Abstract
Data are presented on a preliminary study investigating the efficacy of 2 distance-based psychosocial interventions (N = 32) for male family dementia caregivers. Male caregivers were randomly assigned to either a basic education intervention (ie, educational booklet and biweekly check-in telephone calls) or a video intervention (ie, set of 10 videos, an accompanying workbook, and weekly telephone coaching sessions using behavioral strategies to manage challenging caregiving situations). Results did not support the greater efficacy of the video condition in reducing psychosocial distress (eg, negative affect, upset and annoyance following behavior problems) or increasing positive affect or caregiving self-efficacy. There was, however, a statistically significant effect for postintervention improvement in both the video/coaching and the educational booklet/check-in conditions. Potential reasons for the lack of differential treatment effects are discussed, along with implications for recruitment of male dementia caregivers.
Keywords: Dementia, Alzheimer's disease, male caregivers, problem behaviors
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Contributor Information
Judith R. Gant, Department of Psychology, University of Missouri- St. Louis.
Ann M. Steffen, Department of Psychology, University of Missouri- St. Louis, ann_steffen@umsl.edu .
Sean A. Lauderdale, Department of Psychology and Counseling, College of Education, Pittsburg, Kansas.
References
- Shanks-McElroy H., Strobino J.: Male caregivers of spouses with Alzheimer's Disease: risk factors and health status. Am J Alzheimers Dis Other Demen. 2001;16:167-175. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brody E., Dempsey N., Pruchno R.: Mental health of sons and daughters of the institutionalized aged. Gerontologist. 1990;30:212-219. [DOI] [PubMed] [Google Scholar]
- Harper S., Lund D.: Wives, husbands, and daughters caring for institutionalized and noninstitutionalized dementia patients: toward a model of caregiver burden. Int J Aging Hum Dev. 1990;30:241-262. [DOI] [PubMed] [Google Scholar]
- Mui A.: Caring for frail elderly parents: A comparison of adult sons and daughters . Gerontologist. 1995;35:86-93. [DOI] [PubMed] [Google Scholar]
- Collins C., Stommel M., Wang P., Given CW: Caregiving transitions: Changes in depression among family caregivers of relatives with dementia. Nurs Res. 1994. July/August; 220-225. [PubMed] [Google Scholar]
- Schulz R., Williamson GM: A 2-year longitudinal study of depression among Alzheimer's caregivers. Psychol Aging. 1991;6:569-578. [DOI] [PubMed] [Google Scholar]
- Vitaliano P. , Russo J., Niaura R.: Plasma lipids and their relationships with psychosocial factors in older adults. J Gerontol B Psychol Sci Soc Sci. Jan 1995;50B:18-24. [DOI] [PubMed] [Google Scholar]
- Scanlan J., Vitaliano P., Ochs H., Savage M., Borson S.: CD4 and CD8 counts are associated with interactions of gender and psychosocial stress. Psychosom Med. 1998;60:644-653. [DOI] [PubMed] [Google Scholar]
- Fuller-Jonap F., Haley W.: Mental and physical health of male caregivers of a spouse with Alzheimer's disease. J Aging Health. 1995;7:99-118. [DOI] [PubMed] [Google Scholar]
- Kramer B., Lambert J.: Caregiving as a life course transition among older husbands: a prospective study. Gerontologist. 1999;39:658-667. [DOI] [PubMed] [Google Scholar]
- Kramer B.: Differential predictors of strain and gain among husbands caring for wives with dementia. Gerontologist. 1997;37:239-249. [DOI] [PubMed] [Google Scholar]
- Cohen C., Gold D., Shulman K., Wortley T., McDonald G., Wargon M.: Factors determining the decision to institutionalize dementing individuals: a prospective study. Gerontologist. 1993;33:714-720. [DOI] [PubMed] [Google Scholar]
- Gitlin L., Corcoran M., Winter L., Boyce A., Hauck W.: A randomized, controlled trial of a home environmental intervention: effect on efficacy and upset in caregivers and on daily function of persons with dementia. Gerontologist. 2001;41:4-14. [DOI] [PubMed] [Google Scholar]
- Gitlin L., Burgio L., Mahoney D., et al. Effect of multicomponent interventions on caregiver burden and depression: the REACH multisite initiative at 6-month follow-up. Psychol Aging. 2003;18:361-374. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McFarland P. , Sanders S.: Educational support groups for male caregivers of individuals with Alzheimer's Disease. Am J Alzheimers Dis Other Demen. 2000;15:367-372. [Google Scholar]
- Men's Discussion Group: Male Caregivers. Alzheimer's Association, Des Moines Chapter, Des Moines, Iowa; 1992:62. [Google Scholar]
- Lauderdale S., D'Andrea J., Coon D.: Male caregivers: challenges and opportunities. In: Coon D, Gallagher-Thompson D, Thompson L, eds. Innovative Interventions to Reduce Dementia Caregiver Distress: A Clinical Guide. New York, NY: Springer; 2003:243-266. [Google Scholar]
- Kaye L.: Service utilization and support provision of caregiving men. In: Kramer B, Thompson H Jr, eds. Men as Caregivers. Amherst, NY: Prometheus Books; 2005: 359-378. [Google Scholar]
- Teri L., Truaz P., Logsdon R., Uomoto J., Zarit S., Vitaliano P.: Assessment of behavioral problems in dementia: The Revised Memory and Behavior Checklist. Psychology and Aging. 1992;7:622-631. [DOI] [PubMed] [Google Scholar]
- Steffen A., McKibbin C., Zeiss A., Gallagher-Thompson D., Bandura A.: The Revised Scale for Caregiving SelfEfficacy: two reliability and validity studies. J Gerontol B Psychol Sci Soc Sci. 1997;57:74-86. [DOI] [PubMed] [Google Scholar]
- Watson D., Clark L., Tellegen A.: Development and validation of brief measures of positive and negative affect: The PANAS Scales. J Pers Soc Psychol. 1988. ;54:1063. [DOI] [PubMed] [Google Scholar]
- Steffen A.: Target Complaints Interview. 2002. Unpublished. Department of Psychology, University of Missouri; — St. Louis, St. Louis, Mo. [Google Scholar]
- Katz S., Ford A., Moskowitz R., Jackson B., Jaffe M.: Studies of illness in the aged: the Index of ADL, a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-919. [DOI] [PubMed] [Google Scholar]
- Zarit S., Zarit J.: Mental Disorders in Older Adults: Fundamentals of Assessment and Treatment . New York, NY: The Guilford Press; ; 1998. [Google Scholar]
- Beck A., Steer R., Brown G.: Beck Depression Inventory: Second Edition Manual. San Antonio, Tex: The Psychological Corporation; 1996. [Google Scholar]
- Aneshensel, CS , Pearlin, LI, Mullan, JT, Zarit, SH, Whitlatch, C.J.: Profiles in Caregiving: The Unexpected Carer. San Diego, Calif: Academic Press; 1995:44-63. [Google Scholar]
- Education Institute: Basic Dementia Care Guide. St. Louis, Mo: Alzheimer's Association, St. Louis, Mo; 2005. [Google Scholar]
- Steffen A., Gant J., Coon D., et al. The Dementia Caregiving Skills Program: Reducing Distress and Enjoying Time With Your Family Member, Video Series. St. Louis, Mo: University of Missouri; — St. Louis, Mo.; 2001. [Google Scholar]
- Gant J.: Caregiver Workbook for Male Dementia Caregiving Skills Program. Unpublished . St. Louis, Mo: University of Missouri; —St. Louis; Mo. 2003. [Google Scholar]
- Gant J., Steffen A., Silberbogen A., Gallagher-Thompson D.: Coach Manual for Male Dementia Caregiving Skills Program. Unpublished. St. Louis, Mo. [Google Scholar]
- Schulz R., O'Brien A., Czaja S., et al. Dementia caregiver intervention research: in search of clinical significance. Gerontologist. 2002;42:589-602. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lauderdale S. , Gallagher-Thompson D.: Men providing care: what do they need and how can we do it. Clin Gerontol. 2002;26:53-70. [Google Scholar]
- Davies H., Priddy J., Tinklenberg J.: Support groups for male caregivers of Alzheimer's patients. Clin Gerontol. 1986;5:385-395. [Google Scholar]
- Sprenkel D.: Therapeutic issues and strategies in group therapy with older men. In: Duffy M, ed. Handbook of Counseling and Psychotherapy with Older Adults. New York, NY: John Wiley and Sons; 1999:214-227. [Google Scholar]
- Cole S., Kawachi I., Maller S., Berkman L.: Test of item-response bias in the CES-D scale: experiences from the New Haven EPESE study. J Clin Epidemiol. 2000;53:285-289. [DOI] [PubMed] [Google Scholar]
- Stommel M., Given B., Given C., Kalaian H., Schulz R., McCorkle R.: Gender bias in the measurement properties of the Center for Epidemiologic Studies Depression scale (CES-D). Psychiatry Res. 1993;49:239-250. [DOI] [PubMed] [Google Scholar]
- Chopra A., Perweiler E., Karenick G.: Primary care physician practice patterns in diagnosis and management of dementia . J Am Geriatr Soc . 1999;47:S23. [Google Scholar]