Toseland R W, McCallion P, Smith T, Huck S, Bourgeois P, Garstka T A
School of Social Welfare and Institute of Gerontology, State University of New York at Albany, 12222, USA.
J Clin Psychol. 2001 Apr;57(4):551-70. doi: 10.1002/jclp.1028.
The short-term effectiveness of a Health Education Group (HEP) intervention program for spouses of frail older adults was compared to the usual care (UC) offered to the spouses of frail older persons in a staff model health maintenance organization. HEP is a multicomponent group program offered in eight weekly, two-hour group sessions, and ten monthly, two-hour follow-up group sessions. It includes emotion-focused and problem-focused coping strategies, education, and support. One-hundred and five spouses were recruited and randomly assigned to HEP (n = 58) or UC (n = 47). Spouse caregivers and care recipients were assessed within two weeks of intervention and within two weeks after the completion of the eight weekly group meetings. The results indicate that, for caregivers, HEP was more effective than UC in reducing depression, maintaining social integration, increasing effectiveness in solving pressing problems, increasing knowledge of community services and how to access them, changing caregivers' feelings of competence, and the way they respond to the care giving situation. No significant differences, however, were found between care recipients in the two arms of the study on any of the outcome measures.
在一个员工模式的健康维护组织中，对一项针对体弱老年人配偶的健康教育小组（HEP）干预项目的短期效果，与向体弱老年人配偶提供的常规护理（UC）进行了比较。HEP是一个多组分的小组项目，包括八个每周两小时的小组会议，以及十个每月两小时的后续小组会议。它包括以情绪为中心和以问题为中心的应对策略、教育和支持。招募了105名配偶，并将他们随机分配到HEP组（n = 58）或UC组（n = 47）。在干预后两周内以及八次每周小组会议结束后两周内，对配偶照顾者和受照顾者进行了评估。结果表明，对于照顾者来说，HEP在减轻抑郁、维持社会融合、提高解决紧迫问题的能力、增加对社区服务及其获取方式的了解、改变照顾者的能力感以及他们对护理情况的反应方式等方面，比UC更有效。然而，在研究的两个组中的受照顾者之间，在任何结果指标上均未发现显著差异。
