Use of videophones to deliver a cognitive-behavioural therapy to hospice caregivers

Use of videophones to deliver a cognitive-behavioural therapy to hospice caregivers
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DOI:
10.1258/jtt.2010.100503
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发表时间:
2011-01-01
影响因子:
4.7
通讯作者:
Washington, Karla
Washington, Karla
中科院分区:
医学3区
文献类型:
--
作者:
Demiris, George;Oliver, Debra Parker;Washington, Karla

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我们调查了可视电话为非正式安宁疗护者提供问题解决疗法(PST)的可行性。非正式的临终关怀护理人员被随机分配使用可视电话接受来自研究人员的PST,而不是面对面的交流。结果测量包括照顾者焦虑、生活质量和解决问题的能力、视频的技术质量和参与者(包括受试者和研究人员)的满意度。共有42名安宁疗护者被纳入研究(平均年龄62岁)。总共记录了112次视频通话尝试。其中,100例(89%)视频通话成功,12例(11%)通话失败。平均视频通话时长为38分钟(范围18-84分钟)。视频通话的整体技术质量非常好。护理人员报告干预后的生活质量略高于基线,尽管这并不显著。护理人员报告的干预后焦虑水平低于基线水平(P = 0.04)。在离职面谈中,受试者普遍对视频电话感到满意。
We investigated the feasibility of videophones for the delivery of problem-solving therapy (PST) for informal hospice caregivers. Informal hospice caregivers were randomly assigned to receive PST from researchers using videophones, instead of communicating in face-to-face sessions. Outcome measures included caregiver anxiety, quality of life and problem-solving abilities, technical quality of videosessions and satisfaction of participants (including both subjects and researchers). A total of 42 hospice caregivers were enrolled (mean age 62 years). A total of 112 videocall attempts were documented. Of these, 100 (89%) resulted in successful videocalls and 12 (11%) were cases in which a call was not established. The average videocall duration was 38 min (range 18-84 min). The overall technical quality of the videocalls was very good. Caregivers reported a slightly higher quality of life post-intervention than at baseline, although this was not significant. Caregivers reported lower levels of anxiety post-intervention than at baseline (P = 0.04). The subjects were generally satisfied with the videophones during their exit interviews.