Effectiveness of a Fotonovela for Reducing Depression and Stress in Latino Dementia Family Caregivers
Effectiveness of a Fotonovela for Reducing Depression and Stress in Latino Dementia Family Caregivers
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DOI：
10.1097/wad.0000000000000077
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发表时间：
2015-04-01
影响因子：
2.1
通讯作者：
Thompson, Larry W.
中科院分区：
文献类型：
--
作者：
Gallagher-Thompson, Dolores;Tzuang, Marian;Thompson, Larry W.
临床需要解决拉丁美洲痴呆症照顾者（CG）的压力和抑郁症，加上健康素养低和对痴呆症的准确认识不足，促使开发了一种图形工具[称为fotonovela（FN）]，以教授（a）照顾者（CG）压力的应对技能;（B）抑郁症的自我评估;（c）鼓励改善现有资源的利用。为了测试FN的有效性，147名拉丁裔CG中的110名被随机分配到Fotonovela条件（FNC）或信息条件（UIC），被纳入最终分析。在基线和干预后进行自我报告测量。结果表明，FNC CG表现出显着更大的减少抑郁症状的水平比UIC CG。由于亲人表现出的记忆和行为问题而导致的压力水平的显着下降在两组中是相似的。FNC CG报告说，FN更有帮助，他们比UIC CG更经常提到它，就他们所提供的有关痴呆症的信息材料而言。总之，一个文化上适合的FN可以是一个有效的工具，拉丁美洲的CG鉴于他们的高未满足的援助需求和各种障碍，在获得资源。
The clinical need to address stress and depression in Latino dementia caregivers (CGs) combined with low health literacy and less accurate knowledge of dementia motivated the development of a pictorial tool [called a fotonovela (FN)] to teach (a) coping skills for caregiver (CG) stress; (b) self-assessment of depression; and (c) encourage improved utilization of available resources. To test the effectiveness of the FN, 110 of 147 Latino CGs, who were randomly assigned to the Fotonovela Condition (FNC) or the Usual Information Condition (UIC), were included in the final analyses. Self-report measures were given at baseline and post intervention. Results showed that FNC CGs demonstrated significantly greater reductions in level of depressive symptoms than UIC CGs. A significant decrease in level of stress due to memory and behavioral problems exhibited by their loved ones was similar in both groups. The FNC CGs reported that the FN was more helpful and that they referred to it more often than the UIC CGs did with regard to the informational materials they were provided about dementia. In conclusion, a culturally tailored FN can be an effective tool for Latino CGs given their high unmet needs for assistance and various barriers in accessing resources.