Jones Michael, Holley Claire, Jacobs Mariellen, Batchelor Ruth, Mangin Ashley
Virginia C. Crawford Research Institute, Shepherd Center, Atlanta, GA.
Arch Rehabil Res Clin Transl. 2021 Jul 25;3(3):100149. doi: 10.1016/j.arrct.2021.100149. eCollection 2021 Sep.
To evaluate effectiveness of a peer mentor intervention for caregivers of patients with acquired brain injury (ABI) in encouraging caregiver participation in support services to prepare them for the role of caregiving and in reducing caregiver stress and depression.
Controlled trial with participants randomized to either usual care or 1-to-1 visits with a family caregiver peer mentor during the ABI inpatient rehabilitation stay.
Nonprofit rehabilitation hospital specializing in care of persons with brain and spinal cord injury.
Caregivers (N=36) of patients with ABI admitted for rehabilitation whose discharge location was home with care provided by family members (caregivers: 93% female; 58% White; mean age, 48±10.4y).
One-to-one peer mentoring visits during the inpatient stay with a trained peer mentor who is also a family caregiver of a survivor of brain injury.
Frequency of participation in support services for family caregivers, reported caregiver stress, and reported caregiver depressive symptoms.
There was no difference between groups in participation in support services for family caregivers. Participants in the peer mentor intervention group reported significantly greater improvement in caregiver stress at discharge and 30 days post discharge than participants in the usual care group. Reported depressive symptoms were also lower for the intervention group, but change scores did not achieve statistical significance at discharge or 30-day follow-up.
Peer mentoring appears to improve caregivers' ability to handle the stress of caregiving and reduces reported depressive symptoms. There was no between-group difference noted in participation in support services for families; however, participation was adversely affected by restrictions imposed during the coronavirus disease 2019 pandemic, which may have masked any effect.
评估同伴指导干预措施对获得性脑损伤（ABI）患者照料者的有效性，该干预措施旨在鼓励照料者参与支持服务，为其承担照料角色做好准备，并减轻照料者的压力和抑郁情绪。
对照试验，参与者在ABI住院康复期间被随机分为接受常规护理或与家庭照料者同伴指导者进行一对一探访。
一家专门治疗脑和脊髓损伤患者的非营利性康复医院。
因康复入院的ABI患者的照料者（N = 36），其出院后回家由家庭成员提供照料（照料者：93%为女性；58%为白人；平均年龄48±10.4岁）。
住院期间与一名经过培训的同伴指导者进行一对一探访，该指导者也是一名脑损伤幸存者的家庭照料者。
家庭照料者参与支持服务的频率、报告的照料者压力以及报告的照料者抑郁症状。
两组在家庭照料者参与支持服务方面没有差异。同伴指导干预组的参与者在出院时和出院后30天报告的照料者压力改善情况明显优于常规护理组的参与者。干预组报告的抑郁症状也较低，但在出院时或30天随访时变化分数未达到统计学显著性。
同伴指导似乎提高了照料者应对照料压力的能力，并减少了报告的抑郁症状。在家庭支持服务的参与方面未发现组间差异；然而，参与受到2019年冠状病毒病大流行期间实施的限制的不利影响，这可能掩盖了任何效果。
