2.50
Hdl Handle:
http://hdl.handle.net/10755/150954
Type:
Presentation
Title:
Intervening with dementia care-receivers: A cognitive stimulation program
Abstract:
Intervening with dementia care-receivers: A cognitive stimulation program
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Corbeil, Robert, PhD
P.I. Institution Name:University of San DiegoCollege of Arts and Sciences
Title:Professor
The stress of caregiving with its psychological and physical

morbidity has been well documented, with interventions focused

primarily on family caregivers (support groups, counseling, respite

services) or their impaired relatives (day care). The present

study differs in that the intervention approach includes both the

family caregiver and the cognitively impaired member. The purpose

of this study, therefore, was to test over time within an

experimental design the effect of the refined and expanded

cognitive stimulation program on the cognitive and behavioral

functioning of the care-receiver, on the health outcomes of the

caregiver, and on family interactions. Improvement in caregiver

health and family interaction was hypothesized for the experimental

group, whereas, maintenance in functional status was expected for

the care-receivers. In contrast, decline was anticipated for the

control and placebo groups.



The 60 community dwelling family units (caregiver and

Alzheimer-diagnosed relative in the mild to moderate stage) were

randomly assigned to one of three conditions: experimental (active

cognitive stimulation), placebo (passive cognitive stimulation), or

wait-list control, and were assessed pre and post-treatment, and

six months later. Care-receivers were assessed on components of

memory, problem solving, and behavior. Caregivers were assessed on

physical and mental health status, situational stress, and dyadic

interaction, along with coping and social support. Families in

either treatment group were instructed in their respective

activities one hour each week for twelve weeks. The

theoretically-based intervention program of active cognitive

stimulation addressed memory, problem solving, and conversation

skills, with activities from a hierarchy of complexity within each

domain.



Using repeated measures analysis of variance techniques,

improvement over maintenance level was noted for the experimental

care-receiver group post-treatment in general memory and specific

components including nonverbal and verbal recall, and verbal

fluency, with tendency to return to baseline maintenance level over

time. In contrast, the placebo group maintained at baseline

without improvement, and the control group declined over time.

Maintenance was also found in behavioral functioning for the

experimental group while the control and placebo groups increased

in problems over time. Caregiver outcomes differentially supported

the hypotheses of improved physical and emotional health as noted

by decreased symptomatology, and greater satisfaction in dyadic

interaction for the experimental group over the control and placebo

groups. Although the cognitive stimulation program continues to

show promise as a potentially viable intervention for nursing and

other health disciplines, further research is needed to facilitate

retention of the effects over time in the presence of the dementia

deterioration.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIntervening with dementia care-receivers: A cognitive stimulation programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150954-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Intervening with dementia care-receivers: A cognitive stimulation program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Corbeil, Robert, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of San DiegoCollege of Arts and Sciences</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr><td colspan="2" class="item-abstract">The stress of caregiving with its psychological and physical<br/><br/>morbidity has been well documented, with interventions focused<br/><br/>primarily on family caregivers (support groups, counseling, respite<br/><br/>services) or their impaired relatives (day care). The present<br/><br/>study differs in that the intervention approach includes both the<br/><br/>family caregiver and the cognitively impaired member. The purpose<br/><br/>of this study, therefore, was to test over time within an<br/><br/>experimental design the effect of the refined and expanded<br/><br/>cognitive stimulation program on the cognitive and behavioral<br/><br/>functioning of the care-receiver, on the health outcomes of the<br/><br/>caregiver, and on family interactions. Improvement in caregiver<br/><br/>health and family interaction was hypothesized for the experimental<br/><br/>group, whereas, maintenance in functional status was expected for<br/><br/>the care-receivers. In contrast, decline was anticipated for the<br/><br/>control and placebo groups.<br/><br/><br/><br/>The 60 community dwelling family units (caregiver and<br/><br/>Alzheimer-diagnosed relative in the mild to moderate stage) were<br/><br/>randomly assigned to one of three conditions: experimental (active<br/><br/>cognitive stimulation), placebo (passive cognitive stimulation), or<br/><br/>wait-list control, and were assessed pre and post-treatment, and<br/><br/>six months later. Care-receivers were assessed on components of<br/><br/>memory, problem solving, and behavior. Caregivers were assessed on<br/><br/>physical and mental health status, situational stress, and dyadic<br/><br/>interaction, along with coping and social support. Families in<br/><br/>either treatment group were instructed in their respective<br/><br/>activities one hour each week for twelve weeks. The<br/><br/>theoretically-based intervention program of active cognitive<br/><br/>stimulation addressed memory, problem solving, and conversation<br/><br/>skills, with activities from a hierarchy of complexity within each<br/><br/>domain.<br/><br/><br/><br/>Using repeated measures analysis of variance techniques,<br/><br/>improvement over maintenance level was noted for the experimental<br/><br/>care-receiver group post-treatment in general memory and specific<br/><br/>components including nonverbal and verbal recall, and verbal<br/><br/>fluency, with tendency to return to baseline maintenance level over<br/><br/>time. In contrast, the placebo group maintained at baseline<br/><br/>without improvement, and the control group declined over time.<br/><br/>Maintenance was also found in behavioral functioning for the<br/><br/>experimental group while the control and placebo groups increased<br/><br/>in problems over time. Caregiver outcomes differentially supported<br/><br/>the hypotheses of improved physical and emotional health as noted<br/><br/>by decreased symptomatology, and greater satisfaction in dyadic<br/><br/>interaction for the experimental group over the control and placebo<br/><br/>groups. Although the cognitive stimulation program continues to<br/><br/>show promise as a potentially viable intervention for nursing and<br/><br/>other health disciplines, further research is needed to facilitate<br/><br/>retention of the effects over time in the presence of the dementia<br/><br/>deterioration.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T10:47:38Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T10:47:38Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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