Effectiveness of a Mindfulness-Based Intervention Program for Women Family Caregivers of Older Adults

Fernández-Portero, Cristina; Alarcón, David; Gallardo-Flores, Ana; Amián, Josué García; Sánchez-Medina, José A.

doi:10.3390/healthcare9091216

Cited by 4 publications

(2 citation statements)

References 37 publications

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“…Result of oldest old in nursing homes from rural areas by Zhu supported our finding [29]. This could be explained by the traditional sociocultural pattern of women as caregivers and men as employees in society [30] where women had lower expectations for care services and thus were more likely to show satisfaction with the care they received [29]. The finding was inconsistent with the research results of Tobis et al, who found that there was no gender difference of unmet needs between female and male residents aged over 75 years [8].…”

Section: Discussionsupporting

confidence: 81%

The unmet needs of older adults living in nursing homes in Mainland China: a nation-wide observational study

Huang

Zeng²,

Mao³

et al. 2022

BMC Geriatr

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Background The unmet needs of older adults in nursing homes could result in their poor health status physically and psychologically. The aim of this study was to understand the characteristics of unmet needs of older adults residing in nursing homes in China, and to probe into the contributing factors. Methods In this cross-sectional design, the demographic and health status questionnaire, Modified Barthel Index, the Numerical Rating Scale for pain assessment, Geriatric Depression Scale, Camberwell Assessment of Need for the elderly were employed to survey older adults living in 38 nursing homes in 13 cities in China from July 2017 to June 2018 through a multi-stage, stratified sampling scheme. The Short Portable Mental Status Questionnaire was adopted to exclude participants with severe cognitive impairment. Aside from descriptive analysis, a raft of hierarchical logistic regression models were run by sequentially controlling for the independent variables at 5 levels (demographic characteristics, health status, pain, ADL, and depression), aiming to identify the influencing factors of the unmet needs of the residents. Results The effective sample size involved 2063 older adults (63.4% female versus 36.6% male), with a response rate of 98.5%. The median and inter-quartile range of the total needs and unmet needs of the sample was 3(1, 4) and 0(0, 1) respectively, with 122 older participants having more than 3 unmet needs (high unmet need category) versus 1922 older ones having ≤ 3 unmet needs (low unmet need category). The unmet needs of older adults in nursing homes mainly fell into social domains. Gender, religion, educational background, marital status, living condition before admission, room type, incomes, staffing, number of diseases, pain, Barthel Index, and depression were contributive to unmet needs of older adults in long-term care facilities in the final model that was adjusted for all levels of variables (all p < 0.05). Conclusion Understanding the influencing factors of the unmet needs of older adults in long term care provides clues for healthcare professionals to offer better care for this population. System-level support to nursing homes and training of staff are highlighted. Plus, taking measures to beef up social connections for the older adults to meet their social needs was suggested.

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Section: Discussionsupporting

confidence: 81%

The unmet needs of older adults living in nursing homes in Mainland China: a nation-wide observational study

Huang

Zeng²,

Mao³

et al. 2022

BMC Geriatr

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“…[ 39 ] Among these, we can refer to studies such as the effect of cognitive behavioral therapy on the level of anxiety, stress, and depression,[ 40 ] multidisciplinary supportive program on caregiver burden and quality of life,[ 41 ] supportive educative group intervention on caregiver burden,[ 42 ] and mindfulness-based care methods on improving mental and emotional status of family caregivers of HF patients. [ 43 ]…”

Section: Discussionmentioning

confidence: 99%

The effect of emotional freedom techniques (EFT) on anxiety and caregiver burden of family caregivers of patients with heart failure: A quasi-experimental study

Marzban,

Akbari,

Moradi

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: Family members are at the forefront of providing care to patients with chronic illnesses, such as heart failure (HF). Since patient caregiving can affect the mental and physical health of family caregivers, the implementation and training of new psychological interventions by nurses are considered important and necessary for family caregivers. Therefore, the aim of this study was to evaluate the effect of emotional freedom techniques (EFTs) on anxiety and caregiver burden of family caregivers of patients with HF. MATERIALS AND METHODS: This study was a quasi-experimental study, in which 91 family caregivers participated. The family caregivers were assigned into two groups of intervention (n = 46) and control (n = 45). Data were collected using a demographic information form, Zung Self-Rating Anxiety Scale (SAS), and Caregiver Burden Inventory (CBI) developed by Novak and Guest. The intervention group underwent EFT training within six sessions, while the control group received no training. Descriptive statistics (mean, standard deviation, and absolute and relative frequency) and inferential statistical tests such as Chi-square, Fisher’s exact, and independent t-tests were run, and the data were analyzed by Statistical Package for the Social Sciences (SPSS) version 23 software. RESULTS: The findings showed that the intervention group had a significant improvement in reducing anxiety (P > 0.001). In addition, EFT significantly reduced caregiver burden among family caregivers of HF patients (P > 0.001). CONCLUSION: EFT could significantly reduce anxiety and caregiver burden in family caregivers of patients with HF in our study. Therefore, nurses working in clinical settings are recommended to learn and use EFT to reduce the anxiety and caregiver burden of patients’ family caregivers.

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The effect of mindfulness‐based interventions on caregiver burden, quality of life and psychological distress in caregivers of adults with chronic diseases: Systematic review and meta‐analysis of randomized controlled trials

Erdoğan Yüce,

Döner,

Bilgin

et al. 2024

Worldviews Ev Based Nurs

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BackgroundChronic diseases requiring long‐term treatment, care, and follow‐up can negatively affect the health and well‐being of caregivers. Mindfulness‐based interventions (MBIs) are increasingly used as a mental health intervention to control the psychological problems experienced by caregivers and improve their quality of life.AimsThis systematic review and meta‐analysis aimed to provide evidence for a holistic evaluation and synthesis of the effects of MBIs applied to caregivers of adults with chronic disease on the burden, quality of life, and psychological distress.MethodsStudies evaluating the effects of mindfulness‐based interventions on caregivers of adults with chronic diseases and published through September 2023 were searched using PubMed, Web of Science, Scopus, and EBSCO. Methodological quality was assessed with the modified JADAD scale, and bias was assessed with the Cochrane risk‐of‐bias tool for randomized trials. Randomized controlled studies were included. The standardized mean difference with a 95% confidence interval was calculated. Heterogeneity was analyzed using the I2 test and Q statistic. Publication bias was assessed with the Egger regression test.ResultsThis meta‐analysis included 12 studies. Pooled evidence found that MBIs resulted in significant improvements in stress, anxiety, depression, and caregiver burden in caregivers of adults with chronic illness but had no significant effects on quality of life, resilience, and mindfulness. The Egger's test showed no evidence of publication bias.Linking Evidence to ActionMBIs can be considered as a helpful method to increase psychological well‐being and reduce caregiver burden in caregivers of adults with chronic diseases. These findings may direct clinicians to conduct mindfulness‐based interventions for caregivers of adults with chronic diseases.

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Effectiveness of a Mindfulness-Based Intervention Program for Women Family Caregivers of Older Adults

Cited by 4 publications

References 37 publications

The unmet needs of older adults living in nursing homes in Mainland China: a nation-wide observational study

The unmet needs of older adults living in nursing homes in Mainland China: a nation-wide observational study

The effect of emotional freedom techniques (EFT) on anxiety and caregiver burden of family caregivers of patients with heart failure: A quasi-experimental study

The effect of mindfulness‐based interventions on caregiver burden, quality of life and psychological distress in caregivers of adults with chronic diseases: Systematic review and meta‐analysis of randomized controlled trials

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