scholarly journals PAACC: A MINDFULNESS-BASED MULTICOMPONENT PROGRAM FOR FAMILY CAREGIVERS OF PERSONS WITH DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S287-S288
Author(s):  
Lauren Hagemann ◽  
Katherine Luci ◽  
Mamta Sapra ◽  
Jyoti Savla ◽  
Lindsey Jacobs ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Stress Reduction ◽  
Daily Activities ◽  
Evidence Based ◽  
Research And Practice ◽  
Multicomponent Intervention ◽  
Multicomponent Program ◽  
Qualitative Responses ◽  
Skill Building ◽  
Dementia Education

Abstract Few interventions for family caregivers of persons with dementia (PwD) focus on both dementia care skill-building and the enhancement of acceptance and compassion towards oneself and the PwD. We designed a multicomponent, mindfulness-based 4-session caregiver intervention (Practice of Acceptance, Awareness, and Compassion in Caregiving, or “PAACC”) to reduce burden in caregivers of family members with Alzheimer’s disease and related dementias (AD/ADRD) and TBI-related AD. A prospective, randomized trial design is being implemented to compare the effectiveness of PAACC to the well-known, evidence-based REACH-VA intervention. Seventeen family caregivers (Mean Age = 68.71 years; 82% women; 30% had high school or less education) have participated in the trial thus far and provided qualitative responses to acceptability questions. High acceptability was noted for all intervention components of PAACC. Participants completed 95% of mindfulness homework during the study period. A majority also reported practicing spontaneous, informal mindfulness while engaged in daily activities (e.g., going for a walk, cooking). One participant noted incorporating mindfulness in her daily spiritual practice. The majority remarked that PAACC taught them to be more aware and accepting of the PwD’s illness. Others mentioned becoming more aware of which stressors triggered them, and that they were able to avoid arguments with the PwD because of this increased awareness. Overall, our results suggest that this mindfulness-based multicomponent intervention is a promising method for promoting stress reduction for family caregivers of persons with dementia regardless of age, stage of dementia, education level, or rurality. Implications for research and practice will be discussed.

Program Components and Outcomes of Individuals With Dementia: Results From the Replication of an Evidence-Based Program

2015 ◽  
Vol 36 (5) ◽  
pp. 537-552 ◽  
Author(s):  
Heather L. Menne ◽  
David M. Bass ◽  
Justin D. Johnson ◽  
Keith R. Kearney ◽  
Salli Bollin ◽  
...  
Keyword(s):  
Exercise Training ◽  
Behavior Management ◽  
Evidence Based ◽  
Management Skill ◽  
Symptoms Of Depression ◽  
Restricted Activity ◽  
Program Components ◽  
Skill Building ◽  
Dementia Education ◽  
The Ideal

This study examines whether the delivery of three components, (a) exercise training, (b) behavior management skill building, and (c) dementia-related education, in an evidence-based program are differentially associated with changes in outcomes for individuals with dementia (IWDs) after 3 months. Data come from 508 IWDs participating in the community replication of the evidence-based “Reducing Disability in Alzheimer’s Disease” program. Regression results indicate that after 3 months, more exercise sessions are associated with improvements in physical functioning, mobility, minutes exercising, and symptoms of depression; more dementia education sessions are related to fewer restricted activity days; and more behavior management sessions are related to more symptoms of depression. As resource-strapped agencies look to best serve participants, further analysis and consideration is needed to determine the ideal balance of program efficacy, feasibility, and resources, as well as program benefits for IWDs and caregivers.

scholarly journals INTERVENTION EFFECTS ON TARGET PROBLEMS EXPRESSED BY CAREGIVERS OF HOME-DWELLING PERSONS WITH DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S550-S551
Author(s):  
Richard H Fortinsky ◽  
Laura N Gitlin ◽  
catherine V Piersol
Keyword(s):  
Family Caregivers ◽  
Behavioral Problems ◽  
Dementia Care ◽  
Daily Activities ◽  
Behavioral Symptoms ◽  
Evidence Based ◽  
Intervention Effects ◽  
Activity Engagement ◽  
Translational Study ◽  
Home Intervention

Abstract Care of Persons with Dementia in their Environments (COPE) is an evidence-based in-home intervention designed to optimize function and activity engagement in persons with dementia (PWD), and teach family caregivers (CG) how to manage dementia care-related problems. In this presentation, we report problems expressed by CGs, and intervention effects on these problems and CG outcomes, in the COPE CT translational study. CGs randomized to COPE who completed the assessment phase (N=134) expressed a total of 409 target problems, grouped as managing PWD behavioral problems (32%), caring for themselves (30%), managing PWD daily activities (24%) and engaging PWD in meaningful activities (14%). Most problems were reduced (75%) or eliminated (21%) among CG completing the intervention. In preliminary outcome analyses, compared to CG not receiving COPE, CG receiving COPE were more likely to report improved ability to manage dementia-related cognitive and behavioral symptoms (p<0.001). Implications for scaling COPE will be discussed.

scholarly journals An evidence-based technological caregiver skill building intervention for dementia family caregivers: pilot study

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Carol J Farran ◽  
Peter Zurawski ◽  
Ben R Inventor ◽  
Janie Urbanic ◽  
Olimpia Paun
Keyword(s):  
Pilot Study ◽  
Family Caregivers ◽  
Evidence Based ◽  
Skill Building

Understanding the characteristics of professional development programs for teachers’ health and wellbeing: Implications for research and practice

2021 ◽  
pp. 000494412110034
Author(s):  
Lucy Corbett ◽  
Philayrath Phongsavan ◽  
Louisa R Peralta ◽  
Adrian Bauman
Keyword(s):  
Professional Development ◽  
Future Research ◽  
Evidence Based ◽  
Development Programs ◽  
Research And Practice ◽  
Health And Wellbeing ◽  
Manual Search ◽  
Australian Education ◽  
Teacher Wellbeing ◽  
Evidence Based Programs

Professional development (PD) provides an opportunity to promote the psychological, social, and physical health tools teachers require to maintain teacher wellbeing. Despite their potential, little is known about PD programs targeting the health and wellbeing of Australian teachers. This study aimed to summarize the characteristics of Australian PD programs targeted at teacher wellbeing, identify gaps in existing PD and make recommendations for future research and practice. Three search strategies, (1) search engine results, (2) a manual search of known Australian education websites, and (3) requests for information from Australian education organizations, were combined to ensure a comprehensive inventory of PD programs was compiled. This study found 63 PD programs promoting health and wellbeing that currently exist for Australian teachers. Of these, only three provided evidence of their evaluation indicating programs are advertised and implemented without evidence of their effectiveness. Future PD should be evaluated with findings of the evaluations reported publicly so evidence-based programs promoting teacher’s health and wellbeing can be recommended and implemented.

Examining Teaming and Tier 2 and 3 Practices Within a PBIS Framework

2021 ◽  
pp. 109830072110510
Author(s):  
Rhonda N. T. Nese ◽  
Angus Kittelman ◽  
M. Kathleen Strickland-Cohen ◽  
Kent McIntosh
Keyword(s):  
Behavioral Interventions ◽  
Data Use ◽  
Future Research ◽  
Evidence Based ◽  
Tier 2 ◽  
Behavior Support ◽  
Evidence Based Practices ◽  
Research And Practice ◽  
Positive Behavioral Interventions ◽  
Core Feature

One core feature of Positive Behavioral Interventions and Support (PBIS) is a systems-level teaming process for coordinating staff implementation of evidence-based practices and monitoring student progress across all three tiers. Prior research has shown schools that report regular teaming and team-based data use are more likely to successfully adopt and sustain implementation of multi-tiered systems of behavior support. However, more research is currently needed to better understand the various teaming configurations, structures, and practices commonly used by PBIS teams in typical schools, particularly at advanced tiers. For the current study, members of school and district PBIS teams representing 718 schools were surveyed to better understand (a) teaming configurations and practices currently being used in schools implementing PBIS and (b) common interventions that PBIS teams report implementing at Tiers 2 and 3. Survey findings are discussed, along with implications of those results for future research and practice in applied settings.

scholarly journals Az orvos–beteg kommunikáció jelentősége a szomatizáló páciensek ellátásában

2016 ◽  
Vol 157 (17) ◽  
pp. 664-668
Author(s):  
Adrienne Stauder ◽  
Dániel Eörsi ◽  
János Pilling
Keyword(s):  
Stress Reduction ◽  
Secondary Care ◽  
Medical Training ◽  
Treatment Guidelines ◽  
Somatic Symptoms ◽  
Somatic Complaints ◽  
Evidence Based ◽  
Medical Visits ◽  
Structured Intervention ◽  
As Stress

The term “somatization” refers to the manifestation of multiple somatic complaints not explained by organic changes. According to the literature, 15–25 percent of all medical visits are related to somatization. As medical training does not put enough emphasis on the evaluation of the possible psychological background of certain somatic symptoms, physicians may feel powerless and make unjustified diagnostic and therapeutic efforts. The patients may also feel helpless and frustrated, their anxiety and the intensity of their complaints may increase. As stress is an important factor in the somatization process, stress reduction and improvement of coping are key elements of the treatment guidelines for chronic diseases. Evidence based interventions range from short counselling and medication to cognitive and behavioral psychotherapy. Reattribution, a short (10–30 minutes) structured intervention that can be implemented in primary or secondary care, in certain cases can result in significant decrease in somatic symptoms and anxiety. Orv. Hetil., 2016, 157(17), 664–668.

scholarly journals Validating the Revised Scale for Caregiving Self-Efficacy: A Cross-National Review

2018 ◽  
Vol 59 (4) ◽  
pp. e325-e342 ◽  
Author(s):  
Ann M Steffen ◽  
Dolores Gallagher-Thompson ◽  
Katherine M Arenella ◽  
Alma Au ◽  
Sheung-Tak Cheng ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Self Efficacy ◽  
Discriminant Validity ◽  
Cognitive Theory ◽  
Reliability And Validity ◽  
Validity Data ◽  
Research And Practice ◽  
Validity Indices ◽  
English Translations ◽  
Cross National

AbstractBackground and ObjectivesThis article reviews an instrument used in cross-national research with dementia family caregivers—the Revised Scale for Caregiving Self-Efficacy (RSCSE). Although the RSCSE has been translated into multiple languages, few studies have examined scale performance across samples. We examine congruence of psychometric, reliability, and validity data to inform research and practice.MethodsWe conducted citation searches using Scopus, Google Scholar, Web of Science, and PsycINFO. Identified dementia caregiving studies cited the original RSCSE article and described results of English and/or non-English translations of the scale.ResultsPeer-reviewed published studies (N = 58) of dementia family caregivers included data for Arabic, Chinese, English, French, Italian, and Spanish translations of the RSCSE; the majority (72%) reported use of non-English translations. Studies utilizing confirmatory factor analytic approaches reported findings consistent with the original development study. Internal consistency, convergent/discriminant validity, and criterion validity indices were congruent across diverse cross-national caregiving samples assessed with different translations. Data supported the RSCSE’s sensitivity to change following specific psychosocial caregiving interventions.DiscussionThe reliability and validity of different translations of the RSCSE support continued use with cross-national samples of dementia family caregivers. Limitations of the scale point to the need for further self-efficacy measurement development within caregiving domains. Consistent with Bandura’s discussion of social cognitive theory in cultural contexts, personal agency for caregiving challenges remains generalizable to cross-national populations. This review discusses the implications for cross-cultural research and practice.

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