A Lifestyle Physical Activity Intervention for Caregivers of Persons With Alzheimer's Disease

Farran, Carol J.; Staffileno, Beth A.; Gilley, David W.; McCann, Judith J.; Li, Yan; Castro, Cynthia M.; King, Abby C.

doi:10.1177/1533317507312556

Cited by 56 publications

(43 citation statements)

References 34 publications

(53 reference statements)

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“…The findings of this study are similar to previous intervention studies, where caregivers have changed their behavior toward the person with dementia as a result of the intervention, because they have gained new knowledge, increased skills in assessing disruptive behaviors, learned the underlying causes of these behaviors, and improved their abilities to adapt to the change in the care recipient over time (22, 24, 30, 31). However, our findings are also unique in that we were able to identify stressors not related directly to caregiving that had an impact on caregiver coping.…”

Section: Discussionsupporting

confidence: 83%

Impact of Noncaregiving-Related Stressors on Informal Caregiver Outcomes

Austrom

Perkins

et al. 2014

Am J Alzheimers Dis Other Demen

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Background Caregivers of persons with dementia are stressed. Stressors not related to care recipients’ needs impact caregiver outcomes, yet are seldom reported. Methods 31 caregivers completed the Most Stressful Event form, Patient Health Questionnaire (PHQ-9) and the Revised Memory Behavioral Problem Checklist (R-MBPC). Fisher’s exact test and two-sample t-test were used to compare Most Stressful Events between caregivers. ANOVA model tested whether the PHQ-9 and R-MBPC subscales differed by stressor. Results Caregivers reported no stressors 21.5%, 1–2 stressors 25%, and 3 stressors 53% of the time with 318 stressors total. Care recipient needs (30.2%), caregiver needs (26.7%), and decision-making (16.7%) were the most frequently reported stressors. Using a mixed effects model, there were associations between Most Stressful Events and depression (p=0.016), mobility (p=0.024) and caregiver issues (p=0.009) subscales of R-MBPC. Conclusion Results can be used to develop intervention and support strategies for caregivers experiencing non-caregiving related stressors.

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Section: Discussionsupporting

confidence: 83%

Impact of Noncaregiving-Related Stressors on Informal Caregiver Outcomes

Austrom

Perkins

et al. 2014

Am J Alzheimers Dis Other Demen

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“…Interventions focused on body awareness have been used as therapeutic alternative in several diseases, including fibromyalgia syndrome, targeting both physical and psychological (largely depressive) symptoms 19 . Such interventions have been shown to be effective improving quality of life of these patients 20,21 . To the best of our knowledge, no previous studies published in the literature assessed the efficacy of BAT on caregiver burden.…”

Section: Discussionmentioning

confidence: 99%

Benefits of psychodynamic group therapy on depression, burden and quality of life of family caregivers to Alzheimer’s disease patients

Kamkhagi

Costa

Kusminsky

et al. 2015

Arch. Clin. Psychiatry (São Paulo)

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Background: Family members providing continuous care to demented patients suffer from severe burden that impairs quality of life and often evolves to depression. Objective: This study aims to evaluate the effect of psychodynamic group psychotherapy (PGT) compared to body awareness therapy (BAT) on caregiver burden, depressive symptoms, and quality of life among family caregivers to Alzheimer disease (AD) patients. Methods: Thirty-seven healthy family caregivers were randomly allocated to receive PGT (n = 20) or BAT (n = 17). Interventions were administered in the format of 14 weekly group sessions. Outcome measures were: modification of scores on Zarit Burden Scale, Beck Depression Inventory and WHO-QoL Scale. Results: Participants in the PGT group displayed significant reduction on burden (p = 0.01) and depression scores (p = 0.005), and improved quality of life (p = 0.002), whereas those in the BAT group showed improvements in burden of care (p = 0.001) and quality of life (p = 0.01), but not on depressive symptoms (p = 0.13). Discussion: Psychodynamic psychotherapy was associated with amelioration of depressive symptoms, but overall benefits on burden of care and quality of life were similar irrespective of the type of intervention, i.e., psychologically-oriented or not. We hypothesize that these interventions can be complementary to improve depression and burden of care among family caregivers of AD patients.

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“…[47] The majority of AD caregivers do not engage in regular exercise and this number increases as the care burden increases. [48] Further, we have shown that individuals with AD are even less active than their peers with normal cognition. [16] Thus, there is a need for an effective, convenient, and practical way to increase physical activity in caregiver/person-with-dementia dyad.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a Memory Clinic-Based Physical Activity Prescription Program

Vidoni

Watts

Burns

et al. 2016

JAD

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Background Effective programs for promoting physical activity are needed for those with cognitive impairment. Objective To test the feasibility of mobile Health (mHealth) technology-supported physical activity prescription from a tertiary care memory clinic. Methods This feasibility study was designed as a 16-week randomized, crossover trial of a physical activity prescription: 8 weeks of intervention, 8 weeks of baseline or maintenance phase data collection. We recruited 2 cohorts: 21 individuals with Alzheimer-related cognitive impairment (mean age 72.3 (5.2), 9 females), and 9 individuals with normal cognition (mean age 69.6 (5.8), 8 females). We gave each cohort an mHealth accelerometer-based physical activity prescription to double number of steps taken. Our primary outcomes were feasibility and safety. Our secondary outcomes were change in weekly steps taken, Dementia Quality of Life Scale, Self-efficacy Scale, 6-minute Walk, mini-Physical Performance Test. Results Set-up and use of the device was not a barrier to participation. However, only 62% of participants with cognitive impairment completed the intervention. The cohort with cognitive impairment did not change their weekly step count above Week 1. All participants in the cohort with normal cognition were able to set up and use their device and increased their weekly step count above Week 1. There were no differences between Week 1 and Week 8 for any secondary measures in either cohort. Conclusions Setup and daily use of mHealth technology appears to be feasible for a person with cognitive impairment with the help of a partner, but increasing daily step counts over 8 weeks was not achieved. Future work needs to assess alternative activity prescription goals or additional support for patients and their partners.

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A Lifestyle Physical Activity Intervention for Caregivers of Persons With Alzheimer's Disease

Abstract: Background-Little emphasis has been placed on behavioral interventions addressing caregivers' (CGs) physical health. The purpose of this pilot study was to examine the effects of lifestyle physical activity in CGs of persons with Alzheimer's disease.

Cited by 56 publications

References 34 publications

Impact of Noncaregiving-Related Stressors on Informal Caregiver Outcomes

Impact of Noncaregiving-Related Stressors on Informal Caregiver Outcomes

Benefits of psychodynamic group therapy on depression, burden and quality of life of family caregivers to Alzheimer’s disease patients

Feasibility of a Memory Clinic-Based Physical Activity Prescription Program

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A Lifestyle Physical Activity Intervention for Caregivers of Persons With Alzheimer's Disease

Abstract: Background-Little emphasis has been placed on behavioral interventions addressing caregivers' (CGs) physical health. The purpose of this pilot study was to examine the effects of lifestyle physical activity in CGs of persons with Alzheimer's disease.

Cited by 56 publications

References 34 publications

Impact of Noncaregiving-Related Stressors on Informal Caregiver Outcomes

Impact of Noncaregiving-Related Stressors on Informal Caregiver Outcomes

Benefits of psychodynamic group therapy on depression, burden and quality of life of family caregivers to Alzheimer&#8217;s disease patients

Feasibility of a Memory Clinic-Based Physical Activity Prescription Program

Contact Info

Product

Resources

About

Benefits of psychodynamic group therapy on depression, burden and quality of life of family caregivers to Alzheimer’s disease patients