Developing Volunteer-Assisted Behavioral Activation Teleprograms to Meet the Needs of Chinese Dementia Caregivers
Developing Volunteer-Assisted Behavioral Activation Teleprograms to Meet the Needs of Chinese Dementia Caregivers
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DOI：
10.1080/07317115.2015.1008118
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发表时间：
2015-05-27
影响因子：
2.8
通讯作者：
Au, Alma
中科院分区：
文献类型：
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作者：
Au, Alma
本研究旨在测试针对中国痴呆症护理人员的电话辅助行为激活（BA）干预模型，以降低这些护理人员的抑郁症状水平。该研究通过为期 4 个月的纵向随机对照试验比较了两种电话干预措施。在前 4 周，所有参与者都通过电话接受了相同的心理教育计划。在接下来的 4 个月里，每两周进行 8 次电话随访。对于这八次后续电话，参与者被随机分为以下两组中具有不同条件的一组。对于文学学士心理教育 (PsyED-BA) 组，参与者每两周接受八次文学学士实践课程，重点是安排愉快的活动和改善沟通。对于仅心理教育（PsyED Only）组，每两周举行八次心理教育和相关信息的一般讨论。 BA 的电话管理和一般讨论部分是在老年人和作为辅助专业人员的大学生的帮助下进行的。共招募了96名痴呆症患者的家庭照顾者，其中93名照顾者完成了整个研究。与仅 PsyED 组相比，PsyED-BA 组的抑郁症状水平显着降低。研究发现，基线时护理时间较长的护理人员从干预中受益更多。 PsyED-BA 组在 BA 培训后使用情绪调节策略的频率有所增加。研究结果可以通过提供一些框架来为护理人员制定易于使用、可持续且具有成本效益的干预措施，从而为文献做出贡献。
This study aimed to test a model of telephone-assisted behavioral activation (BA) intervention for Chinese dementia caregivers to reduce the level of depressive symptoms among these caregivers. The study compared two telephone interventions using a 4-month longitudinal randomized controlled trial. For the first 4 weeks, all participants received the same psychoeducation program via telephone. Then for the following 4 months, eight biweekly telephone follow-up calls were performed. For these eight follow-up calls, participants were randomized into either one of the two following groups with different conditions. For the Psychoeducation with BA (PsyED-BA) group, participants received eight biweekly sessions of BA practice focused on pleasant event scheduling and improving communications. For the Psychoeducation only (PsyED Only) group, there were eight biweekly sessions of general discussion of psychoeducation and related information. The telephone administration of the BA and general discussion component were administered with the help of senior citizens and also university students engaged as paraprofessionals. A total of 96 family caregivers of persons living with dementia were recruited, and 93 caregivers completed the whole study. As compared to the PsyED Only group, the PsyED-BA group had significantly decreased levels of depressive symptoms. Caregivers who reported longer caregiving hours at baseline were found to benefit more from the intervention. The PsyED-BA group showed an increased frequency in the use of emotional regulation strategies after the BA training. Findings can contribute to the literature by offering some framework for developing accessible, sustainable, and cost-effective interventions for caregivers.