iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degeneration
Abstract Introduction A tremendous burden is placed on frontotemporal degeneration (FTD) caregivers who sacrifice their own self‐care to manage the functional impairments of their loved one, contributing to high levels of stress and depression. Health coaching provides support for coping with stress...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-04-01
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| Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/trc2.12381 |
| _version_ | 1797774718869176320 |
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| author | Lauren Massimo Karen B. Hirschman Subhash Aryal Ryan Quinn Lauren Fisher Michelle Sharkey Gladys Thomas Kathryn H. Bowles Barbara Riegel |
| author_facet | Lauren Massimo Karen B. Hirschman Subhash Aryal Ryan Quinn Lauren Fisher Michelle Sharkey Gladys Thomas Kathryn H. Bowles Barbara Riegel |
| author_sort | Lauren Massimo |
| collection | DOAJ |
| description | Abstract Introduction A tremendous burden is placed on frontotemporal degeneration (FTD) caregivers who sacrifice their own self‐care to manage the functional impairments of their loved one, contributing to high levels of stress and depression. Health coaching provides support for coping with stress while fostering self‐care behaviors. We report on preliminary evidence for efficacy of a virtual health coach intervention aimed at increasing self‐care. Methods Thirty‐one caregivers of persons with behavioral variant FTD (bvFTD) were assigned randomly to an intervention group, which included 10 coaching sessions over 6 months plus targeted health information or the control group receiving standard care augmented with the health information. Caregiver self‐care (primary outcome), stress, depression, coping, and patient behavioral symptoms were collected at enrollment and 3 and 6 months. Change over time was evaluated between the intervention and control groups using linear mixed‐effects models. Results There was a significant group‐by‐time interaction for self‐care monitoring (t58 = 2.37, p = 0.02 and self‐care confidence (t58 = 2.32, p = 0.02) on the Self‐Care Inventory, demonstrating that caregivers who received the intervention improved their self‐care over time. Behavioral symptoms were reduced in bvFTD patients whose caregivers received the intervention (t54 = –2.15, p = 0.03). Discussion This randomized controlled trial (RCT) shows promise for health coaching as a way to increase support that is urgently needed to reduce poor outcomes in FTD caregivers. |
| first_indexed | 2024-03-12T22:25:12Z |
| format | Article |
| id | doaj.art-f81e9b710ad644f1b650934648ed54b8 |
| institution | Directory Open Access Journal |
| issn | 2352-8737 |
| language | English |
| last_indexed | 2024-03-12T22:25:12Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| spelling | doaj.art-f81e9b710ad644f1b650934648ed54b82023-07-22T06:46:06ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372023-04-0192n/an/a10.1002/trc2.12381iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degenerationLauren Massimo0Karen B. Hirschman1Subhash Aryal2Ryan Quinn3Lauren Fisher4Michelle Sharkey5Gladys Thomas6Kathryn H. Bowles7Barbara Riegel8Frontotemporal Degeneration Center, Department of Neurology University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USASchool of Nursing University of Pennsylvania Philadelphia Pennsylvania USAAbstract Introduction A tremendous burden is placed on frontotemporal degeneration (FTD) caregivers who sacrifice their own self‐care to manage the functional impairments of their loved one, contributing to high levels of stress and depression. Health coaching provides support for coping with stress while fostering self‐care behaviors. We report on preliminary evidence for efficacy of a virtual health coach intervention aimed at increasing self‐care. Methods Thirty‐one caregivers of persons with behavioral variant FTD (bvFTD) were assigned randomly to an intervention group, which included 10 coaching sessions over 6 months plus targeted health information or the control group receiving standard care augmented with the health information. Caregiver self‐care (primary outcome), stress, depression, coping, and patient behavioral symptoms were collected at enrollment and 3 and 6 months. Change over time was evaluated between the intervention and control groups using linear mixed‐effects models. Results There was a significant group‐by‐time interaction for self‐care monitoring (t58 = 2.37, p = 0.02 and self‐care confidence (t58 = 2.32, p = 0.02) on the Self‐Care Inventory, demonstrating that caregivers who received the intervention improved their self‐care over time. Behavioral symptoms were reduced in bvFTD patients whose caregivers received the intervention (t54 = –2.15, p = 0.03). Discussion This randomized controlled trial (RCT) shows promise for health coaching as a way to increase support that is urgently needed to reduce poor outcomes in FTD caregivers.https://doi.org/10.1002/trc2.12381caregiverfrontotemporal degenerationmotivational health coachingself‐caresupport intervention |
| spellingShingle | Lauren Massimo Karen B. Hirschman Subhash Aryal Ryan Quinn Lauren Fisher Michelle Sharkey Gladys Thomas Kathryn H. Bowles Barbara Riegel iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degeneration Alzheimer’s & Dementia: Translational Research & Clinical Interventions caregiver frontotemporal degeneration motivational health coaching self‐care support intervention |
| title | iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degeneration |
| title_full | iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degeneration |
| title_fullStr | iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degeneration |
| title_full_unstemmed | iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degeneration |
| title_short | iCare4Me for FTD: A pilot randomized study to improve self‐care in caregivers of persons with frontotemporal degeneration |
| title_sort | icare4me for ftd a pilot randomized study to improve self care in caregivers of persons with frontotemporal degeneration |
| topic | caregiver frontotemporal degeneration motivational health coaching self‐care support intervention |
| url | https://doi.org/10.1002/trc2.12381 |
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