File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Long-Term Outcomes of the Benefit-Finding Group Intervention for Alzheimer Family Caregivers: A Cluster-Randomized Double-Blind Controlled Trial

TitleLong-Term Outcomes of the Benefit-Finding Group Intervention for Alzheimer Family Caregivers: A Cluster-Randomized Double-Blind Controlled Trial
Authors
KeywordsDementia caregiving
depression
positive aspects of caregiving
cluster-randomized controlled trial
Issue Date2019
PublisherElsevier Inc. The Journal's web site is located at http://www.ajgponline.org/
Citation
The American Journal of Geriatric Psychiatry, 2019, v. 27 n. 9, p. 984-994 How to Cite?
AbstractObjectives: To examine the effects of the group benefit-finding therapeutic intervention (BFT) for Alzheimer family caregivers up to 10-month follow-up. Methods: This was a cluster-randomized double-blind controlled trial in social centers and clinics. Participants included 129 caregivers. Inclusion criteria were 1) primary caregiver aged 18 years and older and without cognitive impairment, 2) providing 14 or more care hours per week to a relative with mild-to-moderate Alzheimer disease, and 3) scoring 3 or more on the Hamilton Depression Rating Scale. Exclusion criterion was care-recipient having parkinsonism or other forms of dementia. BFT (using cognitive reappraisal to find positive meanings) was evaluated against two forms of psychoeducation as controls—standard and simplified (lectures only) psychoeducation. All interventions had eight weekly sessions of 2 hours each. Primary outcome was depressive symptoms, whereas secondary outcomes were global burden, role overload, and psychological well-being. Measures were collected at baseline, postintervention, and 4- and 10-month follow-up. Results: Mixed-effects regression showed that BFT's effect on depressive symptoms conformed to a curvilinear pattern, in which the strong initial effect leveled out after postintervention and was maintained up to 10-month follow-up; this was true when compared against either control group. The effect on global burden was less impressive but moderate effect sizes were found at the two follow-ups. For psychological well-being, there was an increase in the BFT group at 4-month follow-up and a return to baseline afterward. No effect on role overload was found. Conclusion: Benefit-finding reduces depressive symptoms as well as global burden in the long-term and increases psychological well-being in the medium-term.
Persistent Identifierhttp://hdl.handle.net/10722/274020
ISSN
2019 Impact Factor: 3.393
2015 SCImago Journal Rankings: 1.653

 

DC FieldValueLanguage
dc.contributor.authorCheng, ST-
dc.contributor.authorChan, WC-
dc.contributor.authorLam, LCW-
dc.date.accessioned2019-08-18T14:53:25Z-
dc.date.available2019-08-18T14:53:25Z-
dc.date.issued2019-
dc.identifier.citationThe American Journal of Geriatric Psychiatry, 2019, v. 27 n. 9, p. 984-994-
dc.identifier.issn1064-7481-
dc.identifier.urihttp://hdl.handle.net/10722/274020-
dc.description.abstractObjectives: To examine the effects of the group benefit-finding therapeutic intervention (BFT) for Alzheimer family caregivers up to 10-month follow-up. Methods: This was a cluster-randomized double-blind controlled trial in social centers and clinics. Participants included 129 caregivers. Inclusion criteria were 1) primary caregiver aged 18 years and older and without cognitive impairment, 2) providing 14 or more care hours per week to a relative with mild-to-moderate Alzheimer disease, and 3) scoring 3 or more on the Hamilton Depression Rating Scale. Exclusion criterion was care-recipient having parkinsonism or other forms of dementia. BFT (using cognitive reappraisal to find positive meanings) was evaluated against two forms of psychoeducation as controls—standard and simplified (lectures only) psychoeducation. All interventions had eight weekly sessions of 2 hours each. Primary outcome was depressive symptoms, whereas secondary outcomes were global burden, role overload, and psychological well-being. Measures were collected at baseline, postintervention, and 4- and 10-month follow-up. Results: Mixed-effects regression showed that BFT's effect on depressive symptoms conformed to a curvilinear pattern, in which the strong initial effect leveled out after postintervention and was maintained up to 10-month follow-up; this was true when compared against either control group. The effect on global burden was less impressive but moderate effect sizes were found at the two follow-ups. For psychological well-being, there was an increase in the BFT group at 4-month follow-up and a return to baseline afterward. No effect on role overload was found. Conclusion: Benefit-finding reduces depressive symptoms as well as global burden in the long-term and increases psychological well-being in the medium-term.-
dc.languageeng-
dc.publisherElsevier Inc. The Journal's web site is located at http://www.ajgponline.org/-
dc.relation.ispartofThe American Journal of Geriatric Psychiatry-
dc.subjectDementia caregiving-
dc.subjectdepression-
dc.subjectpositive aspects of caregiving-
dc.subjectcluster-randomized controlled trial-
dc.titleLong-Term Outcomes of the Benefit-Finding Group Intervention for Alzheimer Family Caregivers: A Cluster-Randomized Double-Blind Controlled Trial-
dc.typeArticle-
dc.identifier.emailChan, WC: waicchan@hku.hk-
dc.identifier.authorityChan, WC=rp01687-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jagp.2019.03.013-
dc.identifier.pmid31076215-
dc.identifier.scopuseid_2-s2.0-85065170085-
dc.identifier.hkuros302264-
dc.identifier.volume27-
dc.identifier.issue9-
dc.identifier.spage984-
dc.identifier.epage994-
dc.publisher.placeUnited States-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats