Feasibility and Preliminary Effects of an Intervention for Caregivers of Newly Admitted Hospice Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/201892
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Feasibility and Preliminary Effects of an Intervention for Caregivers of Newly Admitted Hospice Patients
Author(s):
Lindstrom, Kathryn B.; Melnyk, Bernadette Mazurek
Author Details:
Kathryn B. Lindstrom, PhD, FNP-BC, ACHPN; Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN
Abstract:
(41st Biennial Convention) Background. The transition to hospice care is typically a new and stressful experience for caregivers who often report increased negative emotions, such as anxiety and depression and lack of preparedness regarding their role. According to self-regulation theory, heightened anxiety and depressive symptoms in a new experience can be explained by the lack of an accurate cognitive schema. Purpose. The purpose of this study was to test the feasibility and preliminary effects of a theory-based intervention program (ESI-CH: Education and Skill-building Intervention for Caregivers of Hospice patients) that targets cognitive schema development and skill building in this new role for caregivers of loved ones newly admitted to hospice services. Method. A pre-experimental one-group pre- and post-test study design was used. Outcome measures included: depression, anxiety, activity restriction, preparedness and beliefs/confidence. Results. Caregivers reported the timing of the intervention was perfect as they began this new experience. Most of the caregivers reported that the information was very helpful to preparing them for what to expect in this new role and they would recommend it to their friends. Caregivers who completed the intervention program reported a) feeling more prepared to care for their loved one, and b) had higher beliefs/confidence about their ability to care for their loved one. The impact of the intervention ranged from small effects for anxiety to medium effects for beliefs/confidence and preparedness. Caregivers with high levels of depression and/or high levels of anxiety at baseline reported lower levels of anxiety after the intervention. Conclusion. Findings from this study indicate that the ESI-CH program is feasible and acceptable to deliver with caregivers of hospice patients. Results support that the ESI-CH program assists caregivers in developing a cognitive schema for their new role for effective coping and skill development in caring for their loved one on hospice.
Keywords:
Intervention; Family Caregivers
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Conference Date:
2011
Conference Name:
41st Biennial Convention: People and Knowledge: Connecting for Global Health
Conference Host:
Sigma Theta Tau International
Conference Location:
Grapevine, Texas USA
Description:
41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & convention Center.
Note:
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleFeasibility and Preliminary Effects of an Intervention for Caregivers of Newly Admitted Hospice Patientsen
dc.contributor.authorLindstrom, Kathryn B.en
dc.contributor.authorMelnyk, Bernadette Mazureken
dc.author.detailsKathryn B. Lindstrom, PhD, FNP-BC, ACHPN; Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAANen
dc.identifier.urihttp://hdl.handle.net/10755/201892-
dc.description.abstract(41st Biennial Convention) Background. The transition to hospice care is typically a new and stressful experience for caregivers who often report increased negative emotions, such as anxiety and depression and lack of preparedness regarding their role. According to self-regulation theory, heightened anxiety and depressive symptoms in a new experience can be explained by the lack of an accurate cognitive schema. Purpose. The purpose of this study was to test the feasibility and preliminary effects of a theory-based intervention program (ESI-CH: Education and Skill-building Intervention for Caregivers of Hospice patients) that targets cognitive schema development and skill building in this new role for caregivers of loved ones newly admitted to hospice services. Method. A pre-experimental one-group pre- and post-test study design was used. Outcome measures included: depression, anxiety, activity restriction, preparedness and beliefs/confidence. Results. Caregivers reported the timing of the intervention was perfect as they began this new experience. Most of the caregivers reported that the information was very helpful to preparing them for what to expect in this new role and they would recommend it to their friends. Caregivers who completed the intervention program reported a) feeling more prepared to care for their loved one, and b) had higher beliefs/confidence about their ability to care for their loved one. The impact of the intervention ranged from small effects for anxiety to medium effects for beliefs/confidence and preparedness. Caregivers with high levels of depression and/or high levels of anxiety at baseline reported lower levels of anxiety after the intervention. Conclusion. Findings from this study indicate that the ESI-CH program is feasible and acceptable to deliver with caregivers of hospice patients. Results support that the ESI-CH program assists caregivers in developing a cognitive schema for their new role for effective coping and skill development in caring for their loved one on hospice.en
dc.subjectInterventionen
dc.subjectFamily Caregiversen
dc.date.available2012-01-11T10:58:36Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T10:58:36Z-
dc.conference.date2011en
dc.conference.name41st Biennial Convention: People and Knowledge: Connecting for Global Healthen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationGrapevine, Texas USAen
dc.description41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & convention Center.en
dc.description.noteItems submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.