Attention control in a trial of an online psychoeducational intervention for caregivers.

Attention control in a trial of an online psychoeducational intervention for caregivers.
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DOI:
10.1002/nur.22208
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发表时间:
2022-06
影响因子:
2
通讯作者:
Griffiths, Patricia C.
Griffiths, Patricia C.
中科院分区:
医学4区
文献类型:
--
作者:
Kovaleva, Mariya;Nocera, Joe R.;Hepburn, Kenneth;Higgins, Melinda;Nash, Rachel;Epps, Fayron;Brewster, Glenna;Bilsborough, Elizabeth;Blumling, Amy A.;Griffiths, Patricia C.

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在随机对照试验的报告中,已经推荐了对注意控制条件的全面描述,但经常缺乏。针对痴呆症患者非正式护理人员的Tele-Savvy Caregiver计划在一项具有注意力控制条件的随机对照试验中进行了测试。这项试验的目的是测试Tele-Savvy在减少照顾者的负面影响,提高痴呆症患者的生活质量和改善照顾者掌握方面的有效性。我们描述的设计和实施,并检查与注意力控制条件的结果。护理人员被随机分配到即时远程智能(活跃状态),健康生活(注意力控制)或等待名单。注意力控制内容侧重于健康的生活方式,无意影响Tele-Savvy的目标结果。注意力控制组在干预结构和持续时间方面与Tele-Savvy相似:它包括7个每周小组视频会议和36个视频课程。在基线和基线后3个月和6个月收集了照顾者和痴呆症患者的结局数据。多水平混合效应模型用于确定结果的变化。111名照顾者被随机分配到注意力控制条件(损耗21.6%)。进行了18次形成性评估访谈,重点是照顾者在注意力控制条件下的经验。注意力控制条件完成者在Tele-Savvy目标变量方面没有统计学显著变化。这些结果可用于行为干预研究中注意控制条件的设计和实施。
In reports of randomized controlled trials, thorough description of the attention control condition has been recommended, yet is frequently lacking. The Tele-Savvy Caregiver program for informal caregivers of persons living with dementia was tested in a randomized controlled trial with an attention control condition. The purpose of this trial was to test Tele-Savvy’s efficacy in reducing the negative effects of caregiving on caregivers, promoting quality of life for persons living with dementia, and improving caregiver mastery. We describe the design and implementation of and examine the outcomes associated with the attention control condition. Caregivers were randomized to the immediate Tele-Savvy (active condition), Healthy Living (attention control), or waitlist. The attention control content was focused on healthy lifestyle and was not intended to affect the outcomes that Tele-Savvy targeted. The attention control group was similar to Tele-Savvy in the intervention structure and duration: it consisted of seven weekly group videoconferences and 36 video lessons. Data on outcomes of caregivers and persons living with dementia were collected at baseline and three and six months post-baseline. Multilevel mixed effects models were used to determine changes in the outcomes. One hundred and eleven caregivers were randomized to the attention control condition (attrition 21.6%). Eighteen formative assessment interviews focusing on caregivers’ experience in the attention control condition were conducted. The attention control condition completers had no statistically significant changes in the variables that Tele-Savvy targeted. These results may be used in the design and implementation of attention control conditions in behavioral intervention research.
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