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Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: initial findings.
Rehabil Psychol 2012; 57(2):124-39RP

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.

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.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -