Exploring the effectiveness of an Internet-based program for reducing caregiver distress using the iCare Stress Management e-Training Program
Exploring the effectiveness of an Internet-based program for reducing caregiver distress using the iCare Stress Management e-Training Program
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DOI：
10.1080/13607863.2013.775641
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发表时间：
2013-07-01
影响因子：
3.4
通讯作者：
Gallagher-Thompson, Dolores
中科院分区：
文献类型：
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作者：
Kajiyama, Bruno;Thompson, Larry W.;Gallagher-Thompson, Dolores
目的：确定是否在线iCare压力管理电子培训计划减少压力，烦恼，抑郁症，和痴呆症家庭照顾者（CGs）的生活质量差。方法：CG（N = 150）被随机分配到iCare条件（ICC）或教育/信息仅条件（EOC）为3个月的时间。压力（PSS）（主要结果），照顾者烦恼（RMBPC），抑郁症（CES-D），和生活质量（PQOL）（次要结果）的自我报告措施的变化进行了测定，沿着使用新的信息在一个人自己的observing.Results：混合方差分析显示，在感知压力的变化是显着的ICC，但不是EOC（p = 0.017）。其他指标的变化并不显著。ICC中的照顾者在自己的照顾情境中使用材料的人数多于EOC中的照顾者。大约三分之一的照顾者参加了这项研究下降之前completing.Conclusion：结果是有希望的，但高辍学率是一个问题。今后应努力提高辍学率和增加参与者的参与。据我们所知，这是第一次尝试通过互联网提出一个基于证据的干预CG。
Objective: Determine if the online iCare Stress Management e-Training Program reduces stress, bother, depression, and poor life quality for dementia family caregivers (CGs).Method: CGs (N = 150) were randomly assigned to the iCare Condition (ICC) or to the Education/Information-Only Condition (EOC) for a 3-month period. Change in self-report measures of stress (PSS) (primary outcome), caregiver bother(RMBPC), depression (CES-D), and quality of life (PQOL) (secondary outcomes) was determined, along with usage of new information in one's own caregiving.Results: A mixed ANOVA revealed that change in perceived stress was significant for the ICC but not the EOC (p = .017). Changes in the other measures were not significant. More caregivers in the ICC used the materials in their own caregiving situation than those in the EOC. Roughly one-third of the caregivers enrolled in the study dropped prior to completion.Conclusion: Results are promising, but the high dropout is a concern. Future efforts to improve dropout rate and increase participant engagement are warranted. To our knowledge, this is the first attempt to present an evidence-based intervention for CGs via the Internet.