Learning to Live With a Loved One With Mild Cognitive Impairment: Effectiveness of a Waiting List Controlled Trial of a Group Intervention on Significant Others' Sense of Competence and Well-being

Learning to Live With a Loved One With Mild Cognitive Impairment: Effectiveness of a Waiting List Controlled Trial of a Group Intervention on Significant Others' Sense of Competence and Well-being
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DOI:
10.1177/1533317513481093
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发表时间:
2013-05-01
影响因子:
3.4
通讯作者:
Kessels, Roy P. C.
Kessels, Roy P. C.
中科院分区:
医学4区
文献类型:
--
作者:
Banningh, Liesbeth W. A. Joosten-Weyn;Vernooij-Dassen, Myrra J. F. J.;Kessels, Roy P. C.

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这项对照研究探讨了针对轻度认知障碍(MCI)患者的护理伙伴的综合小组计划的有效性,该计划包括心理教育,认知康复和认知行为治疗的要素。治疗前和治疗后的定量和定性数据收集在84例MCI患者,其中27人已首先被分配到一个等待名单,从而作为自己的对照组的显着其他。此外,重要的其他人评价他们的能力,幸福,痛苦,接受,无助和意识的感觉。定量数据分析没有显示控制和干预条件之间的统计学显着差异,但定性结果表明,在程序完成的显着其他人报告的知识,洞察力,接受和应对技能的收益。在目前的重要他人样本中,小组干预被证明是无效的。对方案调整和替代结果措施的建议进行了讨论。
This controlled study examines the efficacy of a comprehensive group program aimed at care partners of patients with mild cognitive impairment (MCI), which comprises elements of psychoeducation, cognitive rehabilitation, and cognitive behavioral therapy. Pre- and posttreatment quantitative and qualitative data were collected in the significant others of 84 patients with MCI, 27 of whom had first been assigned to a waiting list, thus serving as their own control group. Also, the significant others rated their sense of competence, well-being, distress, acceptance, helplessness, and awareness. Quantitative data analysis did not reveal statistically significant differences between the control and the intervention condition, but qualitative results suggest that at program completion the significant others reported gains in knowledge, insight, acceptance, and coping skills. In the present sample of significant others, the group intervention was not proven effective. Suggestions for program adjustments and alternative outcome measures are discussed.