Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled Trial
Objective: To investigate the effects of a dyadic intervention of mindfulness-based stress reduction (MBSR) for informal dementia caregivers and home-based balance and progressive resistance training (PRT) for their loved ones. Methods : The study was a two arm, randomized, controlled, single-blinde...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-10-01
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| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/23337214231203472 |
| _version_ | 1797658919899758592 |
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| author | Tommy Lang BAppSc(Hons) Kenneth Daniel MND Michael Inskip PhD Yorgi Mavros PhD Maria A. Fiatarone Singh AM MD |
| author_facet | Tommy Lang BAppSc(Hons) Kenneth Daniel MND Michael Inskip PhD Yorgi Mavros PhD Maria A. Fiatarone Singh AM MD |
| author_sort | Tommy Lang BAppSc(Hons) |
| collection | DOAJ |
| description | Objective: To investigate the effects of a dyadic intervention of mindfulness-based stress reduction (MBSR) for informal dementia caregivers and home-based balance and progressive resistance training (PRT) for their loved ones. Methods : The study was a two arm, randomized, controlled, single-blinded, parallel-group trial. Dyads were randomized to an intervention group: an 8-week MBSR course (daily) and an 8-week PRT and balance training (3 days/week) for their loved ones or a waiting list control group. Results : Nine dyads were randomized [caregivers: median age 75 (40–81) years, loved ones: 77 (73–88) years]. The intervention significantly improved caregiver mindfulness [relative effect size (95% confidence interval) 1.35 (−0.10, 2.81); p = .009] and functional mobility in their loved ones [mean difference (95% confidence interval) 1.53 (−3.09, 6.14)] with no significant effects on caregiver burden [relative effect size (95% confidence interval) 0.22 (−1.09, 1.54); p = .622]. Conclusion : The study appeared feasible in the home environment and future large and longer trials should test the efficacy of a more abbreviated MBSR intervention to optimize adoption and sustain adherence over time. Trial registry name: HOMeCare: Caring for the Dementia Caregiver and their Loved One via the HOMeCare Exercise and Mindfulness for Health Program Trial URL: https://www.australianclinicaltrials.gov.au/anzctr/trial/ACTRN12617000347369 Registration number: ACTRN12617000347369 |
| first_indexed | 2024-03-11T18:06:22Z |
| format | Article |
| id | doaj.art-9cc83737d8784e5dbd22252a7083e03f |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-03-11T18:06:22Z |
| publishDate | 2023-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-9cc83737d8784e5dbd22252a7083e03f2023-10-17T05:33:19ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142023-10-01910.1177/23337214231203472Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled TrialTommy Lang BAppSc(Hons)0Kenneth Daniel MND1Michael Inskip PhD2Yorgi Mavros PhD3Maria A. Fiatarone Singh AM MD4Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaCollege of Healthcare Sciences, Sport and Exercise Science, James Cook University, Townsville, QLD, AustraliaSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaThe Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USAObjective: To investigate the effects of a dyadic intervention of mindfulness-based stress reduction (MBSR) for informal dementia caregivers and home-based balance and progressive resistance training (PRT) for their loved ones. Methods : The study was a two arm, randomized, controlled, single-blinded, parallel-group trial. Dyads were randomized to an intervention group: an 8-week MBSR course (daily) and an 8-week PRT and balance training (3 days/week) for their loved ones or a waiting list control group. Results : Nine dyads were randomized [caregivers: median age 75 (40–81) years, loved ones: 77 (73–88) years]. The intervention significantly improved caregiver mindfulness [relative effect size (95% confidence interval) 1.35 (−0.10, 2.81); p = .009] and functional mobility in their loved ones [mean difference (95% confidence interval) 1.53 (−3.09, 6.14)] with no significant effects on caregiver burden [relative effect size (95% confidence interval) 0.22 (−1.09, 1.54); p = .622]. Conclusion : The study appeared feasible in the home environment and future large and longer trials should test the efficacy of a more abbreviated MBSR intervention to optimize adoption and sustain adherence over time. Trial registry name: HOMeCare: Caring for the Dementia Caregiver and their Loved One via the HOMeCare Exercise and Mindfulness for Health Program Trial URL: https://www.australianclinicaltrials.gov.au/anzctr/trial/ACTRN12617000347369 Registration number: ACTRN12617000347369https://doi.org/10.1177/23337214231203472 |
| spellingShingle | Tommy Lang BAppSc(Hons) Kenneth Daniel MND Michael Inskip PhD Yorgi Mavros PhD Maria A. Fiatarone Singh AM MD Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled Trial Gerontology and Geriatric Medicine |
| title | Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled Trial |
| title_full | Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled Trial |
| title_fullStr | Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled Trial |
| title_full_unstemmed | Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled Trial |
| title_short | Caring for Informal Dementia Caregivers and Their Loved Ones Via the HOMeCARE Exercise and Mindfulness for Health Program (HOMeCARE): A Randomized, Single-Blind, Controlled Trial |
| title_sort | caring for informal dementia caregivers and their loved ones via the homecare exercise and mindfulness for health program homecare a randomized single blind controlled trial |
| url | https://doi.org/10.1177/23337214231203472 |
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