Center on Aging, University of Miami Miller School of Medicine, 1695 N.W. 9th Avenue, Suite 3208, Miami, FL 33136, USA.
J Gerontol B Psychol Sci Soc Sci. 2010 Mar;65B(2):185-94. doi: 10.1093/geronb/gbp131. Epub 2010 Jan 7.
This article extends the findings from the Resources for Enhancing Alzheimer's Caregiver Health (REACH II) program, a multisite randomized clinical trial of a multicomponent psychosocial intervention, to improve the well-being of informal caregivers (CGs) of persons with dementia. We used residual change scores and stepwise hierarchical regression analyses to explore separately in 3 racial ethnic groups (Hispanic or Latino, Black or African American, and White or Caucasian) how the effects of the intervention were moderated by CG characteristics (sex, age, education, and relationship), CG resources (social support), and religious coping. The results indicated that CG's age and religious coping moderated the effects of the intervention for Hispanics and Blacks. The older Hispanic and Black CGs who received the intervention reported a decrease in CG burden from baseline to follow-up. Black CGs with less religious coping who received the intervention also reported a decrease in depressive symptoms from baseline to follow-up.
本文扩展了增强阿尔茨海默病患者照顾者健康资源(REACH II)计划的研究结果,该计划是一项多地点随机临床试验,采用多组分心理社会干预措施来改善痴呆症患者的非正式照顾者(CG)的幸福感。我们使用残差变化分数和逐步分层回归分析,分别在 3 个种族群体(西班牙裔或拉丁裔、黑人和非裔美国人以及白人和高加索人)中探讨了干预效果如何受到 CG 特征(性别、年龄、教育和关系)、CG 资源(社会支持)和宗教应对方式的调节。结果表明,CG 的年龄和宗教应对方式调节了干预对西班牙裔和黑人的影响。接受干预的较年长的西班牙裔和黑人 CG 报告从基线到随访时 CG 负担减轻。接受干预的宗教应对方式较少的黑人 CG 也报告从基线到随访时抑郁症状减轻。