一个基于网络的干预基于接受和承诺治疗的痴呆症患者的家庭护理人员:混合方法可行性研究
Golnaz L Atefi1, Rosalia J M van Knippenberg1, Sara Laureen Bartels1
1Department of Psychiatry and Neuropsychology, Alzheimer Centrum Limburg, Maastricht University, Maastricht, Netherlands.
这项研究发现,个性化的在线接受和承诺治疗 (ACT) 计划对痴呆症护理人员来说是非常可行的. 该干预表明了高度的坚持和提高家庭护理人员心理灵活性的潜力.
科学领域:
- 心理学 心理学 心理学
- 老年学是一门学科.
- 数字健康数字健康
背景情况:
- 接受和承诺疗法 (ACT) 显示出对幸福感的承诺,但在护理人员中具有中等效果大小和高退学率.
- 目前针对护理人员的ACT干预措施需要提高有效性和可行性.
- 痴呆症患者的家庭照顾者面临着独特的挑战,需要量身定制的支持.
研究的目的:
- 评估一个完全在线的ACT程序的可行性和可接受性,用于痴呆症患者的家庭护理人员.
- 增强心理灵活性,并支持照顾者优先考虑生活价值观与照顾职责一起.
- 评估针对这一群体的个性化,基于网络的ACT干预的潜力.
主要方法:
- 一个为期9周的基于网络的自助ACT计划,包括协作目标设定和每周的动机辅导.
- 混合方法可行性研究,采用不受控制的测试前后测试设计.
- 在荷兰,通过记忆诊所和社交媒体招募了30名非正式护理人员.
主要成果:
- 坚持率高 (83%),29名护理人员中有24名完成了干预后评估.
- 护理人员报告了合作目标设定带来的积极经验.
- 由于习惯性反应和痴呆症护理的不可预测性,人们注意到技能实施方面的挑战.
结论:
- 在线ACT干预表明,对于痴呆症患者的家庭照顾者来说,其坚持和可行性很高.
- 基于个人价值观的干预个性化被认为是有益的组成部分.
- 需要进一步的研究,包括一项大规模的受控试验,以确认这一基于ACT的计划的有效性.
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