Effectiveness of Cognitive-Behavioral Group Therapy on Guilt Feeling Among Family Caregivers of Patients With Alzheimer’s Disease

Masoumeh, Mahmoudi; Mohammadkhani, Parvaneh; Bonab, Bagher Ghobari; Bagheri, Fariborz

doi:10.18869/acadpub.jpcp.5.3.203

Cited by 6 publications

(5 citation statements)

References 16 publications

(20 reference statements)

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“…46 Few dementia caregiving interventions have targeted and measured specific emotions or affect beyond distress and anxiety. An exception CBT 47 and interventions that incorporate aspects from Acceptance and Commitment Therapy and Compassion-Focused Therapy 48 have been found to decrease care partner guilt. Another example is a positive emotion regulation intervention called Life Enhancing Activities for Family caregivers that improved positive emotions (i.e., a composite including interest, enjoyment, awe, gratitude, hope, and love).…”

Section: Emotional and Affective Experiences In Persons Living With D...mentioning

confidence: 99%

Emerging topics in dementia care and services

Wolff

Benge

Cassel

et al. 2021

J American Geriatrics Society

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Background: The National Institute on Aging (NIA), in conjunction with the Department of Health and Human Services as part of the National Alzheimer's Project Act (NAPA), convened a 2020 Dementia Care, Caregiving, and Services Research Summit Virtual Meeting Series. This review article summarizes three areas of emerging science that are likely to grow in importance given advances in measurement, technologies, and diagnostic tests that were presented at the Summit.Results: Dr. Cassel discussed novel ethical considerations that have resulted from scientific advances that have enabled early diagnosis of pre-clinical dementia. Dr. Monin then summarized issues regarding emotional experiences in persons with dementia and their caregivers and care partners, including the protective impact of positive emotion and heterogeneity of differences in emotion by dementia type and individual characteristics that affect emotional processes with disease progression. Finally, Dr. Jared Benge provided an overview of the role of technologies in buffering the impact of cognitive change on realworld functioning and their utility in safety and monitoring of function and treatment adherence, facilitating communication and transportation, and increasing access to specialists in underserved or remote areas. Conclusions: National policy initiatives, supported by strong advocacy and increased federal investments, have accelerated the pace of scientific inquiry and innovation related to dementia care and services but have raised some new concerns regarding ethics, disparities, and attending to individual needs, capabilities, and preferences.

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Section: Emotional and Affective Experiences In Persons Living With D...mentioning

confidence: 99%

Emerging topics in dementia care and services

Wolff

Benge

Cassel

et al. 2021

J American Geriatrics Society

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“…The results of this study indicated that there was no signi cant difference between mean scores of knowledge and practice in male and female caregivers; however, in some other studies, it has been pointed out that women's knowledge background from dementia is less than that of men (29). Therefore, studies show that interventional programs are necessary and cost-effective for improving the caregiving process (29,30). Therefore, it is recommended to differentiate between the type, method, and content of educational programs for male and female caregivers.…”

Section: Discussionmentioning

confidence: 62%

Determining the Impacts of Educational Intervention based on PLST Extended Care model on Caregiving Methods and Improved Exposure to Challenging Behaviors of People with Dementia (PWD): A mixed-methods study

Zamani‐Alavijeh

Zahed

Emami³

et al. 2021

Preprint

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Background: Psychological events in People with Dementia (PWD) lead to behavioral disorders which require targeted planning for caregivers on how to adapt to these behaviors. Progressively lowered stress threshold (PLST) model provides effective interventions for caregivers to adapt to the behaviors of People with Dementia (PWD). Therefore, this study aims to determine the impacts of educational intervention based on the progressively lowered Stress threshold extended (PLSTE) model on the caregiving of People with Dementia (PWD) in Isfahan, Iran. Methods: This exploratory mixed methods study was initially conducted with a qualitative approach to content analysis type from May 2016 to June 2018. Data were collected in a qualitative stage through in-depth non-structured interviews with 29 People with Dementia (PWD)'s caregivers using the "new comment" command in a word and then analyzed. The researcher designed a multi-sectional questionnaire, including demographic characteristics, knowledge measurement, and monitoring the practice of caregivers. The validity of the questionnaire was verified by the panel of experts and its reliability was confirmed using the Cronbach alpha coefficient (knowledge section 0.838 and practice section 0.802). To adjust the intervention program, the educational content based on the PLSTE model was used for 38 caregivers available at two elderly nursing centers in Isfahan. The data were collected immediately and one month after the educational intervention using a questionnaire. Results: According to the results of the qualitative section of this study, the researcher was able to add a cultural and belief class, and then the related Intervention method to the PLST model. In the quantitative part, paired t-test indicated that the mean scores of knowledge, caregiving practice, and exposure to Challenging Behaviors (CB) in all dimensions of practice immediately and one a month after intervention were significantly higher than the mean scores before intervention (P < 0.05).Conclusion: Considering the impacts of this intervention, educating the caregivers with PLST extended the care model is recommended, with a specific focus on cultural and traditional issues of the society, to improve knowledge and practice of caregivers in caregiving skills and appropriate exposure to Challenging Behaviors People with Dementia (CBPWD). Trial registration No. IRCT20180421039370N1 -2019-01-11-http://www.irct.ir

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“…Overall, the findings from our study and previous research highlight the importance of providing education, training, and support to caregivers of PWD. Interventions that are tailored to the specific needs and cultural context of the population being served can be particularly effective, and may be necessary to improve the caregiving process and promote better outcomes for both patients and caregivers 20,21 . The educational intervention included training the caregivers in communication skills to improve the caregiving process and reduce negative emotions.…”

Section: Discussionmentioning

confidence: 99%

“…Show respect for the patient's religious beliefs and may be necessary to improve the caregiving process and promote better outcomes for both patients and caregivers. 20,21 The educational intervention included training the caregivers in communication skills to improve the caregiving process and reduce negative emotions. The use of a variety of teaching methods can help engage caregivers and make the material more accessible and relevant.…”

Section: Modify Environments To Support Losses and Enhance Safetymentioning

confidence: 99%

The effect of educational intervention based on the Progressively Lowered Stress Threshold extended model on the process of caregiving for people with dementia

Zamani‐Alavijeh,

Zahed,

Emami

et al. 2023

Psychogeriatrics

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BackgroundThis study examined the impacts of an educational intervention based on the Progressively Lowered Stress Threshold (PLST) extended model on caregiving for people with dementia (PWD).MethodThis study was conducted in Isfahan, Iran, from May 2016 to June 2018, with 38 caregivers of PWD as participants assigned to an intervention group. Data were collected using a multi‐sectional, researcher‐developed questionnaire that recorded the demographic characteristics, and measured the dementia‐related knowledge and caregiving practices of the participants. The questionnaire and an educational program were designed in three parts according to the educational needs of caregivers to enhance their practice, skills, and ability to handle challenging behaviours in PWD. The questionnaire's face validity was confirmed by expert review, and its reliability was assessed with Cronbach's alpha coefficient (knowledge section, 0.838; practice section, 0.802). The sampling method used was convenience sampling, and none of the caregivers refused to receive the educational content. Therefore, the evaluation of the program lacks a randomized controlled group. To tailor the intervention program to the participants' needs, the educational content was based on the PLST extended model.ResultsThe mean scores for knowledge and practice increased following the intervention (P < 0.05). An educational intervention, using the PLST extended care model, thus produced positive impacts in improving the knowledge and practice of caregivers of PWD.ConclusionEducating caregivers with the PLST extended model, with a specific focus on the cultural and religious backgrounds of societies, is recommended.

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Effectiveness of Cognitive-Behavioral Group Therapy on Guilt Feeling Among Family Caregivers of Patients With Alzheimer’s Disease

Cited by 6 publications

References 16 publications

Emerging topics in dementia care and services

Emerging topics in dementia care and services

Determining the Impacts of Educational Intervention based on PLST Extended Care model on Caregiving Methods and Improved Exposure to Challenging Behaviors of People with Dementia (PWD): A mixed-methods study

The effect of educational intervention based on the Progressively Lowered Stress Threshold extended model on the process of caregiving for people with dementia

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