Translating the REACH OUT dementia caregiver intervention into a primary care setting: a pilot study
Translating the REACH OUT dementia caregiver intervention into a primary care setting: a pilot study
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DOI：
10.1080/13607863.2020.1850638
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发表时间：
2020-11-16
影响因子：
3.4
通讯作者：
Burgio, Louis D.
中科院分区：
文献类型：
--
作者：
Kessler, Asia Sikora;Mock, Gabrielle;Burgio, Louis D.
目的：当前的研究翻译了《增强阿尔茨海默氏症护理人员健康的资源：提供有用的治疗（REACH OUT）》，这是一种针对初级保健环境的技能建设压力和负担干预措施，并试点了由此产生的干预措施。方法：为期16周的干预包括诊所小组和医疗之家、老年病诊所内提供的一对一课程。没有对照组的准实验性前测和后测研究设计测试了由此产生的干预措施。半结构化的定性退出访谈评估program satisfaction.Results：25照顾者参加了四个干预组之一，21照顾者完成了干预（参加至少五个六组会议）。护理人员的标准化评估的负担显着减少干预前后，特别是身体/情绪紧张和不确定性。显着减少报告的破坏性行为的频率;增加照顾者的信心，在处理行为问题的频率，抑郁症状，破坏性行为，和记忆相关的问题;和减少麻烦方面的行为问题的频率和照顾者抑郁症。程序满意度是high.Conclusion：这项工作表明，REACH OUT程序可以成功地修改为在初级保健医疗家庭环境中使用。
Objective: The current study translated the Resources for Enhancing Alzheimer's Caregiver Health: Offering Useful Treatments (REACH OUT), a skills-building stress and burden intervention, for the primary care setting and pilot the resulting intervention.Methods: The 16-week intervention consisted of a combination of clinic-based group and one-on-one sessions offered within a medical home, geriatrics clinic. A quasi-experimental pre- and post-test study design without a control group tested the resulting intervention. Semi-structured qualitative exit interviews evaluated program satisfaction.Results: Twenty-five caregivers participated in one of four intervention groups; 21 caregivers completed the intervention (attended at least five of six group sessions). Caregiver burden on standardized assessments was significantly reduced between pre- and post-intervention, specifically for physical/emotional strain and caregiving uncertainty. Significant reductions were found in the frequency of reported disruptive behaviors; increased caregiver confidence in handling behavior problem frequency, depressive symptoms, disruptive behaviors, and memory-related problems; and decreased bother with respect to behavioral problem frequency and care recipient depression. Program satisfaction was high.Conclusion: This work suggests that the REACH OUT program can be successfully modified for use within a primary-care medical home setting.