A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Supported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care (2022)
Lappalainen, P., Pakkala, I., Lappalainen, R., & Nikander, R. (2022). Supported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care. Clinical Gerontologist, 45(4), 939-955. https://doi.org/10.1080/07317115.2021.1912239
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Lappalainen, Päivi; Pakkala, Inka; Lappalainen, Raimo; Nikander, Riku
Lehti tai sarja: Clinical Gerontologist
ISSN: 0731-7115
eISSN: 1545-2301
Julkaisuvuosi: 2022
Ilmestymispäivä: 15.04.2021
Volyymi: 45
Lehden numero: 4
Artikkelin sivunumerot: 939-955
Kustantaja: Routledge
Julkaisumaa: Yhdysvallat (USA)
Julkaisun kieli: englanti
DOI: https://doi.org/10.1080/07317115.2021.1912239
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/75121
Tiivistelmä
Methods: Altogether, 149 family caregivers participated in this quasi-experimental study. Primary outcome measure was depression. Secondary outcomes included anxiety, sense of coherence, quality of life, psychological flexibility, experiential avoidance, and thought suppression. The questionnaires were administered at baseline, and four, and 10 months post-measurement. We investigated differences in the changes between the groups using Mplus modeling techniques.
Results: Regarding the main outcome of depression, the results suggest that the CareACT intervention was superior to standardized rehabilitation and to the support given by caregiver associations at four months, both showing a medium-sized difference between the groups. However, the change from four to 10 months post-intervention was not significantly different between these groups (d = 0.32–0.36). Thought suppression showed a significantly different change between the three groups from baseline to four months and to 10 months post-measurement (p = .038).
Conclusions: Web-based ACT may have beneficial effects on depressive symptoms and thought suppression in older caregivers.
Clinical implications: Web-based ACT could be a feasible alternative to institutional rehabilitation and support provided by voluntary caregiver associations. Web-based ACT responds flexibly to the needs of caregivers and provides them an opportunity for learning new skills to promote well-being.
YSO-asiasanat: ikääntyneet; omaishoitajat; henkinen hyvinvointi; masennus; elämänlaatu; hyväksymis- ja omistautumisterapia; kuntoutus
Vapaat asiasanat: family caregivers; community-dwelling older adults; rehabilitation; psychological well-being; depression; thought suppression; quality of life; online; web-based; acceptance and commitment therapy
Liittyvät organisaatiot
OKM-raportointi: Kyllä
Raportointivuosi: 2022
JUFO-taso: 1
