Mindfulness-Based Intervention for Caregivers of Frail Older Chinese Adults: Testing an Intergenerational Caregiving Model
试验速览
- 阶段
- 不适用
- 入组人数
- 240
- 试验地点
- 1
- 主要终点
- Depression
研究概览
简要总结
This is study to investigate the effects of a brief mindfulness-based program for frail older adults caregivers.
详细描述
The proposed study is a multi-site, three-arm randomized controlled trial of a mindfulness-based intervention for Chinese family caregivers in Hong Kong. Effects of the intervention will be compared with those of an evidence-based psychoeducation program, and treatment-as-usual. 240 caregivers of frail elderly with moderate to severe levels of frailty, will be recruited and randomly assigned to mindfulness-based intervention, psychoeducation, and treatment-as-usual experimental conditions. Overall program effectiveness will be analyzed on measures of caregiver burden, depression, anxiety, positive caregiving experience, spirituality, family conflict, and the biomarker of heart rate variability. Measures on coping styles, experiential avoidance, and self-efficacy will be explored to see if they mediate the changes to participant improvements in outcomes. 6-month follow-up will be included to investigate the maintenance effects.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Caregivers of frail elderly based on a professional's assessment of Clinical Frailty Scale with a score of 6, indicating a moderate level of frailty or above (Rockwood et al., 2005)
- •Caregivers being adult children or children in-law of the elder care receiver
- •Caregivers who are experiencing caregiver burden at the time of study, with scores of 8 or above in Zarit Burden Interview-4
排除标准
- •impairment, which may present difficulties in comprehending the content of the program
- •Spouses, siblings, or friends will be excluded
- •Caregivers of elders with moderate to severe dementia will be excluded and the Clinical Dementia Rating Scale will be administered
- •Caregivers who had participated in an eight week Mindfulness-Based Stress Reduction or equivalent
研究组 & 干预措施
Psychoeducation
A four session program, each last for 2.5 hours. It promotes the coping and problem solving of caregivers. Brief home application included.
干预措施: Psychoeducation (Behavioral)
Treatment-as-usual
Brief mindfulness based program
A four session program, each last for 2.5 hours. Brief mindfulness exercises promote stress reduction, with an introduction of mindfulness to caregivers and home practice is encouraged with guidance.
干预措施: Brief mindfulness based program (Behavioral)
结局指标
主要结局
Depression
时间窗: Change from pre-intervention, to 1-month follow-up, and to 6-month follow-up
assessed by a self-reported measure The Center for Epidemiologic Studies Depression Scale, 10 items, sum of scores from 0 to 30, the higher the score, the more severe in the depression symptoms
次要结局
- Anxiety(Change from pre-intervention, to 1-month follow-up, and to 6-month follow-up)
- family conflicts(Change from pre-intervention, to 1-month follow-up, and to 6-month follow-up)
- Heart rate variability(Change from pre-intervention, to 1-month follow-up, and to 6-month follow-up.)
- Coping styles(Change from pre-intervention, to 1-month follow-up, and to 6-month follow-up)
- Caregiver burden(Change from pre-intervention, to 1-month follow-up, and to 6-month follow-up.)
- Spiritual well-being(Change from pre-intervention, to 1-month follow-up, and to 6-month follow-up.)