| Title |
Coping with dementia caregiving: a mixed-methods study on feasibility and benefits of a psycho-educative group program
|
|---|---|
| Published in |
BMC Geriatrics, September 2018
|
| DOI | 10.1186/s12877-018-0896-y |
| Pubmed ID | |
| Authors |
S. Pihet, S. Kipfer |
| Abstract |
Persons with dementia experience a progressive decline associated with an increasing dependency. Most of the support they require to stay at home comes from their informal caregivers (IC). Dementia informal caregiving imposes high costs on IC's health and quality of life, related to long periods of chronic stress. Based on evidence that more adequate coping strategies can reduce chronic stress and its negative consequences, and that psycho-educative interventions have the broadest effects on IC quality of life, the program "Learning to feel better… and help better" was developed in French-speaking Canada. This group intervention focusing on coping with the daily stress of dementia caregiving showed efficacy in decreasing the behavior problems of the person with dementia and the associated stress reactions in their IC. The objectives of our study were to examine within a one group pre- and post-test design 1) the feasibility of implementing the program in two regions of French-speaking Switzerland, 2) the effects of the program, and 3) the participants' use of the trained strategies in daily life. A mixed-methods concurrent nested design was used to quantitatively evaluate the feasibility, the effects on five core outcomes, and strategy use in daily life. Additional qualitative data documented in depth the acceptability and impact of the intervention. We analyzed 18 complete data sets. Regarding feasibility, qualitative and quantitative results converged towards a very good acceptance of the program and a strong implication of the participants. Regarding effects, the program resulted in substantial and significant improvements in burden (d = 0.41, p < .05), psychological distress (d = 0.54, p < .05) and self-efficacy (d = 0.43, p < .05). The qualitative results emphasized the benefits of a group format: Participants felt understood by peers, could build new social bonds and experienced reduced social isolation. Data regularly collected in daily life showed that participants were using more and more over time the strategies they learned (β01 = 0.55, p < .001), particularly reframing. This study expands on the original one conducted by the developers of the program in French-speaking Canada, by showing the feasibility and the very promising effects of this intervention in two regions of French-speaking Switzerland. |
Mendeley readers
The data shown below were compiled from readership statistics for 117 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 117 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 22 | 19% |
| Student > Bachelor | 14 | 12% |
| Student > Ph. D. Student | 11 | 9% |
| Researcher | 10 | 9% |
| Other | 5 | 4% |
| Other | 17 | 15% |
| Unknown | 38 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 24 | 21% |
| Medicine and Dentistry | 19 | 16% |
| Psychology | 13 | 11% |
| Social Sciences | 8 | 7% |
| Agricultural and Biological Sciences | 2 | 2% |
| Other | 10 | 9% |
| Unknown | 41 | 35% |
Attention Score in Context
This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 September 2018.
All research outputs
#5,832,866
of 23,103,436 outputs
Outputs from BMC Geriatrics
#1,355
of 3,264 outputs
Outputs of similar age
#101,754
of 337,287 outputs
Outputs of similar age from BMC Geriatrics
#52
of 79 outputs
Altmetric has tracked 23,103,436 research outputs across all sources so far. This one has received more attention than most of these and is in the 74th percentile.
So far Altmetric has tracked 3,264 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.4. This one has gotten more attention than average, scoring higher than 54% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 337,287 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.
We're also able to compare this research output to 79 others from the same source and published within six weeks on either side of this one. This one is in the 18th percentile – i.e., 18% of its contemporaries scored the same or lower than it.