Burgio Louis, Stevens Alan, Guy Delois, Roth David L, Haley William E
Applied Gerontology Program, University of Alabama, 210 Osband Hall, Tuscaloosa, AL 35487-0315, USA.
Gerontologist. 2003 Aug;43(4):568-79. doi: 10.1093/geront/43.4.568.
We developed manual-guided, replicable interventions based on common needs and cultural preferences of White and African American family caregivers (CGs) of individuals with dementia, and we evaluated these interventions after a 6-month follow-up.
We randomly assigned White (n = 70) and African American (n = 48) CGs of individuals with dementia to either a skills training condition or a minimal support control condition.
The degree of treatment implementation was methodically assessed, and findings demonstrated that both interventions were delivered according to protocol and were well received by CGs. CGs in both groups reported decreasing levels of problem behaviors and appraisals of behavioral bother, and increased satisfaction with leisure activities over time. On a measure of appraisal of distress related to behavior problems, White CGs showed more improvement in the minimal support control condition, and African American CGs showed the greatest improvements in the skills training condition. Spouse and nonspouse CGs also showed differential responses to intervention.
Brief manual-guided interventions can be effective with White and African American CGs, and greater attention should be paid to possible differential responses to interventions by race and relationship to care recipient.
我们基于痴呆症患者的白人和非裔美国家庭照护者（CGs）的共同需求和文化偏好，开发了手动引导、可复制的干预措施，并在6个月的随访后对这些干预措施进行了评估。
我们将痴呆症患者的白人（n = 70）和非裔美国人（n = 48）家庭照护者随机分配到技能培训组或最低限度支持对照组。
对治疗实施程度进行了系统评估，结果表明两种干预措施均按照方案实施，且受到家庭照护者的好评。两组家庭照护者均报告随着时间推移，问题行为水平和行为困扰评估降低，对休闲活动的满意度提高。在与行为问题相关的痛苦评估中，白人家庭照护者在最低限度支持对照组中改善更大，而非裔美国人家庭照护者在技能培训组中改善最大。配偶和非配偶家庭照护者对干预也表现出不同反应。
简短的手动引导干预措施对白人和非裔美国家庭照护者可能有效，应更加关注不同种族和与受照护者关系对干预措施可能产生的不同反应。
