploratory pre-post endpoints related to our theoretical model included perceived caregiver burden (Zarit Burden Interview), uncertainty intolerance (Intolerance of Uncertainty Scale), and positive emotions (Meaning and Purpose Scale).
Results: Seventy-eight percent of screened individuals enrolled, 86% completed the study, and 88% attended ≥6 sessions. Participants found the program valuable, especially via telephone. Perceived burden decreased from pre-to-post intervention (mean difference [MD] -2.7, (95% CI: -4.5, -1.3; Cohen's d -0.47) and positive emotions increased (MD 2.7, 95% CI 0.81, 4.5; d = 0.37). Both inhibitory (MD -1.0, 95% CI -1.8, -0.09; d = -0.28) and prospective (MD -1.2, 95% CI -2.7, 0.3; d = -0.20) intolerance of uncertainty were lower post-intervention.
Discussion: A telephone-delivered mindfulness training intervention was feasible and shows promise for reducing perceived burden among rural-dwelling informal caregivers of African Americans with dementia. Further testing in a randomized parallel-group trial comparing mindfulness training to a credible control intervention is warranted.
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