Ta Park Van M, Ton Vy, Tiet Quyen Q, Vuong Quyen, Yeo Gwen, Gallagher-Thompson Dolores
Department of Community Health Systems, University of California at San Francisco, School of Nursing, San Francisco, CA, USA.
Department of Health Science and Recreation, San Jose State University, One Washington Square, San Jose, CA.
Alzheimers Dement (N Y). 2019 Jul 26;5:319-327. doi: 10.1016/j.trci.2019.05.006. eCollection 2019.
This study developed and examined the feasibility of a culturally tailored, evidence-based skill-building program to reduce stress and depression of Vietnamese American dementia caregivers.
This pilot randomized controlled trial included pretest and posttest measures using the Center for Epidemiologic Studies-Depression Scale and the Revised Memory and Behavior Problems Checklist. The intervention (n = 30) group participated in a culturally tailored, 4-week Vietnamese-language cognitive-behavioral skills evidenced-based program (Our Family Journey); caregivers in the control condition (n = 30) received dementia-related educational materials (education control condition).
Our Family Journey caregivers showed significantly lower somatic scores on the Center for Epidemiologic Studies-Depression Scale and reported lower frequency of care recipients' disruptive behaviors. However, they also reported being more stressed by their care recipients' depressive symptoms on the Revised Memory and Behavior Problems Checklist compared to caregivers in the education control condition.
These promising results suggest that a culturally adapted program can benefit Vietnamese dementia caregivers. Additional research is needed to develop and evaluate stronger, more impactful interventions for this underserved group.
本研究开发并检验了一项基于文化定制、循证的技能培养项目的可行性，该项目旨在减轻越南裔美国痴呆症患者照料者的压力和抑郁情绪。
这项试点随机对照试验包括使用流行病学研究中心抑郁量表和修订版记忆与行为问题清单进行的前测和后测。干预组（n = 30）参加了一项基于文化定制的、为期4周的越南语认知行为技能循证项目（“我们的家庭旅程”）；对照条件组（n = 30）的照料者收到了与痴呆症相关的教育材料（教育对照条件）。
“我们的家庭旅程”项目组的照料者在流行病学研究中心抑郁量表上的躯体症状得分显著更低，且报告称受照料者破坏性行为的发生频率更低。然而，与教育对照条件组的照料者相比，他们在修订版记忆与行为问题清单上也报告称受照料者的抑郁症状给自己带来了更大压力。
这些有前景的结果表明，一个经过文化调适的项目能够使越南裔痴呆症患者照料者受益。需要开展更多研究，为这个服务不足的群体开发并评估更有力、更有影响力的干预措施。
