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一项关于 Reitman 中心 CARERS 小组干预对痴呆症患者家庭照顾者的有效性的准实验研究。

A quasi-experimental study of the effectiveness of the Reitman Centre CARERS group intervention on family caregivers of persons with dementia.

机构信息

Department of Psychiatry, Reitman Centre and Enhancing Care Program, Sinai Health, University of Toronto, Toronto, Ontario, Canada.

Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.

出版信息

Int J Geriatr Psychiatry. 2021 Jun;36(6):811-821. doi: 10.1002/gps.5481. Epub 2020 Dec 19.

Abstract

OBJECTIVES

This study aims to determine the effectiveness of the Reitman Centre CARERS program on key outcomes in family caregivers (CGs) of people with dementia (PWD). The Reitman Centre CARERS program is an innovative, group psychotherapeutic skills-training intervention based on integrated problem solving techniques (PST), simulation learning and group psychotherapy designed to address each CGs' unique situation.

METHOD

Family CGs of PWD (n = 264) that were referred to Reitman Center and the partner sites were evaluated before and after completion of the 8-week CARERS program in comparison with a wait-list control group (n = 83) who received regular care in a quasi-experimental, non-randomized, multiple group, multisite trial. General linear model was used to compare the results after adjusting for baseline measures and changes in the care recipients' daily activities (Katz Index of Independence in Activities of Daily Living).

RESULTS

The results indicated the effectiveness and superiority of the CARERS program over usual care on measures of CG's perceived stress, depression, burden, competence, role overload, emotion and avoidance-focused coping.

CONCLUSION

The CARERS program as a multi-component intervention is an effective intervention that significantly improves functioning, coping skills and well-being of dementia CGs.

摘要

目的

本研究旨在确定 Reitman 中心 CARERS 计划对痴呆症患者 (PWD) 家属照顾者 (CG) 的关键结果的有效性。Reitman 中心 CARERS 计划是一种创新的、基于综合问题解决技术 (PST)、模拟学习和小组心理治疗的团体心理治疗技能培训干预措施,旨在解决每位 CG 的独特情况。

方法

将被转诊至 Reitman 中心及其合作站点的 PWD 家属 CG(n=264)与接受常规护理的等待名单对照组(n=83)进行比较,对照组在接受常规护理的同时,接受了 8 周的 CARERS 计划。在进行了准实验、非随机、多组、多站点试验后,对接受常规护理的对照组和接受 8 周 CARERS 计划的 CG 进行了评估。使用一般线性模型来比较经过基线测量和被照顾者日常活动变化(Katz 日常生活活动独立性指数)调整后的结果。

结果

结果表明,与常规护理相比,CARERS 计划在 CG 感知压力、抑郁、负担、能力、角色过载、情绪和回避聚焦应对方面具有优越性和有效性。

结论

CARERS 计划作为一种多成分干预措施,是一种有效的干预措施,可显著改善痴呆症 CG 的功能、应对技能和幸福感。

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