多组分干预对照料者负担及抑郁的影响：REACH多中心项目6个月随访结果
Effect of multicomponent interventions on caregiver burden and depression: the REACH multisite initiative at 6-month follow-up.
作者信息
Gitlin Laura N, Belle Steven H, Burgio Louis D, Czaja Sara J, Mahoney Diane, Gallagher-Thompson Dolores, Burns Robert, Hauck Walter W, Zhang Song, Schulz Richard, Ory Marcia G
机构信息
Community and Homecare Research Division, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
出版信息
Psychol Aging. 2003 Sep;18(3):361-74. doi: 10.1037/0882-7974.18.3.361.
Abstract
Meta-analysis was used to examine pooled parameter estimates of 9 active compared with 6 control conditions of the Resources for Enhancing Alzheimer's Caregiver Health (REACH) project at 6 months on caregiver burden and depressive symptoms. Associations of caregiver characteristics and outcomes were examined. For burden, active interventions were superior to control conditions (p = .022). Also, active interventions were superior to control conditions for women versus men and for caregivers with lower education versus those with higher education. For depressive symptoms, a statistically significant association of group assignment was found for Miami's family therapy and computer technology intervention (p = .034). Also, active interventions were superior to control conditions for Hispanics, nonspouses, and caregivers with lower education. Results suggest interventions should be multicomponent and tailored.
摘要
采用荟萃分析方法，对增强阿尔茨海默病照料者健康资源（REACH）项目中9种积极干预措施与6种对照措施在6个月时对照料者负担和抑郁症状的合并参数估计值进行了检验。研究了照料者特征与结果之间的关联。在负担方面，积极干预措施优于对照措施（p = 0.022）。此外，在女性与男性以及低学历照料者与高学历照料者中，积极干预措施也优于对照措施。对于抑郁症状，迈阿密的家庭治疗和计算机技术干预在分组上存在统计学显著关联（p = 0.034）。此外，对于西班牙裔、非配偶照料者以及低学历照料者，积极干预措施优于对照措施。结果表明，干预措施应具有多成分性且需量身定制。
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