A Problem‐Solving Intervention for Hospice Family Caregivers: A Randomized Clinical Trial.
In: Journal of the American Geriatrics Society, Jg. 67 (2019-07-01), Heft 7, S. 1345-1352
Online
academicJournal
Zugriff:
OBJECTIVES: Family caregivers of hospice patients have multiple needs as they try to cope during a stressful time. Translatable interventions effective in improving caregiver outcomes are greatly needed. Our objective was to assess the impact of a problem‐solving intervention (called Problem‐Solving Intervention to Support Caregivers in End‐of‐Life Care Settings [PISCES]) to support hospice caregivers on caregiver quality of life and anxiety, and compare its effectiveness delivered face to face and via videoconferencing. DESIGN: In this 4‐year randomized clinical trial, caregivers were randomly assigned to a group receiving standard care with added "friendly calls" (attention control [AC] group), a group receiving standard care and PISCES delivered face to face (F2F), or a group receiving standard care and PISCES delivered via videoconferencing (VC). SETTING: Home hospice. PARTICIPANTS: A total of 514 caregivers participated (172 in AC, 171 in F2F, and 171 in VC). Caregivers were predominantly female (75%); mean age was 60.3 years. INTERVENTION: PISCES includes a structured curriculum delivered in three sessions and motivates caregivers to adopt a positive attitude, define problems by obtaining facts, set goals, and generate and evaluate solutions. MEASUREMENTS: Quality of life was measured by the Caregiver Quality of Life Index‐Revised; anxiety was measured by the Generalized Anxiety Disorder 7‐Item. Other measures included the Caregiver Reaction Assessment scale, demographic data, and an exit interview. RESULTS: Compared with AC, caregivers in the F2F condition had postintervention reduced anxiety (−1.31 [95% confidence interval [CI] = −2.11 to.50]; p = .004) and improved social (.57 [95% CI = .19‐.95]; p = .01), financial (.57 [95% CI = .21‐.93]; p = .004), and physical quality of life (.53 [95% CI = .19‐.87]; p = .01). There were no differences in caregivers in the VC condition compared with the AC condition. CONCLUSION: The PISCES intervention improves caregiver outcomes and is effective when delivered in person. How to integrate technology to reduce the intervention delivery cost warrants further investigation. See related editorial by John Cagle. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
A Problem‐Solving Intervention for Hospice Family Caregivers: A Randomized Clinical Trial.
|
---|---|
Autor/in / Beteiligte Person: | Demiris, George ; Oliver, Debra Parker ; Washington, Karla ; Pike, Kenneth |
Link: | |
Zeitschrift: | Journal of the American Geriatrics Society, Jg. 67 (2019-07-01), Heft 7, S. 1345-1352 |
Veröffentlichung: | 2019 |
Medientyp: | academicJournal |
ISSN: | 0002-8614 (print) |
DOI: | 10.1111/jgs.15894 |
Schlagwort: |
|
Sonstiges: |
|