Building Resources in Caregivers: Feasibility of a Brief Writing Intervention to Increase Benefit Finding in Caregivers

Building Resources in Caregivers: Feasibility of a Brief Writing Intervention to Increase Benefit Finding in Caregivers
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DOI:
10.1111/aphw.12195
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发表时间:
2020-02-05
影响因子:
6.9
通讯作者:
O'Connell, Brenda H.
O'Connell, Brenda H.
中科院分区:
心理学2区
文献类型:
--
作者:
Gallagher, Stephen;O'Sullivan, Liam;O'Connell, Brenda H.

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护理人员的建设资源(BRIC)是一项试点可行性试验,比较了为期2周的益处发现写作表达干预与控制干预的效果,后者写了关于天气的文章。护理人员在测试前(t1)、测试后立即(t2)和1个月后(t3)完成了主要(获益发现)和次要(生活质量、抑郁和焦虑)结果测量。他们还完成了有关试验可行性、难度和可接受性的措施。仅使用完整的病例分析,分析显示干预对主要或次要结局没有影响。尽管如此,干预组和对照组在关键可行性指标上没有差异。处于对照状态的护理人员不太可能向其他护理人员推荐这种方法。此外,护理人员提供的定性评论表明,并非每个人都喜欢写作,有些人觉得压力很大,为我们的发现提供了一些解释。我们的试点试验表明,任何未来的益处发现写作干预都需要几个程序修改,包括针对特定的护理人员群体,特别是那些喜欢写作的人,然后才能作为心理社会干预。
The Building Resources in Caregivers (BRiC) is a pilot feasibility trial that compared the effects of a 2-week benefit finding writing expressive intervention to a control intervention, who wrote about the weather. Caregivers completed primary (benefit finding) and secondary (quality of life, depression and anxiety) outcome measures at pre (t1), immediately post-test (t2) and 1 month later (t3). They also completed measures relating to trial feasibility, difficulty, and acceptance. Using complete case analysis only, analysis revealed no effect of the intervention for primary or secondary outcomes. Despite this, there were no differences between the intervention and control groups on key feasibility measures. Caregivers in the control condition were less likely to recommend this to other caregivers. Moreover, qualitative commentary provided by caregivers suggested that not everyone enjoyed the writing, some found it stressful, offering up some explanation for our findings. Our pilot trial suggests that any future benefit-finding writing intervention would require several procedure modifications including tailoring to a specific cohort of caregivers, in particular those who like writing, before it has some utility as a psychosocial intervention.