Article

Problem-solving training via videoconferencing for family caregivers of persons with spinal cord injuries: a randomized controlled trial

Department of Educational Psychology, 4225 TAMU, Texas A&M University, College Station, TX 77845, USA.
Behaviour Research and Therapy (Impact Factor: 3.85). 09/2008; 46(11):1220-9. DOI: 10.1016/j.brat.2008.08.004
Source: PubMed

ABSTRACT To examine the effectiveness of an individualized problem-solving intervention delivered in videoconferencing sessions with family caregivers of persons living with a spinal cord injury (SCI) and possible contagion effects on care recipients.
Family caregivers were randomly assigned to an education-only control group or an intervention group in which participants received problem-solving training (PST) in monthly videoconference session for a year.
Sixty-one caregivers (54 women, 7 men) and their care recipients (40 men, 21 women) consented to participate.
The Social Problem-Solving Inventory-Revised was administered to caregivers. Caregivers and care recipients completed the Inventory to Diagnose Depression, the SF-36 and the Satisfaction with Life scale at pre-treatment, 6 months and 12 months.
Twenty-eight caregivers discontinued the study and their follow-up data were unavailable at the final assessment. Older caregivers were more likely than younger caregivers to remain in the study. Intent-to-treat analyses projected a significant decrease in depression among caregivers receiving PST; efficacy analyses indicated this effect was pronounced at the 6th month assessment. ITT analyses and efficacy analyses revealed that care recipients of caregivers receiving PST reported gains in social functioning over time.
Community-based, telehealth interventions may benefit family caregivers and their care recipients, but the mechanisms of these effects are unclear. Attrition and sample issues should be considered in future studies with these populations.

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Available from: Timothy R Elliott, Jul 27, 2015
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    • "También hubo un cambio significativo en todas las subescalas. En comparación con los pocos estudios previos que aplicaron intervenciones de solución de problemas en cuidadores y evaluaron esta variable, los presentes hallazgos son más positivos; los anteriores encontraron cambios sólo en las habilidades disfuncionales (Rivera et al., 2008), sólo en las funcionales (Elliot et al., 2009) o no encontraron cambios significativos (Elliot et al., 2008). Los hallazgos de Grant et al. (2002) fueron más afines a los nuestros, pues hallaron mejoría en todas las dimensiones excepto en la orientación positiva. "
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    • "Even though care recipients did not directly participate in PST, their levels of depressive symptoms declined over time, whereas care recipients whose caregivers were in the control condition showed a stable trajectory of depressive symptoms. This finding adds to the few clinical trials that have examined such indirect effects of caregiver interventions on the well-being of care recipients (e.g., Elliott et al., 2008; Wade et al., 2006b). Although demonstrating beneficial effects of family interventions on care recipients is important, it is essential that interventions " . . . "
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