Impact of Two Psychosocial Interventions on White and African American Family Caregivers of Individuals With Dementia

Burgio, Louis D.; Stevens, Alan; Guy, Delois; Roth, David L.; Haley, William E.

doi:10.1093/geront/43.4.568

Cited by 138 publications

(117 citation statements)

References 41 publications

(31 reference statements)

Supporting

Mentioning

112

Contrasting

Order By: Relevance

“…This finding suggests that training anales de psicología, 2014, vol. 30, nº 3 (octubre) caregivers in behavioral and satisfaction activation techniques (Burgio, Stevens, Guy, Roth & Haley, 2003;Gallagher-Thompson et al, 2000) may contribute to prevent risk of institutionalization (or to delay the desire of institutionalization).…”

Section: Discussionmentioning

confidence: 99%

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

2014

View full text Add to dashboard Cite

Título: Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia. Resumen: Objetivos: El modelo PEAR ("Actividades AgradablesRestricción Conductual") ha sido propuesto como una manera de entender los efectos del ocio sobre el malestar de cuidadores de personas con demencia. En base al modelo PEAR y al de estrés y afrontamiento, el objetivo de este estudio fue analizar de forma conjunta el papel de la frecuencia y la satisfacción con la activación conductual en la explicación del malestar del cuidador (depresión, ansiedad, salud percibida), el riesgo de institucionalización de la persona cuidada, los estresores y recursos del cuidador (rumiación y reevaluación cognitiva) en una muestra de 275 cuidadores. Método: Se dividió a la muestra en cuatro grupos en función de sus niveles en la frecuencia y la satisfacción con la activación conductual: BFBS = Baja frecuencia + baja satisfacción; BFAS = Baja frecuencia + alta satisfacción; AFBS = Alta frecuencia + baja satisfacción; y AFAS = Alta frecuencia + alta satisfacción. Resultados: Mientras que los cuidadores del grupo AFAS mostraron un perfil más positivo en variables relacionadas con los recursos y de salud, y menores puntuaciones en riesgo de institucionalización en comparación con el resto de los grupos, los cuidadores del grupo BFBS utilizaron en mayor medida estrategias de regulación emocional desadaptativas y mostraron peores consecuencias sobre variables de resultado de salud. Discusión: Los resultados sugieren la importancia de considerar el perfil de frecuencia y satisfacción con el ocio a la hora de entender el malestar del cuidador. Palabras clave: cuidadores de personas con demencia; activación conductual; actividades agradables; riesgo de institucionalización; depresión; ansiedad. Abstract:Objectives: The PEAR (pleasant events-activity restriction) model has been proposed as a way of understanding leisure effects on dementia caregivers" distress. Considering both the PEAR model and the stress and coping model, the purpose of this study was to analyze the potential of both frequency and satisfaction with leisure to explain caregivers" distress (depression, anxiety and perceived health), risk of institutionalization of the care recipient, caregivers" stressors and resources variables (rumination and cognitive reappraisal) in 275 caregivers. Methods: The sample was divided in four groups based on caregivers" scores on frequency and satisfaction with leisure: LFLS = Low frequency + low satisfaction; LFHS = Low frequency and high satisfaction; HFLS = High frequency + low satisfaction; HFHS = High frequency + high satisfaction. Results: Results indicated that while caregivers from the HFHS group showed a generally more positive profile on resources variables, health outcomes and lower levels of risk of institutionalization compared with the other groups, caregivers from the LFLS group used significantly less adaptive emotional regulation strategies and showed worse consequences on health outcomes. Discu...

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

2014

View full text Add to dashboard Cite

show abstract

“…3 Data from these RCTs were not available or could not be pooled for meta-analysis. 4 Data of White and African American participants [139] and of White non-Hispanic and Cuban American participants [141] were considered individual studies. 5 Data of White non-Hispanic and Cuban American participants [141] were considered individual studies.…”

Section: Npts To Improve Moodmentioning

confidence: 99%

Nonpharmacological Therapies in Alzheimer’s Disease: A Systematic Review of Efficacy

Olazarán¹,

Reisberg

Clare

et al. 2010

Dement Geriatr Cogn Disord

780

669

View full text Add to dashboard Cite

Introduction: Nonpharmacological therapies (NPTs) can improve the quality of life (QoL) of people with Alzheimer’s disease (AD) and their carers. The objective of this study was to evaluate the best evidence on the effects of NPTs in AD and related disorders (ADRD) by performing a systematic review and meta-analysis of the entire field. Methods: Existing reviews and major electronic databases were searched for randomized controlled trials (RCTs). The deadline for study inclusion was September 15, 2008. Intervention categories and outcome domains were predefined by consensus. Two researchers working together detected 1,313 candidate studies of which 179 RCTs belonging to 26 intervention categories were selected. Cognitive deterioration had to be documented in all participants, and degenerative etiology (indicating dementia) had to be present or presumed in at least 80% of the subjects. Evidence tables, meta-analysis and summaries of results were elaborated by the first author and reviewed by author subgroups. Methods for rating level of evidence and grading practice recommendations were adapted from the Oxford Center for Evidence-Based Medicine. Results: Grade A treatment recommendation was achieved for institutionalization delay (multicomponent interventions for the caregiver, CG). Grade B recommendation was reached for the person with dementia (PWD) for: improvement in cognition (cognitive training, cognitive stimulation, multicomponent interventions for the PWD); activities of daily living (ADL) (ADL training, multicomponent interventions for the PWD); behavior (cognitive stimulation, multicomponent interventions for the PWD, behavioral interventions, professional CG training); mood (multicomponent interventions for the PWD); QoL (multicomponent interventions for PWD and CG) and restraint prevention (professional CG training); for the CG, grade B was also reached for: CG mood (CG education, CG support, multicomponent interventions for the CG); CG psychological well-being (cognitive stimulation, multicomponent interventions for the CG); CG QoL (multicomponent interventions for PWD and CG). Conclusion: NPTs emerge as a useful, versatile and potentially cost-effective approach to improve outcomes and QoL in ADRD for both the PWD and CG.

show abstract

“…Although varying in form, all these interventions share the common function of educating caregivers about dementia and memory loss and helping them develop skills for addressing specific caregiving issues, such as behavior management techniques, communication skills, and/or effective problem solving. Research has found consistent results in improving CG outcomes using educational skills training programs that focus on changing CGs' behavior, perceptions, and/or knowledge base (Burgio, Stevens, Guy, Roth, & Haley, 2003;Gitlin et al, 2003). Although these studies illustrate the benefits of CG training, they do not address CRs' psychosocial outcomes or include CRs as active participants in the intervention process.…”

mentioning

confidence: 99%

Acceptability and Feasibility Results of a Strength-Based Skills Training Program for Dementia Caregiving Dyads

2009

View full text Add to dashboard Cite

The Gerontologist 408Purpose: The current article provides an in-depth description of a dyadic intervention for individuals with dementia and their family caregivers. Using a strength-based approach, caregiving dyads received skills training across 5 key areas: (a) education regarding dementia and memory loss, (b) effective communication, (c) managing memory loss, (d) staying active, and (e) recognizing emotions and behaviors. Results of the acceptability and feasibility of the intervention protocols are also presented. Design and Methods: Caregiving dyads were randomly assigned to participate in the intervention. Participants in the treatment condition were asked to complete a series of evaluation questions after each intervention session and an overall evaluation of the program. Data were also collected from the intervention specialists who implemented the protocols. Results: Overall, the evaluation data indicated that the content and process of the intervention were viewed as highly acceptable and feasible by both participants and intervention specialists. Implications: This article highlights the merit of using a strength-based approach for working with caregiving dyads with dementia and how a single intervention protocol can be used to address the goals of both care partners. Furthermore, the intervention program was found to be highly acceptable and feasible, which is an important aspect of developing dyadic protocols.

show abstract

Impact of Two Psychosocial Interventions on White and African American Family Caregivers of Individuals With Dementia

Abstract: Brief manual-guided interventions can be effective with White and African American CGs, and greater attention should be paid to possible differential responses to interventions by race and relationship to care recipient.

Cited by 138 publications

References 41 publications

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

Effects of the frequency and satisfaction with leisure profile on dementia caregivers distress. [Efectos del perfil de frecuencia y satisfacción con el ocio en el malestar de cuidadores de personas con demencia]

Nonpharmacological Therapies in Alzheimer’s Disease: A Systematic Review of Efficacy

Acceptability and Feasibility Results of a Strength-Based Skills Training Program for Dementia Caregiving Dyads

Contact Info

Product

Resources

About