针对美籍华人痴呆症照护者的同伴指导计划:随机对照试验。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-11-01 Epub Date: 2024-05-02 DOI:10.1080/13607863.2024.2346599
Jinyu Liu, Ethan Siu Leung Cheung, Yifan Lou, Bei Wu
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引用次数: 0

摘要

目的:美籍华人是美国增长最快的少数民族之一,在开发文化敏感性干预措施以减轻与痴呆症护理相关的压力方面存在巨大差距。我们为美籍华人痴呆症护理人员制定了一项同伴指导计划,并对该计划的可行性和初步效果进行了试点测试:我们在纽约市的 38 名美籍华人痴呆症照护者中开展了一项试点随机对照试验。在基线、3 个月和 9 个月的随访中测量了四个结果变量--照护能力、孤独感、照护者负担和抑郁症状。研究方案和初步结果见 clinicltrial.gov [NCT04346745]:干预的可行性很高,这体现在可接受的保留率、忠实性以及护理人员和指导者的积极反馈。与对照组相比,干预组在 3 个月随访时的孤独感得分以及 9 个月随访时的照顾者负担和抑郁症状得分均有较大幅度的降低。我们没有发现两组在照顾能力方面有明显差异:结论:研究结果表明,在同一种族社区中,通过增强有经验的护理者的现有人力资源来改善华人护理者的心理健康,具有很高的可行性和潜在效果。还需要进一步的研究来检验在更大样本的人群中的有效性。
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A peer mentoring program for Chinese American dementia caregivers: a pilot randomized controlled trial.

Objectives: A large gap exists in the development of culturally sensitive interventions to reduce stress related to dementia care among Chinese Americans, one of the fastest growing minority populations in the United States. We developed and pilot tested the feasibility and preliminary efficacy of a peer mentoring program for Chinese American dementia caregivers.

Method: A pilot randomized controlled trial was conducted among 38 Chinese American caregivers in New York City. Four outcome variables-caregiving competence, loneliness, caregiver burden, and depressive symptoms-were measured at baseline and 3-month and 9-month follow-ups. The study protocol and preliminary results are available at clinicltrial.gov [NCT04346745].

Results: The feasibility of the intervention was high, as indicated by an acceptable retention rate, fidelity, and positive feedback from caregivers and mentors. Compared with the control group, the intervention group had greater reductions in scores for loneliness at 3-month follow-up and for caregiver burden and depressive symptoms at 9-month follow-up. We did not find significant differences in caregiving competence between the two groups.

Conclusion: The results indicated the high feasibility and potential efficacy of empowering existing human resources of experienced caregivers in the same ethnic community to improve the mental health of Chinese caregivers. Further research is needed to test the efficacy in a larger sample of this population.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
期刊最新文献
Examining mental health and autonomic function as putative mediators of the relationship between sleep and trajectories of cognitive function: findings from the Irish longitudinal study on ageing (TILDA). Exploring the associations between structural and functional aspects of social relationships and cognition in very old age. Sensory impairments and depressive symptoms in Europe: a cross-national cohort study. Co-occurrence of depressive and anxious symptoms and their influence on self-rated health: a national representative survey among Chinese older adults. Reaching people and managing membership in community-based dementia support groups: the Get Real with Meeting Centres realist evaluation part 1.
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