Promising results from a pilot study to reduce distress in Vietnamese American dementia and memory loss caregivers

Van M. Ta Park1, Vy Ton2, Quyen Q. Tiet3,4, Quyen Vuong5, Gwen Yeo6, Dolores Gallagher-Thompson6,7
1Department of Community Health Systems, University of California at San Francisco, School of Nursing, San Francisco, CA, USA
2Department of Health Science and Recreation, San Jose State University, One Washington Square, San Jose, CA
3California School of Professional Psychology at Alliant International University, San Francisco, CA, USA
4National Center for PTSD, VA Palo Alto HCS, Menlo Park, CA, USA
5International Children Assistance Network, Milpitas, CA, USA
6Department of Psychiatry and Behavioral Science, Stanford University, School of Medicine, Stanford, CA, USA
7University of California at Davis, Betty Irene Moore School of Nursing, Family Caregiving Institute, Sacramento, CA, USA

Tóm tắt

AbstractIntroductionThis study developed and examined the feasibility of a culturally tailored, evidence‐based skill‐building program to reduce stress and depression of Vietnamese American dementia caregivers.MethodsThis pilot randomized controlled trial included pretest and posttest measures using the Center for Epidemiologic Studies‐Depression Scale and the Revised Memory and Behavior Problems Checklist. The intervention (n = 30) group participated in a culturally tailored, 4‐week Vietnamese‐language cognitive‐behavioral skills evidenced‐based program (Our Family Journey); caregivers in the control condition (n = 30) received dementia‐related educational materials (education control condition).ResultsOur Family Journey caregivers showed significantly lower somatic scores on the Center for Epidemiologic Studies‐Depression Scale and reported lower frequency of care recipients' disruptive behaviors. However, they also reported being more stressed by their care recipients' depressive symptoms on the Revised Memory and Behavior Problems Checklist compared to caregivers in the education control condition.DiscussionThese promising results suggest that a culturally adapted program can benefit Vietnamese dementia caregivers. Additional research is needed to develop and evaluate stronger, more impactful interventions for this underserved group.

Tài liệu tham khảo

10.1016/j.jalz.2016.03.001 10.1093/geront/35.6.771 10.1093/geronb/58.2.P112 10.1016/j.jagp.2012.10.001 U.S. Census Bureau. 2010.The Vietnamese Population in the United States: 2010. Available at:http://www.vasummit2011.org/docs/research/The%20Vietnamese%20Population%202010_July%202.2011.pdf. Accessed June 25 2019. Migration Policy Institute.2018.Vietnamese Immigrants in the United States. Available at:https://www.migrationpolicy.org/article/vietnamese‐immigrants‐united‐states‐5. Accessed June 25 2019. 10.1007/s11414-007-9078-y 10.1176/ajp.147.7.913 10.1176/ajp.144.12.1567 Yeo G., 2002, Conceptions of dementia among Vietnamese American Caregivers, J Gerontological Social Work, 36, 131, 10.1300/J083v36n01_08 10.1080/07317115.2018.1432734 Ta Park V., 2018, Ethnicity and the Dementias, 338, 10.4324/9781315161358-18 Iwamasa G., 2007, Handbook of Asian American Psychology 10.1097/JGP.0b013e3180312028 10.1016/j.jpsychires.2010.10.008 10.1093/biomet/58.3.403 10.1080/13607860701616317 Alzheimer's Association.2018.Alzheimer's disease information and resources. Available at:http://www.alz.org/asian/resources/publications.asp?nL=VI&dL=EN. Accessed June 25 2019 10.1046/j.1525-1497.2001.016009606.x 10.1080/19359705.2015.1080204 10.7326/0003-4819-145-10-200611210-00005 Gallagher‐Thompson D., 2015, Effectiveness of a fotonovela for reducing depression and stress in Latino dementia family caregivers, Alzheimer Dis Assoc Disord, 29, 146, 10.1097/WAD.0000000000000077 Tran Jane andHinton Ladson.2010.Assessment of Dementia and Caregiving for Vietnamese Americans. Available at:http://sgec.stanford.edu/content/dam/sm/sgec/documents/video/2009‐2010_Webinars/2010‐06‐web.pdf. Accessed June 25 2019. 10.1111/j.1532-5415.2005.53221.x Montreal Cognitive Assessment (MoCA).2018.MoCA Test Full‐ Vietnamese. Available at:https://www.mocatest.org/wp‐content/uploads/2015/03/MoCA‐Test‐Vietnamese‐15‐12‐20161.pdf. Accessed June 25 2019. 10.1177/014662167700100306 10.1016/j.chiabu.2004.01.003 10.1016/S0165-0327(97)00079-7 Nguyen H.T., 2007, Validity and reliability of the two scales measuring depression and anxiety used in community survey in Vietnamese adolescents, Vietnamese J Public Health, 7, 25 10.1080/13607860903420989 10.1037/0882-7974.7.4.622 World Health Organization Process of Translation and Adaptation of Instruments 2018. Available at:http://www.who.int/substance_abuse/research_tools/translation/en/. Accessed June 25 2019. 10.4300/JGME-D-12-00156.1 2017, StataCorp. Stata Statistical Software: Release 15 Dilworth‐Anderson P., 2018, Ethnicity and the Dementias, 211, 10.4324/9781315161358-10 10.1017/S1041610214001331 10.2307/2136404 Ta ParkVM TonV YeoG TietQ.Q VuongQ andGallagher‐ThompsonD.Vietnamese American Dementia Caregivers' Perceptions and Experiences of a Culturally Tailored Evidence‐based Program to Reduce Stress and Depression (under review).Vietnamese American Dementia Caregivers' Perceptions and Experiences of a Culturally Tailored Evidence‐based Intervention to Reduce Stress and Depression.