Department of Psychiatry & Neuropsychology, Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands
Department of Psychiatry & Neuropsychology, Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands.
BMJ Open. 2023 Sep 13;13(9):e070499. doi: 10.1136/bmjopen-2022-070499.
Numerous caregiver support programmes have shown promise in promoting the mental health of informal caregivers of people with dementia (PwD). However, there is still a lack of evidence-based interventions tailored to the specific needs of this population. This mixed-methods study aims to evaluate the feasibility, acceptability and preliminary efficacy of a blended intervention based on acceptance and commitment therapy (ACT) for informal caregivers of PwD, leading to a better understanding of intervention refinements for future controlled trials.
This study includes an uncontrolled pre-post intervention pilot study. A total of 30 informal caregivers of PwD will be recruited through memory clinics and social media platforms in the Netherlands. The ACT for informal caregiver (ACT-IC) intervention will be delivered over a 9-week period and consists of a collaborative goal-setting session, nine online ACT modules, nine telephone-based motivational coaching sessions and 6 monthly booster sessions following the main intervention period. Feasibility and acceptability will be assessed using attrition rate, adherence to and engagement with the intervention, proportion of missing data and semistructured interviews. Preliminary efficacy will be assessed with retrospective measures of depression, anxiety, stress, sense of competence, burden and self-efficacy at baseline, postintervention, at 3-month and 6-month follow-ups.
The Medical Ethical Committee from the Maastricht academic hospital and Maastricht University approved the study. The findings of this study will be shared with healthcare professionals, researchers and public audience through various channels, including scientific publications, conference presentations, online forums and community outreach programmes.
NCT05064969.
许多照顾者支持计划已显示出在促进痴呆症患者（PwD）的非正式照顾者的心理健康方面具有潜力。然而，仍然缺乏针对这一人群特定需求的循证干预措施。本混合方法研究旨在评估基于接受与承诺疗法（ACT）的针对 PwD 的非正式照顾者的混合干预措施的可行性、可接受性和初步疗效，以便更好地了解未来对照试验的干预措施改进。
本研究包括一项无对照的干预前后试点研究。总共将通过荷兰的记忆诊所和社交媒体平台招募 30 名 PwD 的非正式照顾者。为期 9 周的 ACT 对非正式照顾者（ACT-IC）干预包括一个协作的目标设定会议、九个在线 ACT 模块、九个基于电话的动机咨询会议以及在主要干预期之后的 6 个月的强化会议。使用流失率、对干预的依从性和参与度、缺失数据的比例以及半结构化访谈来评估可行性和可接受性。使用基线、干预后、3 个月和 6 个月随访时的抑郁、焦虑、压力、胜任感、负担和自我效能感的回顾性测量来评估初步疗效。
马斯特里赫特学术医院和马斯特里赫特大学的医学伦理委员会批准了这项研究。本研究的结果将通过多种渠道与医疗保健专业人员、研究人员和公众分享，包括科学出版物、会议演讲、在线论坛和社区外展计划。
NCT05064969。
