Effects of strength‐based intervention on health outcomes of family caregivers of persons with dementia: A study protocol

Yu, Doris S.F.; Cheng, Sheung‐Tak; Chow, Esther Oi-wah; Kwok, Timothy; McCormack, Brendan

doi:10.1111/jan.14470

Cited by 3 publications

(1 citation statement)

References 34 publications

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“…Estudios previos que han realizado revisiones sistemáticas y meta-análisis del impacto de estas intervenciones han demostrado su efectividad para aumentar el bienestar y disminuir ansiedad y depresión (Hendriks et al, 2018;Schutte & Malouff, 2019). También se han propuesto actuaciones no solo con cuidadores de personas con demencia (Yu et al, 2020), sino también con otras poblaciones provenientes de muestras clínicas con problemas psiquiátricos (Chakhssi et al, 2018), personas con dolor crónico de espalda (Baxter et al, 2012), o pacientes diagnosticados de cáncer (Rustøen et al, 2011). En general, los resultados muestran un aumento del bienestar y una disminución de distrés.…”

Section: Fortalezas Psicológicas Y Salud Mentalunclassified

Relación entre fortalezas psicológicas y salud mental en cuidadores informales de personas con demencia

García-Castro

2021

Escritos Psicología

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El objetivo de este estudio es analizar la relación, en cuidadores informales de personas con demencia, entre las fortalezas psicológicas y la salud mental, incluyendo depresión, ansiedad, estrés, sobrecarga del cuidador y problemas de salud mental. Para analizar esta relación se llevó a cabo diversos análisis de correlación canónica, incluyendo en el primer conjunto las variables las fortalezas psicológicas, agrupadas por virtudes, y en el segundo las variables de salud psicológica. Los resultados sugieren la existencia de intercorrelaciones significativas entre estas variables. Aquellos cuidadores informales que tienden a mostrar puntuaciones más elevadas en las fortalezas psicológicas correspondientes a las virtudes de Coraje, Humanidad, y Trascendencia tienden a mostrar menores puntuaciones en depresión, estrés, sobrecarga del cuidador, y problemas de salud mental. En concreto, fueron significativas las relaciones con las fortalezas de valor, vitalidad, amor, inteligencia social, belleza, gratitud, esperanza y humor. Los hallazgos de este estudio sugieren que programas de intervención basados en la promoción y desarrollo de estas fortalezas psicológicas podría mejorar la salud mental de los cuidadores.

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Section: Fortalezas Psicológicas Y Salud Mentalunclassified

Relación entre fortalezas psicológicas y salud mental en cuidadores informales de personas con demencia

García-Castro

2021

Escritos Psicología

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The effects of a salutogenic strength-based intervention on sense of coherence and health outcomes of dementia family carers: A randomized controlled trial

Yu,

Cheng,

Chow

et al. 2023

Age and Ageing

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Introduction Dementia caregiving is associated with notable impacts on the health of family carers. Although sense of coherence (SOC), as a core dimension of inner strength, has been found to have health-protecting effects in stressful encounters, few studies have designed a strength-based intervention to optimise SOC and thereby the health of carers. Objectives To identify the effects of a strength-based intervention on SOC, coping, health-related quality of life (HRQoL), perceived burden and depression among Chinese family carers of people with dementia and to examine whether the health effects, if any, are mediated through an enhanced SOC and effective coping. Design A double-blind randomised controlled trial comparing a strengths-based intervention with a general education control. Intervention A 14-session strengths-based intervention which combined the use of narrative and empowerment strategies to support the carers of people with dementia to optimise the use of their generalised resistance resources in coping with the caregiving situation. Setting Older people community centres in Hong Kong. Results A total of 350 family carers participated in the study (mean age: 65.0 (SD = 12.3); female: 84.6%). Participants who received the strength-based intervention reported significantly greater improvements in their SOC, mental health, perceived burden and depression, than those in the education group, over a 22-week evaluation period. Path analysis models revealed that an SOC wholly mediated the relationship between the strength-based intervention and mental HRQoL (covering energy/vitality and psychosocial functioning) and partially mediated the relationship between the strength-based intervention and depression. We did not identify any harm from the intervention. Conclusion A strength-based intervention is effective in improving the perceived burden and mental health of family caregivers of persons with dementia, and an SOC plays an important role in accounting for the mental health benefits. Trial registration The trial was registered in the World Health Organization International Clinical Trials Registry Platform (Main ID: ChiCTR-IIC-17011097).

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Rewriting the Story of Mid- and Late-Life Family Caregiving: Applying a Narrative Identity Framework

et al. 2023

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Family caregivers of older people with health needs often provide long-term, intensive support. Caregivers are, in turn, shaped by these caregiving experiences. According to the narrative identity framework, self-narratives from lived experiences influence self-beliefs and behaviors. We assert that family caregiving experiences, filtered through individuals’ memory systems as self-narratives, provide substantial scaffolding for navigating novel challenges in late life. Self-narratives from caregiving can guide positive self-beliefs and behaviors, leading to constructive health-focused outcomes, but they also have the potential to guide negative self-beliefs or behaviors, causing adverse consequences for navigating late life health. We advocate for incorporating the narrative identity framework into existing caregiving stress models and for new programs of research that examine central mechanisms by which caregiving self-narratives guide self-beliefs and behavioral outcomes. To provide a foundation for this research, we outline three domains in which caregiving self-narratives may substantially influence health-related outcomes. This article concludes with recommendations for supporting family caregivers moving forward, highlighting narrative therapy interventions as innovative options for reducing negative consequences of maladaptive caregiving self-narratives.

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Effects of strength‐based intervention on health outcomes of family caregivers of persons with dementia: A study protocol

Cited by 3 publications

References 34 publications

Relación entre fortalezas psicológicas y salud mental en cuidadores informales de personas con demencia

Relación entre fortalezas psicológicas y salud mental en cuidadores informales de personas con demencia

The effects of a salutogenic strength-based intervention on sense of coherence and health outcomes of dementia family carers: A randomized controlled trial

Rewriting the Story of Mid- and Late-Life Family Caregiving: Applying a Narrative Identity Framework

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