Enhancing caregiver health: findings from the resources for enhancing Alzheimer's caregiver health II intervention.
Enhancing caregiver health: findings from the resources for enhancing Alzheimer's caregiver health II intervention.
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DOI：
10.1111/j.1532-5415.2009.02631.x
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发表时间：
2010-01
影响因子：
6.3
通讯作者：
Decoster J
中科院分区：
文献类型：
--
作者：
Elliott AF;Burgio LD;Decoster J
研究从基线到增强阿尔茨海默氏症照顾者健康资源（REACH）干预后照顾者（CG）自我报告的健康，负担和烦恼之间的关系。随机、多中心临床试验。美国五个城市的CG和护理接受者（CR）之家。495例痴呆CG和CR二对儿（169例西班牙裔，160例白色和166例非裔美国人）接受干预及其对照。CG被分配到REACH干预组或无治疗对照组。干预受试者在6个月内通过9次家庭和3次电话会议接受了个人风险概况和REACH干预。在这6个月的时间里，对照组接受了两次简短的“登记”电话。主要结果是CG健康状况从基线到干预后的变化。次要结果是CG负担和干预后的困扰。干预后，CG报告更好的自我评价的健康，睡眠质量，身体健康，和情绪健康，这是与他们的负担和烦恼比CG没有接受干预的角色。抑郁症的变化似乎调解这些关系。在基线和随访时，在身体和情绪健康方面存在几个种族和族裔群体差异，以及在对工作的总挫折感、情绪负担和对CR日常生活活动和工具性日常生活活动的CG评定困扰方面存在差异，尽管基线和后测之间的差异不因种族而异。一个结构化的，多成分的技能培训干预，针对CG自我护理行为作为五个目标领域之一，改善自我报告的健康状况，并减少种族和民族多样化的CG痴呆症患者的负担和麻烦。
To examine the relationships between changes from baseline to post-Resources for Enhancing Alzheimer's Caregiver Health (REACH) intervention in caregiver (CG) self-reported health, burden, and bother. Randomized, multisite clinical trial. CG and care recipient (CR) homes in five U.S. cities. Four hundred ninety-five dementia CG and CR dyads (169 Hispanic, 160 white, and 166 African American) receiving intervention and their controls. CGs were assigned to the REACH intervention or a no-treatment control group. Intervention subjects received individual risk profiles and the REACH intervention through nine in-home and three telephone sessions over 6 months. Control subjects received two brief “check-in” telephone calls during this 6-month period. The primary outcome was change in CG health status from baseline to after the intervention. Secondary outcomes were CG burden and bother after the intervention. After the intervention, CGs reported better self-rated health, sleep quality, physical health, and emotional health, which was related to less burden and bother with their caregiving role than for CGs not receiving the intervention. Changes in depression appeared to mediate these relationships. Several racial and ethnic group differences existed in physical and emotional health, as well as in total frustration with caregiving, emotional burden, and CG-rated bother with CR's activities of daily living and instrumental activities of daily living at baseline and at follow-up, although differences between baseline and posttest did not vary according to race. A structured, multicomponent skills training intervention that targeted CG self-care behaviors as one of five target areas, improved self-reported health status, and decreased burden and bother in racially and ethnically diverse CGs of people with dementia.
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影响因子：
7.2
作者：
Molarius, A;Janson, S
通讯作者：
Janson, S
DOI：
10.1093/geronb/53b.2.p122
发表时间：
1998-03-01
影响因子：
6.2
作者：
McCurry, SM;Logsdon, RG;Teri, L
通讯作者：
Teri, L
影响因子：
3.7
作者：
Gitlin, LN;Belle, SH;Ory, MG
通讯作者：
Ory, MG
影响因子：
--
作者：
Irwin, M;Artin, KHH;Oxman, MN
通讯作者：
Oxman, MN
DOI：
10.1093/geronb/59.3.s138
发表时间：
2004-05-01
影响因子：
6.2
作者：
Dilworth-Anderson, P;Goodwin, PY;Williams, SW
通讯作者：
Williams, SW