Impact of a psychoeducational intervention on dementia caregiving
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Of the 65.7 million caregivers in the United States (U.S.), approximately 14.9 million caregivers provide unpaid care for a person diagnosed with dementia. Most, about 80%, of this care is provided in the home and community settings. Past studies have shown positive results with psychoeducational interventions on caregiver health and stress. This study examined the impact of a psychoeducational intervention, the Family Series Workshop, on levels of coping, caregiving competence, and stress among caregivers (N = 35) of community-dwelling individuals with dementia. The Stress Process Model served as the conceptual framework. A non-controlled, pretest-posttest research design was employed. Caregivers were recruited for this study from three sites in a Midwestern metropolitan area: two churches and a hospital. Data were collected with paper/pencil questionnaires at baseline (Time 1) and post-intervention (Time 2). Using paired t-tests with random effect, caregiving competence significantly increased (p = 0.036) from Time 1 (M = 11.6 points) to Time 2 (M = 14.6 points). Although, caregiver's coping and stress did not change significantly, scores improved for coping from Time 1 (M = 58.6 points) to Time 2 (M = 72.6 points) and stress from Time 1 (M = 20.7 points) to Time 2 (M = 21.2 points). Regression analysis was also used to examine the relationship between coping, caregiving competence, and stress. A significant association was found concerning the mediator coping and its association with caregiving competence (p < 0.001) and stress (p = 0.008). Caregiver competence was significantly correlated with stress (p = 0.046). Findings from this study provide empirical support that the Family Series Workshop may have positive effects on one's competency when providing care for a person with dementia. Furthermore, findings indicate that coping and stress are important components of the caregiving process. The next step in this program of research is to conduct a controlled study with a larger sample size to further examine the efficacy of the intervention.
Table of Contents
Introduction -- Review of literature -- Methodology -- Results -- Discussion -- Appendix A. Integration of the stress process model with the Family Series Workshop intervention -- Appendix B. Family Series Workshop curriculum -- Appendix C. Skills provided by the Family Series Workshop intervention -- Appendix D. Caregiver demographic questionnaire -- Appendix E. Caregiver burden inventory -- Appendix F. Caregiving competence scale -- Appendix G. Brief COPE scale -- Appendix H. Family Series Workshop flyer -- Appendix I. Education calendar -- Appendix J. Caregiving literature material -- Appendix K. Consent form for dissertation study -- Appendix L IRB study approval letter -- Appendix M. Letter of support from research study site -- Appendix N. Letters of permission