Enhancing resourcefulness to improve outcomes in family caregivers and persons with Alzheimer's disease: a pilot randomized trial.
Enhancing resourcefulness to improve outcomes in family caregivers and persons with Alzheimer's disease: a pilot randomized trial.
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DOI：
10.1155/2014/323478
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发表时间：
2014
影响因子：
--
通讯作者：
Zauszniewski JA
中科院分区：
文献类型：
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作者：
Gonzalez EW;Polansky M;Lippa CF;Gitlin LN;Zauszniewski JA
该试验性随机试验测试了旨在增强痴呆症患者家庭照顾者的足智多谋的干预措施，假设照顾者的情绪结果（焦虑和抑郁）和角色结果（奖励，紧张，相互性和准备）将得到改善，并且作为干预措施的结果，被照顾者（痴呆症患者）的问题行为将减少。受试者按种族（白色或非裔美国人）和基线足智多谋（高或低）分层。家庭照顾者被随机分配到一个干预组，其中受试者参加了六个足智多谋的培训课程，每周开会2小时，为期6周，或对照组，没有接受治疗。小到中等的影响显示的干预计划的足智多谋，焦虑和准备的照顾者和频率的行为问题的照顾者。与对照组相比，干预组的护理人员报告了显着更多的足智多谋技能，第6周时效果中等，12周后效果较小。与对照组相比，干预组痴呆症患者的行为问题较少，尽管差异不显著。在12周时，干预组的照顾者焦虑减少。
This pilot randomized trial tested an intervention aimed at enhancing resourcefulness in family caregivers of persons with dementia, postulating that caregivers' emotional outcomes (anxiety and depression) and role outcomes (reward, strain, mutuality, and preparedness) would be improved, and problem behaviors in the care recipients (persons with dementia) would be reduced as a result of the intervention. Subjects were stratified by race (white or African American) and by baseline resourcefulness (high or low). Family caregivers were randomly assigned to an intervention group in which subjects attended six resourcefulness training sessions, meeting for 2 hours weekly over 6 weeks, or to a control group that received no treatment. Small to medium effects were shown for the intervention program on resourcefulness, anxiety, and preparedness of the caregivers and on frequency of behavior problems in the care recipients. Caregivers in the intervention group reported significantly more resourcefulness skills, with a medium effect at week 6 and a small effect 12 weeks later, compared with the control group. Persons with dementia had fewer behavior problems in the intervention group compared with control, although the difference was not significant. Caregivers' anxiety was reduced in the intervention group at 12 weeks.