Impact of two psychosocial interventions on white and African American family caregivers of individuals with dementia
Impact of two psychosocial interventions on white and African American family caregivers of individuals with dementia
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DOI：
10.1093/geront/43.4.568
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发表时间：
2003-08-01
期刊：
影响因子：
5.7
通讯作者：
Haley, WE
中科院分区：
文献类型：
--
作者：
Burgio, L;Stevens, A;Haley, WE
目的：我们开发了手动指导，可复制的干预措施的基础上的共同需求和文化偏好的白色和非裔美国人的家庭照顾者（CG）的个人与痴呆症，我们评估这些干预措施后，6个月的随访。设计和方法：我们随机分配白色（n = 70）和非裔美国人（n = 48）的CG的个人与痴呆症的技能培训条件或。最小支持控制条件结果：治疗实施的程度进行了系统的评估，结果表明，这两种干预措施都交付。并得到了CG的好评。两组的CG都报告了问题行为和行为困扰评估的下降水平，并随着时间的推移对休闲活动的满意度增加。在与行为问题相关的痛苦评估方面，白色CG在最小支持控制条件下表现出更多的改善，非洲裔美国人CG表现出更多的改善。技能训练条件的最大改善。配偶和非配偶的CG也表现出不同的反应干预。含义：简短的手册指导的干预措施，可以有效的白色和非洲裔美国人的CG，并应更加重视可能的差异反应的种族和关系的护理接受者的干预措施。
Purpose: We developed manual-guided, replicable interventions based on common needs and cultural preferences of White and African American family caregivers (CGs) of individuals with dementia, and we evaluated these interventions after a 6-month follow-up. Design and Methods: We randomly assigned White (n = 70) and African American (n = 48) CGs of individuals with dementia to either a skills training condition or a. minimal support control condition. Results: The degree of treatment implementation was methodically assessed, and findings demonstrated that both interventions were delivered. according to protocol and were well received by CGs. CGs in both groups reported decreasing levels of problem behaviors and appraisals of behavioral bother, and increased satisfaction with leisure activities over time. On a measure of appraisal of distress related to behavior problems, White CGs showed more improvement in the minimal support control condition, and African American CGs showed. the greatest improvements in the skills training condition. Spouse and nonspouse CGs also showed differential responses to intervention. Implications: Brief manual-guided interventions can be effective with White and African American CGs, and greater attention should be paid to possible differential responses to interventions by race and relationship to care recipient.