| Effectiveness of a psychoeducational skill training DVD program to reduce stress in Chinese American dementia caregivers: results of a preliminary study. | |
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MedLine Citation:
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PMID: 20425645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Prior research (Gallagher-Thompson, D., Gray, H., Tang, P., Pu, C.-Y., Tse, C., Hsu, S., et al. (2007). Impact of in-home intervention versus telephone support in reducing depression and stress of Chinese caregivers: Results of a pilot study. American Journal of Geriatric Psychiatry, 15, 425-434.) found that an in-home behavioral management program, derived conceptually from cognitive behavioral theories (CBT), was effective in reducing caregiver related stress and depressive symptoms in Chinese American dementia caregivers (CGs). Results were promising, but a more cost-effective intervention is needed to serve this growing population. Past work also found that a psychoeducational videotaped training program based on CBT was effective in reducing stress due to caregiving in Caucasian and African American dementia family CGs (Steffen, 2000, Anger management for dementia caregivers: A preliminary study using video and telephone interventions. Behavior Therapy, 31, 281-299.). To date no research has been conducted using a technological medium to deliver a similar kind of intervention to Chinese American caregivers. The present study evaluated the effectiveness of a similar but culturally "tailored" program in which 70 CGs were randomly assigned to a 12-week CBT skill training program delivered on a DVD, or to a general educational DVD program on dementia. Both were available in Mandarin Chinese or English as preferred. Pre post change analyses indicated that CGs did not differ on change in level of negative depressive symptoms, but positive affect was higher, and patient behaviors were appraised as less stressful and bothersome, for CGs in the CBT skill training program. They were also more satisfied with the program overall and reported that they believed they were able to give care more effectively. Results encourage further development of theoretically based interventions, delivered using modern technology, for this ever increasing group of CGs. |
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Authors:
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Dolores Gallagher-Thompson; Peng-Chih Wang; Weiling Liu; Vinnie Cheung; Rebecca Peng; Danielle China; Larry W Thompson |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Aging & mental health Volume: 14 ISSN: 1364-6915 ISO Abbreviation: Aging Ment Health Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-28 Completed Date: 2010-06-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9705773 Medline TA: Aging Ment Health Country: England |
Other Details:
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Languages: eng Pagination: 263-73 Citation Subset: IM |
Affiliation:
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Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA. dolorest@stanford.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Asian Americans* Caregivers / psychology* Cognitive Therapy* Cultural Characteristics Dementia / nursing* Depression / ethnology Focus Groups Humans Language Stress, Psychological / ethnology Video Recording |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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