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Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: initial findings.

Abstract

OBJECTIVES

Discuss initial findings of a randomized clinical trial comparing the effects of telephone-based and face-to-face (f-to-f) cognitive-behavioral therapy (CBT) on changes in caregiver (CG) burden, assistance support, depression, and health status for African American (AA) CGs with depression.

DESIGN

Pilot study using a prepost, two-group design with 14 enrolled and randomized participants.

MEASURES

Subjective Burden subscale of the Caregiver Appraisal Inventory, Assistance Support subscale of the Interpersonal Support Evaluation List, Physical Symptoms subscale of the Caregiver Health and Health Behavior Inventory and the Center for Epidemiologic Studies Depression Scale.

RESULTS

Prepost improvements were found on 11 completers across all measures for both telephone and f-to-f CBT. Moderate and similar effects sizes for CG subjective burden and assistance support were found for both the telephone and f-to-f groups. Effect sizes for physical symptoms and depression varied from low to moderate, respectively, with a trend toward smaller improvements in f-to-f CBT than in telephone CBT. Qualitative analysis highlighted CGs' perceptions of the active ingredients of treatment and provided indirect support for similar gains in emotional and psychosocial functioning across the two treatment modalities.

CONCLUSIONS

Both telephone-based and f-to-f CBT showed improvements in depression, subjective burden, and assistance support in dementia AA CGs. Replication with a larger sample size (N = 106) is currently in progress. Study limitations and future directions for research are also addressed.

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  • Authors+Show Affiliations

    ,

    Department of Medical Humanities and Social Sciences, College of Medicine, Florida State University Tallahassee, FL 32306-4300, USA. robert.glueckauf@med.fsu.edu

    , , , , , , , , , , , , , , , , , , , ,

    Source

    Rehabilitation psychology 57:2 2012 May pg 124-39

    MeSH

    African Americans
    Aged
    Alzheimer Disease
    Caregivers
    Cognitive Behavioral Therapy
    Cost of Illness
    Depressive Disorder
    Female
    Florida
    Health Status
    Humans
    Male
    Middle Aged
    Pilot Projects
    Problem Solving
    Social Support
    Somatoform Disorders
    Stress, Psychological
    Telephone

    Pub Type(s)

    Comparative Study
    Journal Article
    Multicenter Study
    Randomized Controlled Trial
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22686551

    Citation

    Glueckauf, Robert L., et al. "Telephone-based, Cognitive-behavioral Therapy for African American Dementia Caregivers With Depression: Initial Findings." Rehabilitation Psychology, vol. 57, no. 2, 2012, pp. 124-39.
    Glueckauf RL, Davis WS, Willis F, et al. Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: initial findings. Rehabil Psychol. 2012;57(2):124-39.
    Glueckauf, R. L., Davis, W. S., Willis, F., Sharma, D., Gustafson, D. J., Hayes, J., ... Springer, J. (2012). Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: initial findings. Rehabilitation Psychology, 57(2), pp. 124-39. doi:10.1037/a0028688.
    Glueckauf RL, et al. Telephone-based, Cognitive-behavioral Therapy for African American Dementia Caregivers With Depression: Initial Findings. Rehabil Psychol. 2012;57(2):124-39. PubMed PMID: 22686551.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: initial findings. AU - Glueckauf,Robert L, AU - Davis,W Shuford, AU - Willis,Floyd, AU - Sharma,Dinesh, AU - Gustafson,David J, AU - Hayes,Jocelyn, AU - Stutzman,Mary, AU - Proctor,James, AU - Kazmer,Michelle M, AU - Murray,Leticia, AU - Shipman,Judith, AU - McIntyre,Vera, AU - Wesley,Lonnie, AU - Schettini,Gabriel, AU - Xu,Jian, AU - Parfitt,Francine, AU - Graff-Radford,Neill, AU - Baxter,Cynthia, AU - Burnett,Kathleen, AU - Noël,La Tonya, AU - Haire,Kambria, AU - Springer,Jane, PY - 2012/6/13/entrez PY - 2012/6/13/pubmed PY - 2012/10/30/medline SP - 124 EP - 39 JF - Rehabilitation psychology JO - Rehabil Psychol VL - 57 IS - 2 N2 - OBJECTIVES: Discuss initial findings of a randomized clinical trial comparing the effects of telephone-based and face-to-face (f-to-f) cognitive-behavioral therapy (CBT) on changes in caregiver (CG) burden, assistance support, depression, and health status for African American (AA) CGs with depression. DESIGN: Pilot study using a prepost, two-group design with 14 enrolled and randomized participants. MEASURES: Subjective Burden subscale of the Caregiver Appraisal Inventory, Assistance Support subscale of the Interpersonal Support Evaluation List, Physical Symptoms subscale of the Caregiver Health and Health Behavior Inventory and the Center for Epidemiologic Studies Depression Scale. RESULTS: Prepost improvements were found on 11 completers across all measures for both telephone and f-to-f CBT. Moderate and similar effects sizes for CG subjective burden and assistance support were found for both the telephone and f-to-f groups. Effect sizes for physical symptoms and depression varied from low to moderate, respectively, with a trend toward smaller improvements in f-to-f CBT than in telephone CBT. Qualitative analysis highlighted CGs' perceptions of the active ingredients of treatment and provided indirect support for similar gains in emotional and psychosocial functioning across the two treatment modalities. CONCLUSIONS: Both telephone-based and f-to-f CBT showed improvements in depression, subjective burden, and assistance support in dementia AA CGs. Replication with a larger sample size (N = 106) is currently in progress. Study limitations and future directions for research are also addressed. SN - 1939-1544 UR - https://www.unboundmedicine.com/medline/citation/22686551/Telephone_based_cognitive_behavioral_therapy_for_African_American_dementia_caregivers_with_depression:_initial_findings_ L2 - http://content.apa.org/journals/rep/57/2/124 DB - PRIME DP - Unbound Medicine ER -