Daemen Maud M J, Boots Lizzy M M, Oosterloo Mayke, de Vugt Marjolein E, Duits Annelien A
Department of Psychiatry and Neuropsychology / Alzheimer Center Limburg, Mental Health and Neuroscience Research Institute, Maastricht University, Maastricht, the Netherlands.
Department of Neurology, Mental Health and Neuroscience Research Institute, Maastricht University Medical Center, Maastricht, the Netherlands.
Internet Interv. 2024 Oct 21;38:100782. doi: 10.1016/j.invent.2024.100782. eCollection 2024 Dec.
Huntington's disease (HD) poses significant challenges for both affected individuals and their informal caregivers. With the progression of HD, caregivers frequently prioritize caring for the person with HD over their own well-being. 'Partner in Balance' (PiB) is an 8-week online self-management program guided by a personal coach, developed to help caregivers of people with HD cope with challenging situations and develop skills to increase resilience and prevent overburdening.
This pilot study evaluates the feasibility and preliminary effects of the PiB-HD program.
The study employed a pre-post design. Perceived feasibility by HD caregivers was evaluated using both quantitative and qualitative measures. Preliminary effects were based on self-report measures of self-efficacy, mastery, mood, quality of life, and capability to function. Coaches' evaluations were conducted using a questionnaire.
In total, 18 caregivers completed the intervention. Findings demonstrate positive responses regarding the program's usability, relevance, and acceptability. Participants found the program helpful in addressing challenges, gaining insight into their actions, and feeling better equipped with skills to face future challenges. Descriptive statistics suggest that the PiB-HD program shows potential for reducing stress and anxiety. Additionally, coaches ( = 9) viewed the program positively for its usability, integration potential into their work, flexibility, and time efficiency.
The PiB-HD program proved to be feasible, usable and acceptable for caregivers of people with HD. These results provide directions for further research into the effectiveness of PiB-HD, and can already be utilized to advise on the deployment of eHealth in the provision of HD care.
亨廷顿舞蹈症(HD)给患者及其非正式照护者都带来了巨大挑战。随着HD病情的发展,照护者常常将照顾HD患者置于自身幸福之上。“平衡伙伴”(PiB)是一项为期8周的在线自我管理项目,由个人教练指导,旨在帮助HD患者的照护者应对各种具有挑战性的情况,并培养提高适应能力和防止负担过重的技能。
本试点研究评估PiB-HD项目的可行性和初步效果。
该研究采用前后测设计。通过定量和定性测量评估HD照护者对项目可行性的感知。初步效果基于自我效能感、掌控感、情绪、生活质量和功能能力的自我报告测量。教练的评估通过问卷调查进行。
共有18名照护者完成了干预。研究结果表明,照护者对该项目的可用性、相关性和可接受性给予了积极反馈。参与者发现该项目有助于应对挑战、深入了解自己的行为,并感觉更有能力应对未来的挑战。描述性统计表明,PiB-HD项目在减轻压力和焦虑方面具有潜力。此外,9名教练对该项目的可用性、融入其工作的潜力、灵活性和时间效率给予了积极评价。
PiB-HD项目对HD患者的照护者来说是可行、可用且可接受的。这些结果为进一步研究PiB-HD的有效性提供了方向,并且已经可以用于为在HD护理中部署电子健康提供建议。