Online Support for Employed Informal Caregivers Psychosocial Outcomes
Online Support for Employed Informal Caregivers Psychosocial Outcomes
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DOI：
10.1097/cin.0000000000000009
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发表时间：
2014-01-01
影响因子：
1.3
通讯作者：
Milcarek, Barry
中科院分区：
文献类型：
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作者：
Klemm, Paula R.;Hayes, Evelyn R.;Milcarek, Barry
该项目的总体目标是评估参与在线支持的慢性病患者的受雇家庭照顾者的社会心理结果是否与不积极参与的参与者不同，以及社会心理结果是否因在线团体支持的形式而不同。在三个主要措施的基础上，采用随机纵向设计比较两种类型的在线支持团体和非积极参与者。86名自称照顾慢性病患者的家庭护理人员参加了这项研究，这些人会说英语并能上网。受试者被随机分配到专业辅导/心理教育或调节/同伴指导的在线支持小组，为期12周。设置是一个有密码保护的网页，该网页位于大学的服务器上。自变量为在线支持团体的类型和参与程度；因变量为抑郁症状、照顾者负担和照顾者生活质量。在不活跃的参与者和两个干预组中的任何一个之间，抑郁症状和生活质量都有显著差异，但在两个干预组之间没有显著差异。结果表明，专业促进/心理教育和适度/同伴指导的在线支持小组有助于减少抑郁症状，改善积极参与的人的生活质量，这两种类型的在线支持小组提供了类似的好处。男性和少数族裔应该成为未来护理人员研究的目标。
The overall objectives of this project were to evaluate whether psychosocial outcomes in employed family caregivers of people with chronic disease, who participate in online support, differ from nonactive participants and whether psychosocial outcomes differ based on the format of online group support. A randomized longitudinal design comparing two types of online support groups and nonactive participants, on the basis of three principal measures, was utilized. Eighty-six self-reported family caregivers of people with chronic disease, who spoke English and had Internet access, took part in the study. Subjects were randomly assigned to professionally facilitated/psychoeducational or moderated/peer-directed online support groups for a period of 12 weeks. The setting was a password-protected Web page housed on a university server. Independent variables were type of online support groups and level of participation; the dependent variables were depressive symptoms, caregiver burden, and caregiver quality of life. There were significant differences in depressive symptoms and quality of life among nonactive participants and either of the two intervention groups, but not between the two intervention groups. Results suggest that professionally facilitated/psychoeducational and moderated/peer-directed online support groups help reduce depressive symptoms and improve quality of life for those who actively participate and that both types of online support groups provided similar benefits. Men and minorities should be targeted in future caregiver research.