1
|
Verreault P, Ouellet MC, Mavounza C, Laforce RJ, Vézina J, Hudon C. Feasibility and acceptability of a videoconference-based cognitive-behavioral intervention for caregivers of individuals living with mild cognitive impairment or early Alzheimer's disease. PEC INNOVATION 2024; 5:100317. [PMID: 39132093 PMCID: PMC11315218 DOI: 10.1016/j.pecinn.2024.100317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 06/13/2024] [Accepted: 07/02/2024] [Indexed: 08/13/2024]
Abstract
Objective The objective of the current pilot study was to investigate the feasibility and acceptability of a videoconference-based cognitive behavioral (CBT) intervention for caregivers of individuals living with mild cognitive impairment or early Alzheimer's disease. The intervention included psychoeducation on emotions, strategies for management of unhelpful emotions and thoughts, behavioral activation, breathing and relaxation, strategies for communication and information on external resources. Methods This study used a cross-sectional design with two groups of four caregivers who received an 8-week CBT-based intervention via videoconference. Measures of feasibility and acceptability were collected post-intervention as well as suggestions for improvements. Results Eight female caregivers were enrolled in the intervention, one participant opted out at the seventh session. Of those who completed the program, all participants reported that it was very easy to participate using the online modality. All participants felt that the intervention was at least partly adapted to their experience and needs as a caregiver. Five out of seven participants (71%) indicated that they felt better and would recommend the intervention to another caregiver. Conclusion The current study demonstrated that it is feasible and acceptable to use a videoconference CBT-based group intervention with MCI or mild AD female caregivers. Innovation This is the first videoconference-based cognitive behavioral intervention for caregivers of individuals living with MCI or mild AD.
Collapse
Affiliation(s)
- Phylicia Verreault
- CERVO Brain Research Centre Québec, Québec, Canada
- École de psychologie, Université Laval, Québec, Québec, Canada
- Centre de recherche VITAM, Québec, Canada
| | - Marie-Christine Ouellet
- École de psychologie, Université Laval, Québec, Québec, Canada
- Centre interdisciplinaire de recherche en réadaptation et intégration sociale, Québec, Canada
| | - Céline Mavounza
- École de psychologie, Université Laval, Québec, Québec, Canada
| | - Robert Jr Laforce
- Clinique interdisciplinaire de mémoire, CHU de Québec affilié à l'Université Laval, Québec, Canada
| | - Jean Vézina
- École de psychologie, Université Laval, Québec, Québec, Canada
| | - Carol Hudon
- CERVO Brain Research Centre Québec, Québec, Canada
- École de psychologie, Université Laval, Québec, Québec, Canada
- Centre de recherche VITAM, Québec, Canada
| |
Collapse
|
2
|
Charness N. Promoting Effective Use of Technology to Support Post-Acute and Long-Term Care Facilities. J Am Med Dir Assoc 2024; 25:105131. [PMID: 39218513 DOI: 10.1016/j.jamda.2024.105131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Accepted: 06/06/2024] [Indexed: 09/04/2024]
Affiliation(s)
- Neil Charness
- Psychology Department, Florida State University, Tallahassee, FL, USA.
| |
Collapse
|
3
|
Corrêa L, Gratão ACM, Oliveira D, Barham EJ, Orlandi FDS, da Cruz KCT, Ottaviani AC, Monteiro DQ, Barbosa GC, Pilegis AMCA, da Rocha LA, Alves LCDS, Maciel LB, Campos CRF, Pavarini SCI. Adaptation, testing, and use of the "iSupport for Dementia" program in different countries: a systematic review. Dement Neuropsychol 2024; 18:e20230097. [PMID: 39193466 PMCID: PMC11348883 DOI: 10.1590/1980-5764-dn-2023-0097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 03/29/2024] [Accepted: 04/05/2024] [Indexed: 08/29/2024] Open
Abstract
The World Health Organization developed the "iSupport for Dementia" program for family caregivers of people with dementia. Objective To explore studies on adaptation, randomized clinical trial protocols, and preliminary results of iSupport by unpaid caregivers of people living with dementia in different countries. Methods Systematic review. Results Ten cultural adaptation studies, eight randomized clinical trial protocols, and two preliminary results were included. Adaptation studies showed adjustments in terminology, design, and additional resources. Clinical trial protocols included burden as the primary outcome, and baseline, three months of intervention, and follow-up after six months. Studies with preliminary results found positive effects on the mental health and well-being of caregivers after using the program. Conclusion iSupport is an online program of the World Health Organization in response to dementia in implementation in different countries.
Collapse
Affiliation(s)
- Larissa Corrêa
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
| | - Aline Cristina Martins Gratão
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos SP, Brazil
| | - Déborah Oliveira
- Universidad Andrés Bello, Faculty of Nursing, Doctorate Programme in Nursing Science, Campus Viña del Mar, Chile
- Millenium Institute for Care Research (MICARE), Santiago, Chile
| | - Elizabeth Joan Barham
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Psicologia, São Carlos SP, Brazil
- Universidade Federal de São Carlos, Departamento de Psicologia, São Carlos SP, Brazil
| | - Fabiana de Souza Orlandi
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos SP, Brazil
| | | | | | | | - Gustavo Carrijo Barbosa
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
| | | | - Luana Aparecida da Rocha
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
| | | | - Luiza Barros Maciel
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos SP, Brazil
| | | | - Sofia Cristina Iost Pavarini
- Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos SP, Brazil
- Universidade Federal de São Carlos, Departamento de Gerontologia, São Carlos SP, Brazil
| |
Collapse
|
4
|
Karska J, Pszczołowska M, Gładka A, Leszek J. Correlations between Dementia and Loneliness. Int J Mol Sci 2023; 25:271. [PMID: 38203442 PMCID: PMC10779072 DOI: 10.3390/ijms25010271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 12/15/2023] [Accepted: 12/21/2023] [Indexed: 01/12/2024] Open
Abstract
This review describes associations between dementia and loneliness on the neurobiological and epidemiological levels according to the recent body of literature. The aim of this study was to highlight major lines of research in this field. Sociocognitive skills and social interactions present complex interdependencies with dementia which may be explained by two theories. According to the first one, not sufficiently engaging in social or cognitive activities results in brain atrophy. The second one claims that brain neurogenesis and synaptic density are being increased by social connections. The relationship between loneliness and dementia could be mediated by sensory loss, including hearing and visual impairment, as well as depression and psychotic symptoms. Loneliness itself might cause a depletion in sensory and cognitive stimulation which results in a decrease in neural reserve. Certain changes in the structures of the brain caused by loneliness were found in imaging examination. Loneliness appears to be a crucial risk factor for dementia in recent times due to the modern lifestyle and consequences of the outbreak of COVID-19. Additional studies are required to understand more completely the key tenets of this topic and therefore to improve the prevention and treatment of dementia.
Collapse
Affiliation(s)
- Julia Karska
- Department of Psychiatry, Wrocław Medical University, Pasteura 10, 50-367 Wrocław, Poland; (J.K.)
| | | | - Anna Gładka
- Department of Psychiatry, Wrocław Medical University, Pasteura 10, 50-367 Wrocław, Poland; (J.K.)
| | - Jerzy Leszek
- Department of Psychiatry, Wrocław Medical University, Pasteura 10, 50-367 Wrocław, Poland; (J.K.)
| |
Collapse
|