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

Initial findings

Robert L. Glueckauf, W. Shuford Davis, Floyd Banard 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 R Graff Radford, Cynthia Baxter, Kathleen Burnett, La Tonya Noël & 2 others Kambria Haire, Jane Springer

Research output: Contribution to journalArticle

33 Citations (Scopus)

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 - 2012

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Cognitive Therapy
Telephone
African Americans
Caregivers
Dementia
Depression
Equipment and Supplies
Health Behavior
Sample Size
Health Status
Epidemiologic Studies
Randomized Controlled Trials
Health
Therapeutics
Research

Keywords

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

ASJC Scopus subject areas

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

Cite this

Telephone-based, cognitive-behavioral therapy for african american dementia caregivers with depression : Initial findings. / Glueckauf, Robert L.; Davis, W. Shuford; Willis, Floyd Banard; Sharma, Dinesh; Gustafson, David J.; Hayes, Jocelyn; Stutzman, Mary; Proctor, James; Kazmer, Michelle M.; Murray, Leticia; Shipman, Judith; McIntyre, Vera; Wesley, Lonnie; Schettini, Gabriel; Xu, Jian; Parfitt, Francine; Graff Radford, Neill R; Baxter, Cynthia; Burnett, Kathleen; Noël, La Tonya; Haire, Kambria; Springer, Jane.

In: Rehabilitation Psychology, Vol. 57, No. 2, 2012, p. 124-139.

Research output: Contribution to journalArticle

Glueckauf, RL, Davis, WS, Willis, FB, Sharma, D, Gustafson, DJ, Hayes, J, Stutzman, M, Proctor, J, Kazmer, MM, Murray, L, Shipman, J, McIntyre, V, Wesley, L, Schettini, G, Xu, J, Parfitt, F, Graff Radford, NR, Baxter, C, Burnett, K, Noël, LT, Haire, K & Springer, J 2012, 'Telephone-based, cognitive-behavioral therapy for african american dementia caregivers with depression: Initial findings', Rehabilitation Psychology, vol. 57, no. 2, pp. 124-139. https://doi.org/10.1037/a0028688
Glueckauf, Robert L. ; Davis, W. Shuford ; Willis, Floyd Banard ; Sharma, Dinesh ; Gustafson, David J. ; Hayes, Jocelyn ; Stutzman, Mary ; Proctor, James ; Kazmer, Michelle M. ; Murray, Leticia ; Shipman, Judith ; McIntyre, Vera ; Wesley, Lonnie ; Schettini, Gabriel ; Xu, Jian ; Parfitt, Francine ; Graff Radford, Neill R ; Baxter, Cynthia ; Burnett, Kathleen ; Noël, La Tonya ; Haire, Kambria ; Springer, Jane. / Telephone-based, cognitive-behavioral therapy for african american dementia caregivers with depression : Initial findings. In: Rehabilitation Psychology. 2012 ; Vol. 57, No. 2. pp. 124-139.
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AU - Willis, Floyd Banard

AU - Sharma, Dinesh

AU - Gustafson, David J.

AU - Hayes, Jocelyn

AU - Stutzman, Mary

AU - Proctor, James

AU - Kazmer, Michelle M.

AU - Murray, Leticia

AU - Shipman, Judith

AU - McIntyre, Vera

AU - Wesley, Lonnie

AU - Schettini, Gabriel

AU - Xu, Jian

AU - Parfitt, Francine

AU - Graff Radford, Neill R

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AU - Noël, La Tonya

AU - Haire, Kambria

AU - Springer, Jane

PY - 2012

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N2 - 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.

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