Efficacy of the residential care transition module: A telehealth intervention for dementia family caregivers of relatives living in residential long-term care settings.

远程医疗 痴呆 寄宿护理 干预(咨询) 心理学 家庭照顾者 老年学 长期护理 期限(时间) 精神科 医学 远程医疗 医疗保健 经济增长 病理 经济 物理 量子力学 疾病
作者
Joseph E. Gaugler,Robyn Birkeland,Elizabeth Albers,Colleen Peterson,Katie Louwagie,Zachary Baker,Mary Mittelman,Kenneth Hepburn,David L. Roth
出处
期刊:Psychology and Aging [American Psychological Association]
卷期号:39 (5): 565-577 被引量:17
标识
DOI:10.1037/pag0000820
摘要

= 240). Primary analytic outcomes included caregiver subjective stress (a stress process mechanism) and depressive symptoms (a measure of global well-being). Secondary analytic outcomes included secondary role strains, residential care stress, caregiver sense of competence, and self-efficacy (additional mechanisms of action). General linear models tested for the main effects of the intervention at 4 months, and longitudinal mixed models examined the 12-month effects of the intervention. Post hoc analyses also examined the influence of moderators. No significant differences between the treatment and control groups for any primary analytic outcome were apparent. Caregivers in the treatment group whose relatives were admitted to residential long-term care in the prior 3 months were more likely to indicate reductions in depressive symptoms over the first 4 months of participation. Over the 12-month study period, caregivers in the treatment group who were employed reported increased self-efficacy over time. The heterogeneity of dementia care requires a broader consideration of key contextual factors that may influence the efficacy of nonpharmacological interventions. Aligning measures with the preferences, goals, and values of dementia caregivers may further demonstrate the direct benefits of interventions such as the Residential Care Transition Module. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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