Impact of an Individualized Physical Activity Intervention on Improving Mental Health Outcomes in Family Caregivers of Persons with Dementia: A Randomized Controlled Trial.

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL AIMS Medical Science Pub Date : 2016-01-01 Epub Date: 2015-12-17 DOI:10.3934/medsci.2016.1.15
Carol J Farran, Olimpia Paun, Fawn Cothran, Caryn D Etkin, Kumar B Rajan, Amy Eisenstein, Maryam Navaie
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引用次数: 30

Abstract

Purpose: This study examined secondary benefits of an individualized physical activity intervention on improving dementia family caregivers' subjective burden, depressive symptoms and positive affect.

Design and methods: A community-based randomized controlled trial (RCT) was implemented with family caregivers of persons with dementia (N = 211) who received the Enhanced Physical Activity Intervention (EPAI: treatment intervention, n = 106) or the Caregiver Skill Building Intervention (CSBI: control intervention, n = 105). Interventions were delivered over 12 months, including a baseline home visit and regularly spaced telephone calls. Data were collected in person at baseline, 6 and 12-months; and telephonically at 3 and 9-months. The EPAI integrated physical activity and caregiving content while the CSBI focused only on caregiving content. Descriptive, bivariate and intention-to-treat analyses using generalized estimating equations (GEE) were performed to examine secondary benefits of the EPAI on family caregiver burden, depressive symptoms and positive affect.

Results: Compared to caregivers in the CSBI group, caregivers in the EPAI significantly increased their overall and total moderate physical activity and showed a positive interaction between the intervention and time for positive affect at both six (p = 0.01) and 12-months (p = 0.03). The EPAI was significantly associated with improving burden at 3 months (p = 0.03) but had no significant effect on depressive symptoms.

Implications: Caregiver involvement in an individualized physical activity intervention was associated with increased overall and total moderate physical activity and improved positive affect from baseline to 12 months. Improved positive affect may help caregivers to feel better about themselves and their situation, and better enable them to continue providing care for their family member for a longer time at lower risk to their own mental health.

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个体化体育活动干预对改善痴呆患者家庭照护者心理健康结果的影响:一项随机对照试验
目的:本研究考察了个体化体育活动干预在改善痴呆家庭照顾者主观负担、抑郁症状和积极影响方面的次要益处。设计与方法:以社区为基础的随机对照试验(RCT)对211名痴呆症患者的家庭照顾者进行了随机对照试验(N = 211),这些人接受了强化身体活动干预(EPAI:治疗干预,N = 106)或照顾者技能培养干预(CSBI:对照干预,N = 105)。干预措施在12个月内实施,包括基线家访和定期间隔的电话。在基线、6个月和12个月时亲自收集数据;在3个月和9个月时进行电话交流。EPAI整合了身体活动和护理内容,而CSBI只关注护理内容。使用广义估计方程(GEE)进行描述性、双变量和意向治疗分析,以检验EPAI对家庭照顾者负担、抑郁症状和积极影响的次要益处。结果:与CSBI组的照顾者相比,EPAI组的照顾者在6个月(p = 0.01)和12个月(p = 0.03)时的整体和总适度身体活动显著增加,干预与积极情绪时间呈正交互作用。EPAI与改善3个月时的负担显著相关(p = 0.03),但对抑郁症状无显著影响。含义:从基线到12个月,护理人员参与个性化体育活动干预与总体和总体适度体育活动的增加以及积极影响的改善有关。积极影响的改善可能会帮助照顾者对自己和他们的处境感觉更好,并更好地使他们能够在更低的心理健康风险下继续更长时间地照顾他们的家庭成员。
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
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