One call makes a difference: An evaluation of the Alzheimer's Association National Helpline on dementia caregiver outcomes.
One call makes a difference: An evaluation of the Alzheimer's Association National Helpline on dementia caregiver outcomes.
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DOI：
10.1016/j.pec.2020.09.026
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发表时间：
2021-04
影响因子：
3.5
通讯作者：
Fazio, Sam
中科院分区：
文献类型：
--
作者：
Hodgson, Nancy A.;Petrovsky, Darina, V;Finegan, Kerry;Kallmyer, Beth A.;Pike, Joanne;Fazio, Sam
这项研究评估了通过阿尔茨海默病协会国家帮助热线提供的护理咨询的效果，该热线是一个免费资源，硕士级别的临床医生在其中提供保密支持。此外，这项研究还比较了求助热线“关怀咨询”和“关怀咨询+”条件对呼叫者结果的影响。445名非危机来电者被随机分配到传统的帮助热线“关爱咨询”或“关爱咨询+”条件下，其中包括一个额外的增援电话。虽然这两种情况之间没有发现差异，但研究发现，在一周内，来电者报告的照顾者心理健康得分(比基线净改善27%)和管理情绪的能力(净改善29%)都有显著改善(p=0.006)。到一周时，70%的来电者已经制定了行动步骤，到1个月时，80%的来电者已经实施了行动步骤。超过80%的来电者表示，采取的行动措施“很有帮助”。一个单独的电话为照顾者的心理健康、管理情绪的能力以及参与行动计划和获取资源的能力提供了可衡量的好处。这项初步研究表明，通过求助热线提供的支持可以有效地改善照顾者的心理健康，并提高来电者“采取行动”的能力。
The study evaluated the effects of care consultation delivered through the Alzheimer’s Association National Helpline - a free resource in which master’s-level clinicians offer confidential support. In addition, the study compared the effectiveness of the Helpline “Care Consultation” and “Care Consultation Plus” conditions on caller outcomes. Four hundred and forty-five non-crisis callers were randomly assigned to the traditional Helpline “Care Consultation” or a “Care Consultation Plus” condition that included one additional booster call. While no differences were found between the two conditions, the study found that callers reported significantly improved caregiver mental health scores (27% net improvement over baseline) and ability to manage emotions (29% net improvement) at one week (p=.006). By one week, 70% of callers had put action steps in place and by 1 month 80% of callers had put action steps into place. Over 80% of callers reported action steps were “helpful”. A single call provided a measurable benefit to caregivers’mental health, ability to manage emotions and ability to engage in action planning and accessing resources. This pilot study demonstrated that the support provided via the Helpline can be effective at improving caregiver mental health and improving the ability of callers to “take action”.
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