减轻创伤性脑损伤和痴呆退伍军人照顾者的负担和焦虑:增强所有照顾者健康希望干预资源的随机对照试验

IF 1.7 4区 医学 Q3 PSYCHOLOGY, CLINICAL
Linda O Nichols, Jennifer Martindale-Adams, Ronald T Seel, Jeffrey K Zuber, Robert Perera, Paul B Perrin
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引用次数: 0

摘要

目的/目的:患有合并创伤性脑损伤(TBI)和痴呆症的退伍军人的护理人员在管理其亲人的神经行为功能以及更重要的是他们自己的健康方面面临许多挑战。本研究开发并测试了“提高所有护理人员健康希望资源”(REACH),该资源为护理人员提供一对一的远程医疗教育、支持、技能培养和个性化数字信息。方法:将同时患有TBI和痴呆的退伍军人护理人员(N = 110)随机分为REACH Hope组(N = 56)和候补对照组(N = 54),为期3个月;然后,候选名单参与者接受了REACH Hope。在基线、3个月(干预后/候补名单切换)、6个月和9个月(仅为候补名单对照)时通过电话收集数据。治疗后3个月的12项简短的Zarit负担访谈(ZBI-12)是主要结局。次要结局包括照顾者抑郁、焦虑、自我效能和退伍军人安全风险。结果:与等候名单组相比,REACH Hope减轻了中度至高度负担和焦虑的护理人员的负担和焦虑。ZBI-12评分≥21分的照顾者治疗获益增加,负担加重。广泛性焦虑障碍-7评分≥13的照顾者表现出同样的模式,焦虑水平较高。治疗组在抑郁、自我效能或退伍军人安全方面没有显著的效果。结论:这是第一个评估远程医疗干预对创伤性脑损伤和痴呆退伍军人护理人员疗效的临床试验。REACH Hope是第一个基于证据的干预措施,值得进一步研究和实施。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reducing burden and anxiety for caregivers of veterans with traumatic brain injury and dementia: Randomized controlled trial of the resources for enhancing all caregivers' health-Hope intervention.

Purpose/objective: Caregivers of veterans with comorbid traumatic brain injury (TBI) and dementia face many challenges managing their loved ones' neurobehavioral functioning and, importantly, their own well-being. This study developed and tested Resources for Enhancing All Caregivers' Health (REACH) Hope, which provides caregivers with one-on-one telehealth education, support, skills building, and personalized digital information.

Method: Caregivers (N = 110) of veterans with both TBI and dementia were randomly assigned to either REACH Hope (n = 56) or a waitlist-control group (n = 54) for 3 months; waitlist participants then received REACH Hope. Data collection occurred by telephone at baseline, 3 months (postintervention/waitlist switch), 6 months, and 9 months (for waitlist-control only). The 12-item short-form Zarit Burden Interview (ZBI-12) at 3 months (posttreatment) was the primary outcome. Secondary outcomes included caregiver depression, anxiety, self-efficacy, and number of veteran safety risks.

Results: REACH Hope reduced burden and anxiety for caregivers with moderate to high levels of burden and anxiety compared to the waitlist group. Caregivers with ZBI-12 scores ≥ 21 had increasing treatment benefits with higher burden. Caregivers with Generalized Anxiety Disorder-7 scores ≥ 13 showed the same pattern for higher anxiety levels. There were no significant treatment group effects for depression, self-efficacy, or veteran safety.

Conclusion: This is the first clinical trial to evaluate the efficacy of a telehealth intervention for caregivers of veterans with both TBI and dementia. REACH Hope represents the first evidence-based intervention of its kind and one that warrants further study and implementation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊
CiteScore
4.80
自引率
7.40%
发文量
65
期刊介绍: Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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