Psychoneuroimmunological Outcomes in Dementia Caregiver Intervention Studies: <i>An Idea Whose Time Has Come?</i>

Farran, Carol J.; Loukissa, Dimitra; Hauser, Penny M.; McCann, Judith J.; Swanson, Barbara; Zeller, Janice M.

doi:10.1111/j.1524-475x.2001.00071.x

Cited by 2 publications

(3 citation statements)

References 71 publications

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“…Other studies found that stroke caregiver perceptions of their own health worsened over the course of providing care 8,9. Because insufficient attention has been given to the health status and health promotion activities of family caregivers,10,13,18,76,77 further enhancement of the TASK intervention to address these areas in stroke caregivers is recommended.…”

Section: Discussionmentioning

confidence: 99%

Stroke Caregiver Outcomes from the Telephone Assessment and Skill-Building Kit (TASK)

Bakas

Farran

Austin

et al. 2009

Topics in Stroke Rehabilitation

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184

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Purpose Stroke caregivers often express the need for information about stroke and assistance with stroke-related care in the early discharge period. The Telephone Assessment and Skill-Building Kit (TASK) is an 8-week program that addresses caregiver needs. This study explored the efficacy of the TASK program in improving stroke caregiver outcomes. Method Guided by a conceptual model, 6 outcomes (optimism, task difficulty, threat appraisal, depressive symptoms, life changes, general health perceptions) were measured in 40 caregivers randomized to the TASK (n = 21) or an attention control group (n = 19). Data were analyzed using analysis of covariance (ANCOVA), controlling for baseline scores and minutes spent with the nurse. Results Significant increases in optimism at 4 weeks, 8 weeks, and 12 weeks were found, with medium effect sizes for the TASK group relative to the control group (p < .05). Significant improvements in task difficulty at 4 weeks, and threat appraisal at both 8 weeks and 12 weeks were also found (p < .05). Conclusion Caregivers receiving the TASK intervention improved in optimism, task difficulty, and threat appraisal. Further testing of an enhanced version of the TASK program is warranted, with attention directed toward more distal stroke caregiver outcomes.

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Section: Discussionmentioning

confidence: 99%

Stroke Caregiver Outcomes from the Telephone Assessment and Skill-Building Kit (TASK)

Bakas

Farran

Austin

et al. 2009

Topics in Stroke Rehabilitation

Self Cite

184

View full text Add to dashboard Cite

show abstract

“…Yet, the literature on informal ADRD caregiving intervention studies employing biobehavioral measures is limited, at best. In 2001, Farran and colleagues published a call-to-action in their review paper, requesting interdisciplinary researchers to combine their collaborative efforts to pursue ADRD intervention research, investigating neuroendocrine and immune outcomes [24]. Based on our review, in the two decades since Farran et al (2001), only fourteen studies followed their recommendations to include biological outcomes in ADRD caregiving intervention study designs.…”

Section: Limited Biobehavioral Scope Of Existing Ad Informal Caregivi...mentioning

confidence: 99%

“…In 2001, Farran and colleagues published a call-to-action in their review paper, requesting interdisciplinary researchers to combine their collaborative efforts to pursue ADRD intervention research, investigating neuroendocrine and immune outcomes [24]. Based on our review, in the two decades since Farran et al (2001), only fourteen studies followed their recommendations to include biological outcomes in ADRD caregiving intervention study designs. Thus, in this systematic review article, we aim to (1) review the limited existing studies, which assessed the impact of ADRD informal caregiving interventions on neuroendocrine, immune, and psychophysiological parameters and (2) summarize the current state of the literature.…”

Section: Limited Biobehavioral Scope Of Existing Ad Informal Caregivi...mentioning

confidence: 99%

A Systematic Review of Intervention Trials Utilizing Biomarkers Among Informal Caregivers of People with Alzheimer's Disease & Related Dementias

O’Riordan,

Chen,

Maza

et al. 2024

Aging and disease

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Informal caregivers of people with Alzheimer's Disease and Related Dementias (ADRD) experience unique stressors, reduced quality of life, and report poorer health, compared to non-caregivers. Throughout the last thirty years, researchers have developed and tested various psychosocial interventions and their ability to improve caregiver health. Due to an exclusive focus on self-report methods, however, no existing systematic literature reviews specifically examine intervention studies employing biomarkers; this systematic review aims to address this gap in the literature. In each database (PubMed and Web of Science, respectively), a title search was conducted with the following keywords: "alzheimer*" OR "dementia" AND "caregiv*" AND "intervention", followed by a second search using identical keywords except "intervention" was replaced with "program." Study or intervention protocol articles, exclusively qualitative studies, cultural applicability papers, dissemination studies, descriptive articles or program reports, acceptability/feasibility studies, studies utilizing formal caregiving samples, commentaries, review papers, and meta-analyses, erratums/corrections, measure development articles, factor analyses, and case reports were excluded from the final pool of studies. In this systematic review, the findings of 14 studies are summarized, and are organized based on specific types of biomarkers: neuroendocrine, immune, and autonomic physiological. Overall, the review yielded mixed results, which may, in part, be due to differences in the types of interventions tested, as well as differing biomarker measurement, methodology, and analysis. More biobehavioral intervention trials are needed among ADRD caregivers. Including biological parameters as pre-and post-measures can shed insight into the extent to which interventions may help caregivers heal from the stress of caregiving.

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Psychoneuroimmunological Outcomes in Dementia Caregiver Intervention Studies: An Idea Whose Time Has Come?

Abstract: Volume 8

Cited by 2 publications

References 71 publications

Stroke Caregiver Outcomes from the Telephone Assessment and Skill-Building Kit (TASK)

Stroke Caregiver Outcomes from the Telephone Assessment and Skill-Building Kit (TASK)

A Systematic Review of Intervention Trials Utilizing Biomarkers Among Informal Caregivers of People with Alzheimer's Disease & Related Dementias

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