The effectiveness of a telephone support program for caregivers of frail older adults

The effectiveness of a telephone support program for caregivers of frail older adults
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DOI:
10.1093/geront/46.5.620
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发表时间:
2006-10-01
期刊:
影响因子:
5.7
通讯作者:
Toseland, Ronald W.
Toseland, Ronald W.
中科院分区:
医学1区
文献类型:
--
作者:
Smith, Tamara L.;Toseland, Ronald W.

文献摘要

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目的:本研究的目的是评估电话支持小组计划对体弱老年人的配偶和成年子女照顾者的有效性。设计和方法:电话支持小组(TSG)模式是一个多成分的小组计划,每周12次,90分钟的小组会议。它包括以情绪为中心和以问题为中心的应对策略、教育和支持。我们招募了36名配偶和61名成年子女进行这项研究,并将他们随机分配到TSG或常规服务。我们在完成TSG或常规服务之前和之后对参与者进行了评估。结果如下:结果显示,对于成年儿童照顾者而言,TSG在减轻负担、抑郁、社会支持和紧迫问题以及增加社区服务的知识和使用方面比常规服务更有效。我们没有发现配偶照顾者的显着差异。影响:这是第一项研究,比较TSG的有效性为成年子女和配偶照顾者的体弱老年人。TSG表明自己是一个有效的手段,提供支持的成年子女照顾者体弱的老年人,但不是配偶。关于如何使TSG对配偶照顾者有效,需要进行更多的研究。
Purpose: The purpose of this study was to evaluate the effectiveness of a telephone support group program on spouses and adult child caregivers of frail older adults. Design and Methods: The Telephone Support Group (TSG) model is a multicomponent group program offered in 12 weekly, 90-minute group sessions. It includes emotion-focused and problem-focused coping strategies, education, and support. We recruited for this study 36 spouses and 61 adult children and randomly assigned them to TSG or to usual services. We assessed the participants before and after the completion of TSG or usual services. Results: The results indicated that, for adult child caregivers, TSG was more effective than usual services in reducing burden, depression, social support, and pressing problems, and increasing knowledge and use of community services. We found no significant differences for spouse caregivers. Implications: This is the first study to compare the effectiveness of TSG for adult child and spouse caregivers of frail older adults. TSG showed itself to be an effective means of delivering support to adult child caregivers of frail older adults but not to spouses. More research is needed about how to make TSG effective for spouse caregivers.