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The use of modified mindfulness-based stress reduction and mindfulness-based cognitive therapy program for family caregivers of people living with dementia : A feasibility study
Cheung, Daphne Sze Ki Kor, Patrick Pui Kin Jones, Cindy Davies, Nathan Moyle, Wendy Chien, Wai Tong Yip, Annie Lai King Chambers, Suzanne Yu, Clare Tsz Kiu Lai, Claudia K. Y.
Cheung, Daphne Sze Ki
Kor, Patrick Pui Kin
Jones, Cindy
Davies, Nathan
Moyle, Wendy
Chien, Wai Tong
Yip, Annie Lai King
Chambers, Suzanne
Yu, Clare Tsz Kiu
Lai, Claudia K. Y.
Abstract
Purpose
The aim of this study was to investigate the feasibility and preliminary efficacy of a modified mindfulness-based stress reduction (MBSR) program and mindfulness-based cognitive therapy (MBCT) program for reducing the stress, depressive symptoms, and subjective burden of family caregivers of people with dementia (PWD).
Methods
A prospective, parallel-group, randomized controlled trial design was adopted. Fifty-seven participants were recruited from the community and randomized into either the modified MBSR group (n = 27) or modified MBCT group (n = 26), receiving seven face-to-face intervention sessions for more than 16 weeks. Various psychological outcomes were measured at baseline (T0), immediately after intervention (T1), and at the 3-month follow-up (T2).
Results
Both interventions were found to be feasible in view of the high attendance (more than 70.0%) and low attrition (3.8%) rates. The mixed analysis of variance (ANOVA) results showed positive within-group effects on perceived stress (p = .030, Cohen's d = 0.54), depressive symptoms (p = .002, Cohen's d = 0.77), and subjective caregiver burden (p < .001, Cohen's d = 1.12) in both interventions across the time points, whereas the modified MBCT had a larger effect on stress reduction, compared with the modified MBSR (p = .019).
Conclusion
Both the modified MBSR and MBCT are acceptable to family caregivers of PWD. Their preliminary effects were improvements in stress, depressive symptoms, and subjective burden. The modified MBCT may be more suitable for caregivers of PWD than the MBSR. A future clinical trial is needed to confirm their effectiveness in improving the psychological well-being of caregivers of PWD.
Keywords
caregivers, dementia, depression, mindfulness, stress
Date
2020
Type
Journal article
Journal
Asian Nursing Research
Book
Volume
14
Issue
4
Page Range
221-230
Article Number
ACU Department
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC-ND 4.0
File Access
Open