Past is prologue: how to advance caregiver interventions
Past is prologue: how to advance caregiver interventions
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DOI：
10.1080/13607863.2017.1328482
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发表时间：
2018-01-01
影响因子：
3.4
通讯作者：
Zarit, Steven H.
中科院分区：
文献类型：
--
作者：
Zarit, Steven H.
目标：近年来，关于预防干预措施的研究大幅增加。虽然已经测试了许多有希望的方法，但结果往往是有限的。本文的目标是确定的概念和方法的问题，可能会导致更好的治疗outcome.Method：一个关键的文献回顾的干预措施照顾者的人与dementia.Results：一个根本的问题，在照顾者的干预措施是什么是适当的治疗目标和什么结果的措施应该用来解决这些目标。还需要对治疗导致改善的机制进行更多的测试。干预研究也应该更经常地检查治疗implementation.Conclusion保真度：通过更好地关注的异质性，提高概念化的目标和使用创新的设计，以适应照顾者的需求和资源的差异，为改善未来的试验设计提出了建议。
Objectives: Research on caregiving interventions has increased substantially in recent years. Although many promising approaches have been tested, results are often modest. The goal of this paper is to identify conceptual and methodological issues that could lead to better treatment outcome.Method: A critical review of the literature on interventions for caregivers of persons with dementia.Results: A fundamental issue in caregiver interventions is what are appropriate goals for treatment and what outcome measures should be used to address those goals. There also needs to be more testing of the mechanisms by which treatment leads to improvement. Intervention studies should also more regularly examine fidelity of treatment implementation.Conclusion: Recommendations are made for improving the design of future trials through better attention to the heterogeneity of the caregiving population, improved conceptualization of goals and the use of innovative designs that accommodate differences in caregivers' needs and resources.