Building Better Caregivers: A Pragmatic 12-Month Trial of a Community-Based Workshop for Caregivers of Cognitively Impaired Adults
Building Better Caregivers: A Pragmatic 12-Month Trial of a Community-Based Workshop for Caregivers of Cognitively Impaired Adults
复制标题
DOI：
10.1177/0733464817741682
复制
发表时间：
2019-09-01
影响因子：
3
通讯作者：
Yank, Veronica
中科院分区：
文献类型：
--
作者：
Lorig, Kate;Ritter, Philip L.;Yank, Veronica
建立更好的照顾者（BBC），一个为期6周的社区，同行领导的干预，目标是那些有认知障碍的家庭照顾者。英国广播公司在四个地理上分散的地区实施。在基线、6个月和1年时收集自我报告数据。主要结果是照顾者紧张和抑郁。次要结果包括照顾者负担、压力、疲劳、疼痛、睡眠、自评健康、运动、自我效能以及照顾者和照顾伴侣的医疗保健利用。配对t检验检查了6个月和1年的改善。一般线性模型检查了基线和6个月自我效能变化与12个月主要结局之间的相关性。83名参与者（75%的合格参与者）完成了12个月的数据。照顾者的压力和抑郁症显着改善（效应大小= .30和.41）。除运动和照顾者医疗保健利用率外，所有次要结局均显著改善。基线和6个月自我效能的改善与照顾者紧张和抑郁的改善相关。在这个试点务实的研究，英国广播公司似乎协助照顾者，同时减少护理伙伴的医疗保健利用率。自我效能似乎缓和这些结果。
Building Better Caregivers (BBC), a community 6-week, peer-led intervention, targets family caregivers of those with cognitive impairments. BBC was implemented in four geographically scattered areas. Self-report data were collected at baseline, 6 months, and 1 year. Primary outcome were caregiver strain and depression. Secondary outcomes included caregiver burden, stress, fatigue, pain, sleep, self-rated health, exercise, self-efficacy, and caregiver and care partner health care utilization. Paired t tests examined 6 month and 1-year improvements. General linear models examined associations between baseline and 6-month changes in self-efficacy and 12-month primary outcomes. Eighty-three participants (75% of eligible) completed 12-month data. Caregiver strain and depression improved significantly (Effect Sizes = .30 and .41). All secondary outcomes except exercise and caregiver health care utilization improved significantly. Baseline and 6-month improvements in self-efficacy were associated with improvements in caregiver strain and depression. In this pilot pragmatic study, BBC appears to assist caregivers while reducing care partner health care utilization. Self-efficacy appears to moderate these outcomes.