Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers.
Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers.
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基于视频的应对技巧，可降低阿尔茨海默病家庭护理人员的健康风险并改善心理和身体健康。
DOI：
10.1097/psy.0b013e3181fc2d09
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发表时间：
2010
影响因子：
3.3
通讯作者：
Williams,RedfordB
中科院分区：
文献类型：
--
作者：
Williams,VirginiaP;Bishop-Fitzpatrick,Lauren;Lane,JamesD;Gwyther,LisaP;Ballard,EdnaL;Vendittelli,AnaliseP;Hutchins,TiffanyC;Williams,RedfordB
目的：以确定是否视频为基础的应对技能（ESTA）的培训与电话辅导减少心理和生物标记物的困扰，在主要照顾者的相对阿尔茨海默氏病或相关痴呆症（ADRD）。方法：进行了对照临床试验，116 ADRD照顾者被分配，交替，因为他们有资格的研究，等待列表控制条件或ESTA培训手臂，他们看到两个模块/周的版本的威廉姆斯生活技能视频适应ADRD家庭护理环境，做练习和家庭作业，每个模块中提出的一个附带的工作簿，并收到一个电话辅导电话，每周5周，每周的两个模块。在训练前、训练完成后7周以及3个月和6个月的随访中，对抑郁症状、状态和特质愤怒和焦虑、感知压力、敌意、照顾者自我效能、一天内以及压力协议前后的唾液皮质醇以及压力协议期间的血压和心率进行了评估。与对照组相比，接受过心理健康训练加电话辅导的参与者在抑郁症状、特质焦虑、感知压力以及平均收缩压和舒张压方面表现出显著的改善，并在6个月的随访期内保持不变。通过电话辅导加强的康复训练减少了ADRD照顾者的心理和生物指标。未来的研究应确定这种干预措施对身心健康的长期益处。试验注册：
Objective:To determine whether video-based coping skills (VCS) training with telephone coaching reduces psychosocial and biological markers of distress in primary caregivers of a relative with Alzheimer's disease or related dementia (ADRD).Methods:A controlled clinical trial was conducted with 116 ADRD caregivers who were assigned, alternately as they qualified for the study, to a Wait List control condition or the VCS training arm in which they viewed two modules/week of a version of the Williams LifeSkills Video adapted for ADRD family care contexts, did the exercises and homework for each module presented in an accompanying Workbook, and received one telephone coaching call per week for 5 weeks on each week's two modules. Questionnaire-assessed depressive symptoms, state and trait anger and anxiety, perceived stress, hostility, caregiver self-efficacy, salivary cortisol across the day and before and after a stress protocol, and blood pressure and heart rate during a stress protocol were assessed before VCS training, 7 weeks after training was completed, and at 3 months' and 6 months' follow-up.Results:Compared with controls, participants who received VCS training plus telephone coaching showed significantly greater improvements in depressive symptoms, trait anxiety, perceived stress, and average systolic and diastolic blood pressures that were maintained over the 6-month follow-up period.Conclusions:VCS training augmented by telephone coaching reduced psychosocial and biological indicators of distress in ADRD caregivers. Future studies should determine the long-term benefits to mental and physical health from this intervention.Trial Registration: