Telephone-based, cognitive-behavioral therapy for african american dementia caregivers with depression: Initial findings

Robert L. Glueckauf, W. Shuford Davis, Floyd Willis, Dinesh Sharma, David J. Gustafson, Jocelyn Hayes, Mary Stutzman, James Proctor, Michelle M. Kazmer, Leticia Murray, Judith Shipman, Vera McIntyre, Lonnie Wesley, Gabriel Schettini, Jian Xu, Francine Parfitt, Neill Graff-Radford, Cynthia Baxter, Kathleen Burnett, La Tonya NoëlKambria Haire, Jane Springer

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Objectives: Discuss initial findings of a randomized clinical trial comparing the effects of telephone-based and face-to-face (f-to-f) cognitive-behavioral therapy (CBT) on changes in caregiver (CG) burden, assistance support, depression, and health status for African American (AA) CGs with depression. Design: Pilot study using a prepost, two-group design with 14 enrolled and randomized participants. Measures: Subjective Burden subscale of the Caregiver Appraisal Inventory, Assistance Support subscale of the Interpersonal Support Evaluation List, Physical Symptoms subscale of the Caregiver Health and Health Behavior Inventory and the Center for Epidemiologic Studies Depression Scale. Results: Prepost improvements were found on 11 completers across all measures for both telephone and f-to-f CBT. Moderate and similar effects sizes for CG subjective burden and assistance support were found for both the telephone and f-to-f groups. Effect sizes for physical symptoms and depression varied from low to moderate, respectively, with a trend toward smaller improvements in f-to-f CBT than in telephone CBT. Qualitative analysis highlighted CGs' perceptions of the active ingredients of treatment and provided indirect support for similar gains in emotional and psychosocial functioning across the two treatment modalities. Conclusions: Both telephone-based and f-to-f CBT showed improvements in depression, subjective burden, and assistance support in dementia AA CGs. Replication with a larger sample size (N = 106) is currently in progress. Study limitations and future directions for research are also addressed.

Original languageEnglish (US)
Pages (from-to)124-139
Number of pages16
JournalRehabilitation Psychology
Volume57
Issue number2
DOIs
StatePublished - Dec 1 2012

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Keywords

  • African american
  • Caregiving
  • Cognitive-behavioral therapy
  • Dementia
  • Depression
  • Telehealth

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Glueckauf, R. L., Davis, W. S., Willis, F., Sharma, D., Gustafson, D. J., Hayes, J., Stutzman, M., Proctor, J., Kazmer, M. M., Murray, L., Shipman, J., McIntyre, V., Wesley, L., Schettini, G., Xu, J., Parfitt, F., Graff-Radford, N., Baxter, C., Burnett, K., ... Springer, J. (2012). Telephone-based, cognitive-behavioral therapy for african american dementia caregivers with depression: Initial findings. Rehabilitation Psychology, 57(2), 124-139. https://doi.org/10.1037/a0028688