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Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial

This pilot randomized trial tested an intervention aimed at enhancing resourcefulness in family caregivers of persons with dementia, postulating that caregivers' emotional outcomes (anxiety and depression) and role outcomes (reward, strain, mutuality, and preparedness) would be improved, and pr...

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Autores principales: Gonzalez, Elizabeth W., Polansky, Marcia, Lippa, Carol F., Gitlin, Laura N., Zauszniewski, Jaclene A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195254/
https://www.ncbi.nlm.nih.gov/pubmed/25328754
http://dx.doi.org/10.1155/2014/323478
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author Gonzalez, Elizabeth W.
Polansky, Marcia
Lippa, Carol F.
Gitlin, Laura N.
Zauszniewski, Jaclene A.
author_facet Gonzalez, Elizabeth W.
Polansky, Marcia
Lippa, Carol F.
Gitlin, Laura N.
Zauszniewski, Jaclene A.
author_sort Gonzalez, Elizabeth W.
collection PubMed
description This pilot randomized trial tested an intervention aimed at enhancing resourcefulness in family caregivers of persons with dementia, postulating that caregivers' emotional outcomes (anxiety and depression) and role outcomes (reward, strain, mutuality, and preparedness) would be improved, and problem behaviors in the care recipients (persons with dementia) would be reduced as a result of the intervention. Subjects were stratified by race (white or African American) and by baseline resourcefulness (high or low). Family caregivers were randomly assigned to an intervention group in which subjects attended six resourcefulness training sessions, meeting for 2 hours weekly over 6 weeks, or to a control group that received no treatment. Small to medium effects were shown for the intervention program on resourcefulness, anxiety, and preparedness of the caregivers and on frequency of behavior problems in the care recipients. Caregivers in the intervention group reported significantly more resourcefulness skills, with a medium effect at week 6 and a small effect 12 weeks later, compared with the control group. Persons with dementia had fewer behavior problems in the intervention group compared with control, although the difference was not significant. Caregivers' anxiety was reduced in the intervention group at 12 weeks.
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spelling pubmed-41952542014-10-19 Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial Gonzalez, Elizabeth W. Polansky, Marcia Lippa, Carol F. Gitlin, Laura N. Zauszniewski, Jaclene A. Int J Alzheimers Dis Research Article This pilot randomized trial tested an intervention aimed at enhancing resourcefulness in family caregivers of persons with dementia, postulating that caregivers' emotional outcomes (anxiety and depression) and role outcomes (reward, strain, mutuality, and preparedness) would be improved, and problem behaviors in the care recipients (persons with dementia) would be reduced as a result of the intervention. Subjects were stratified by race (white or African American) and by baseline resourcefulness (high or low). Family caregivers were randomly assigned to an intervention group in which subjects attended six resourcefulness training sessions, meeting for 2 hours weekly over 6 weeks, or to a control group that received no treatment. Small to medium effects were shown for the intervention program on resourcefulness, anxiety, and preparedness of the caregivers and on frequency of behavior problems in the care recipients. Caregivers in the intervention group reported significantly more resourcefulness skills, with a medium effect at week 6 and a small effect 12 weeks later, compared with the control group. Persons with dementia had fewer behavior problems in the intervention group compared with control, although the difference was not significant. Caregivers' anxiety was reduced in the intervention group at 12 weeks. Hindawi Publishing Corporation 2014 2014-09-29 /pmc/articles/PMC4195254/ /pubmed/25328754 http://dx.doi.org/10.1155/2014/323478 Text en Copyright © 2014 Elizabeth W. Gonzalez et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gonzalez, Elizabeth W.
Polansky, Marcia
Lippa, Carol F.
Gitlin, Laura N.
Zauszniewski, Jaclene A.
Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial
title Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial
title_full Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial
title_fullStr Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial
title_full_unstemmed Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial
title_short Enhancing Resourcefulness to Improve Outcomes in Family Caregivers and Persons with Alzheimer's Disease: A Pilot Randomized Trial
title_sort enhancing resourcefulness to improve outcomes in family caregivers and persons with alzheimer's disease: a pilot randomized trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195254/
https://www.ncbi.nlm.nih.gov/pubmed/25328754
http://dx.doi.org/10.1155/2014/323478
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