Protective preparation: a process central to family caregivers of persons with mild cognitive impairment

Wang, Ching Lin; Kuo, Li Min; Chiu, Yi‐Chen; Huang, Hsiu-Lin; Huang, Huei‐Ling; Hsu, Wen‐Chuin; Lu, Cheng Hsien; Huang, Tzu Hsin; Huang, Shan; Shyu, Yea‐Ing Lotus

doi:10.1017/s1041610217001764

Cited by 6 publications

(10 citation statements)

References 21 publications

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“…The family caregiver training program for caregivers of persons with MCI developed in this study based on prior research improved the preparedness of family caregivers (C. L. Wang et al, 2018). Prior qualitative research highlights multiple caregiver concerns and difficulties related to developing intervention programs, especially with regard to treating comorbid diseases.…”

Section: Discussionmentioning

confidence: 99%

“…The core theme that emerged from our prior longitudinal grounded theory study was "protective preparation" (C. L. Wang et al, 2018). The process of protective preparation incorporates three distinct but simultaneous and interactive components: ambivalent normalization, vigilant preparation, and protective management.…”

Section: Interventionsmentioning

confidence: 99%

“…The findings of this study (C. L. Wang et al, 2018) were used to develop an educational program for family caregivers of persons with MCI and reviewed by a panel of four experts in dementia care and gerontological nursing. The program was divided into four parts: (a) introduction, (b) maintaining care recipient's cognitive function, (c) managing care recipient's health, and (d) managing caregiver's health.…”

Section: Interventionsmentioning

confidence: 99%

“…Despite the absence of difficulties handling ADL in persons with MCI, their family caregivers must often manage their related neurological and psychiatric symptoms such as delusions, hallucinations, disinhibition, and psychomotor alterations as well as declines in instrumental ADL (IADL) capabilities (Connors et al, 2019; Junquera et al, 2020; Nunes et al, 2019). Family caregivers of persons with MCI have been shown to exhibit anger, frustration, anxiety, a need for patience in the caregiving role, emotional distress, and increased protectiveness (Carlozzi et al, 2018; Mavounza et al, 2020; C. L. Wang et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Drawing on the findings of our prior qualitative study on the concerns and difficulties of family caregivers of persons with MCI in Taiwan (C. L. Wang et al, 2018), we developed a training program for caregivers and examined its effects.…”

Section: Introductionmentioning

confidence: 99%

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An Outpatient-Based Training Program Improves Family Caregivers' Preparedness in Caring for Persons With Mild Cognitive Impairment: A Randomized Controlled Trial

Tung

Kuo

Chen

et al. 2023

Journal of Nursing Research

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Background: Little is known regarding the effects of training programs on family caregivers of older persons with mild cognitive impairment because of the significant differences in outcome variables measured in the various studies in the literature.Purpose: This study was designed to examine the effects of an outpatient-based caregiver training program on the preparedness, health-related quality of life, and depressive symptoms of participants responsible for caring for older persons with mild cognitive impairment.Methods: A randomized clinical trial was implemented. Of the 54 family caregiver participants who provided complete and valid data, 28 and 26 were assigned to the experimental and control groups, respectively. The experimental group participated in a researcherdeveloped training program that provided information on mild cognitive impairment, strategies for maintaining and promoting cognitive function in persons with mild cognitive impairment, managing their own and their care recipients' healthcare, and managing their own emotional support and stress. Outcomes (caregiver preparedness, health-related quality of life, and depressive symptoms) were assessed before the start of the training program (baseline) and at 1, 3, and 6 months after completion of the program.Results: After controlling for baseline cognitive function of the care recipients and of caregiver preparedness, the experimental group was shown to be significantly less prepared than the control group at baseline (β = −1.41, p = .031) and better prepared than the control group at all three posttests (group differences: 1.3, 1.53, and 4.24, respectively), with the difference at the third posttest (6 months) reaching statistical significance (p = .008). No impact of the intervention on caregiver depressive symptoms or health-related quality of life was found at posttest. Conclusions:The training intervention in this study was found to increase the perceived preparedness of the family caregiver participants to handle various aspects of providing care to persons with mild cognitive impairment. However, no changes were found in depressive symptoms or health-related quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%