A Videophone Psychosocial Intervention for Dementia Caregivers
A Videophone Psychosocial Intervention for Dementia Caregivers
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DOI：
10.1016/j.jagp.2013.02.019
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发表时间：
2013-11-01
影响因子：
7.2
通讯作者：
Perdomo, Dolores
中科院分区：
文献类型：
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作者：
Czaja, Sara J.;Loewenstein, David;Perdomo, Dolores
背景/目的：由于费用、后勤、对现有服务缺乏了解或他人支持不足等问题，针对痴呆症照顾者的现有服务和干预项目往往未得到充分利用。信息技术有可能消除这些障碍，并提高照顾者获得所需支持的能力。本项目评估了以技术为基础的社会心理干预在少数族裔痴呆症患者家庭照顾者中的可行性和有效性。
设计：一项可行性和有效性试验。
地点：大迈阿密社区参与者的家中。
参与者：110名（56名拉美裔美国人和54名非裔美国人）痴呆症患者的照顾者。
干预措施：一项基于技术的多成分社会心理干预在5个月内通过家庭和视频电话技术实施。该干预以REACH II干预为蓝本，针对已知的照顾者风险领域。
测量：在基线和随机分组后5个月进行抑郁、照顾者负担、社会支持以及照顾者对照顾经历的感知的标准化测量。
结果：总体而言，接受干预的照顾者报告负担减轻，感知到的社会支持增加，对照顾经历的积极感知增强。未观察到对抑郁的影响。大多数参与者表示干预提高了他们的照顾技能，并认为该技术易于使用。
结论：以技术为基础的形式对于向少数族裔家庭痴呆症照顾者提供多成分干预是可行的。该干预改善了拉美裔和非裔美国照顾者的照顾者结局。结果表明，技术可能有助于消除在获得照顾者干预项目方面的差异。
Background/Objectives: Available services and intervention programs for dementia caregivers are often underutilized because of issues such as cost, logistics, lack of knowledge about available services, or insufficient support from others. Information technologies offer the potential of removing these barriers and facilitating the ability of caregivers to access needed support. This project evaluated the feasibility and efficacy of technology-based psychosocial intervention among minority family caregivers of dementia patients. Design: A feasibility and efficacy trial. Setting: Participants' homes in the Greater Miami Community. Participants: One hundred ten (56 Hispanic American and 54 African American) caregivers of patients with dementia. Intervention: A technologybased multi-component psychosocial intervention was delivered in-home and via videophone technology over 5 months. The intervention was modeled after the REACH II intervention and targeted known areas of caregiver risk. Measurement: Standardized measures of depression, caregiver burden, social support, and the caregivers' perception of the caregiver's experience were administered at baseline and 5 months post-randomization. Results: Overall, caregivers who received the intervention reported a decrease in burden, an increase in perceived social support and positive perceptions of the caregiving experience. No effect was observed for depression. Most participants indicated that the intervention improved their caregiving skills and found the technology to be easy to use. Conclusions: A technology-based format was feasible for delivering a multi-component intervention to minority family dementia caregivers. The intervention improved caregiver outcomes for both Hispanic and African American caregivers. The results suggest that technology may help eliminate disparities in access to caregiver intervention programs.