Internet-based Acceptance and Commitment Therapy for Family Caregivers of People With Dementia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 7
- 试验地点
- 2
- 主要终点
- Care-related Quality of Life instrument
研究概览
简要总结
The pilot project aims to investigate the feasibility and the preliminary efficacy of a guided online acceptance and commitment therapy (ACT) intervention for distressed family caregivers of people with dementia. A one-group pretest-posttest design (n=15) will be used to investigate the potential effects of the 10 weekly online ACT intervention session on caregivers' outcomes at posttest (10 weeks).
详细描述
This project will employ one-group pretest-posttest design to investigate the potential impact of a guided online ACT intervention on improving quality of life and psychological health in distressed family caregivers of people with dementia. After the baseline evaluation, eligible caregivers will receive 10 weekly ACT sessions, individually delivered by a licensed professional counselor online. Each session lasts for one hour. Primary outcome measures will be psychological distress measured by the Depression, Anxiety and Stress Scale (DASS)- 21 and care-related quality of life measured by the Care-related Quality of Life instrument (CarerQol). A one-time interview at the completion of the 10 weekly sessions will be conducted to explore caregivers' experiences in the intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •community-dwelling adults (age 18 or over) who are currently taking primary responsibility for the care of a relative with dementia living in the community
- •devoting at least 1 hour daily to the care of the relative with dementia
- •having cared for a relative with dementia for at least 3 months
- •suffering at least mild symptoms of psychological distress measured by the DASS-21 (scores ≥ 5 on Depression Subscale of DASS-21, scores ≥ 4 on Anxiety Subscale, or scores ≥ 8 on Stress Subscale)
- •having a computer/smartphone with internet access capable of doing web browsing and video-conferencing
- •being able to provide informed consent by understanding the nature of study participation.
排除标准
- •having cognitive, physical, or sensory deficits, or language barriers (non-English communicator) that impede study participation
- •receiving a psychological therapy currently
- •having psychiatric hospitalizations or diagnoses of mental illness in the previous 2 years
- •taking antipsychotic or anticonvulsant medication at the time of recruitment
- •considering or planning to place family members of dementia in a nursing home within 6 months
- •having the possibility of study dropouts due to other medical conditions of family members with dementia (e.g., conditions that may impede study participation due to frequent hospitalization or death).
结局指标
主要结局
Care-related Quality of Life instrument
时间窗: Change from baseline to 10 weeks
Care-related Quality of Life instrument (CarerQol) assesses the impact of providing informal care on caregivers and combines a 7-item subjective burden measure (CarerQol-7D) with well-being (CarerQol-VAS). Higher scores indicate higher levels of quality of life.
Depression, Anxiety and Stress Scale - 21
时间窗: Change from baseline to 10 weeks
The Depression, Anxiety and Stress Scale (DASS)- 21 is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and stress. Higher scores represent greater symptomatology.
次要结局
- Acceptance and Action Questionnaire-II(Change from baseline to 10 weeks)
- Engagement in Meaningful Activities Survey(Change from baseline to 10 weeks)
- Zarit Burden Interview(Change from baseline to 10 weeks)
- Cognitive Fusion Questionnaire(Change from baseline to 10 weeks)
- Brief Coping Orientation to Problems Experienced(Change from baseline to 10 weeks)
- Experiential Avoidance in Caregiving Questionnaire(Change from baseline to 10 weeks)
研究者
Areum Han
Assistant Professor
University of Alabama at Birmingham