CareACT-基于互联网的干预措施，用于增强老年护理者的心理健康-一项对照试验的研究方案。

CareACT - internet-based intervention for enhancing the psychological well-being of elderly caregivers - a study protocol of a controlled trial.

机构信息

The GeroCenter Foundation for Aging Research and Development, Jyväskylä, Finland.

Department of Psychology, University of Jyväskylä, Jyväskylä, Finland.

出版信息

BMC Geriatr. 2019 Mar 5;19(1):72. doi: 10.1186/s12877-019-1071-9.

DOI:10.1186/s12877-019-1071-9

PMID:30836951

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6402103/

Abstract

BACKGROUND

The rapid increase in the number of elderly family caregivers underlines the need for new support systems. Internet-delivered psychological interventions are a potential approach, as they are easy to access for family caregivers who are often homebound with their care recipient. This study examines the relative effectiveness of an internet-based acceptance and commitment therapy (ACT) intervention or a standardized institutional rehabilitation program, first, in reducing depressive symptoms, and second, in improving the well-being and quality of life of elderly family caregivers compared to a control group receiving support from voluntary family caregiver associations.

METHODS

156 family caregivers aged 60 or more are studied in a quasi-experimental study design that compares three groups of family caregivers (Group 1; n = 65: a guided 12-week web-based intervention; Group 2, n = 52: a standardized institutional rehabilitation program in a rehabilitation center; Group 3, n = 39: support provided by voluntary caregiver associations). Data collection is performed at three time-points: pre-measurement and at 4 months and 10 months thereafter. Caregivers' depressive symptoms as a primary outcome, and perceived burden, anxiety, quality of life, sense of coherence, psychological flexibility, thought suppression, and personality as secondary outcomes are measured using validated self-report questionnaires. Physical performance and user experiences are also investigated. Between-group differences in the effects of the interventions are examined using multiple-group modeling techniques, and effect-size calculations.

DISCUSSION

The study will compare the effectiveness of a novel web-based program in reducing depressive symptoms and improving the psychological well-being of elderly family caregivers, or a standardized institutional rehabilitation program representing usual care and a control group receiving support offered by voluntary caregiver associations. The results will expand the knowledge base of clinicians and provide evidence on effective strategies to improve the mental health and overall quality of life of elderly family caregivers.

TRIAL REGISTRATION

The study was retrospectively registered in www.clinicaltrials.gov (ClinicalTrials.gov Identifier: NCT03391596 on January 4, 2018.

摘要

背景

随着老年家庭护理人数的迅速增加，需要建立新的支持系统。互联网提供的心理干预是一种潜在的方法，因为对于经常与护理对象呆在家里的家庭护理人员来说，这种方法很容易获得。本研究首先考察了基于互联网的接受与承诺疗法（ACT）干预或标准化机构康复方案相对于接受自愿家庭护理协会支持的对照组，在降低抑郁症状方面的相对有效性，其次考察了在改善老年家庭护理人员的幸福感和生活质量方面的相对有效性。

方法

在一项准实验研究设计中，研究了 156 名年龄在 60 岁及以上的家庭护理人员，该设计比较了三组家庭护理人员（第 1 组；n=65：接受 12 周的有指导的基于网络的干预；第 2 组，n=52：在康复中心的标准化机构康复方案；第 3 组，n=39：接受自愿护理协会提供的支持）。数据收集在三个时间点进行：基线测量以及随后的 4 个月和 10 个月。使用经过验证的自我报告问卷测量护理人员的抑郁症状作为主要结果，以及感知负担、焦虑、生活质量、心理一致性、心理灵活性、思维抑制和人格作为次要结果。还调查了身体表现和用户体验。使用多组建模技术和效应大小计算来检验干预措施效果的组间差异。