Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/81042
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dc.contributor.authorKor, PKKen_US
dc.contributor.authorLiu, JYWen_US
dc.contributor.authorChien, WTen_US
dc.date.accessioned2019-07-19T03:28:26Z-
dc.date.available2019-07-19T03:28:26Z-
dc.date.issued2019-
dc.identifier.citationInternational journal of nursing studies, 2019, in press, https://doi.org/10.1016/j.ijnurstu.2019.02.020en_US
dc.identifier.issn0020-7489en_US
dc.identifier.urihttp://hdl.handle.net/10397/81042-
dc.description.abstractBackground: Caregivers of people with dementia experience high stress levels. Mindfulness-based cognitive therapy has been found to be effective in reducing stress and improving the psychological well-being of several populations.en_US
dc.description.abstractObjective: To explore the feasibility and preliminary effects of a modified mindfulness-based cognitive therapy for family caregivers of people with dementia.en_US
dc.description.abstractMethods: In a single-blinded, parallel-group, randomized controlled trial, 36 caregivers of people with dementia were randomized to either the intervention group, receiving the 7-session modified mindfulness-based cognitive therapy in 10 weeks; or the control group, receiving the usual family care and brief education on dementia care. The brief education sessions were similar in frequency and duration to the intervention group. Various psychological outcomes of caregivers were assessed and compared at baseline, immediately post-intervention, and at the 3-month follow-up. A focus group with eight participants from the intervention group was conducted to identify the strengths, limitations, and difficulties of the intervention.en_US
dc.description.abstractResults: Intervention feasibility was established with a high completion rate of 83% (completing ≥5 out of the 7 sessions) and a low attrition rate of 11.1%. The duration of the average weekly home-based mindfulness practice of the caregivers was 180 minutes (S.D. = 283.8). The intervention group experienced a statistically significant decrease in stress levels (Z = -1.98, p = 0.05, Cohen’s d = 0.7) and depressive symptoms (Z = -2.25, p = 0.02, Cohen’s d = 0.8) at the post-test; and a decrease in stress (Z = -2.58, p = 0.01, Cohen’s d = 0.9), depressive symptoms (Z = -2.20, p = 0.03, Cohen’s d = 0.7), and burden (Z = - 2.74, p = 0.006, Cohen’s d = 1.0), and improved quality of life (physical) (Z = -1.68, p = 0.09, Cohen’s d = 0.6) at the 3-month follow-up compared to the controls. A focus group conducted immediately after the intervention revealed three major themes: Impacts on the family caregivers, Impacts on the people with dementia, and Difficulty in practicing mindfulness.en_US
dc.description.abstractConclusion: The findings support the feasibility and preliminary effects of the modified mindfulness-based cognitive therapy on reducing the stress of caregivers and improving their psychological well-being. Some potential effects on people with dementia (e.g., improvements in behavioral problems) were reported by the caregivers. A future study with a larger and more diverse sample is proposed to evaluate the longer-term effects and generalizability of the modified mindfulness-based cognitive therapy and the impacts on people with dementia.en_US
dc.description.sponsorshipSchool of Nursingen_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofInternational journal of nursing studiesen_US
dc.subjectCaregiveren_US
dc.subjectCognitive therapyen_US
dc.subjectDementiaen_US
dc.subjectMindfulnessen_US
dc.subjectStressen_US
dc.titleEffects of a modified mindfulness-based cognitive therapy for family caregivers of people with dementia : a pilot randomized controlled trialen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.doi10.1016/j.ijnurstu.2019.02.020en_US
dc.identifier.scopus2-s2.0-85063285479-
dc.identifier.ros2018002263-
dc.identifier.eissn1873-491Xen_US
dc.description.validate2019 bcwhen_US
dc.description.oaNot applicableen_US
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