Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-17T23:14:56.377Z Has data issue: false hasContentIssue false

Acceptability of a guided self-help Internet intervention for family caregivers: mastery over dementia

Published online by Cambridge University Press:  04 February 2015

Anne Margriet Pot*
Affiliation:
Netherlands Institute of Mental Health and Addiction (Trimbos-institute), Utrecht, the Netherlands Department of Clinical Psychology, EMGO+ Institute for Health and Care Research, VU University, Amsterdam, the Netherlands School of Psychology, University of Queensland, Brisbane, Australia
Marco M. Blom
Affiliation:
Department of Scientific Research, Alzheimer Nederland (Dutch Alzheimer's Society), Amersfoort, the Netherlands
Bernadette M. Willemse
Affiliation:
Netherlands Institute of Mental Health and Addiction (Trimbos-institute), Utrecht, the Netherlands
*
Correspondence should be addressed to: Anne Margriet Pot, Professor of Clinical Geropsychology, Netherlands Institute of Mental Health and Addiction/Trimbos-institute, Program on Aging, PO 725, 3500 AS Utrecht, the Netherlands. Phone: +31 6 11294797; Fax: +31 30 2971111. Email: ampot@trimbos.nl.

Abstract

Background:

The number of people with dementia is increasing rapidly. Providing care to a relative or friend with dementia may lead to serious mental health problems. Internet interventions may offer opportunities to improve the availability and accessibility of (cost)effective interventions to reduce family caregivers’ psychological distress. This study describes the acceptability of a guided self-help Internet intervention “mastery over dementia” (MoD), aimed at reducing caregivers’ psychological distress, in terms of reach, adherence and user evaluation.

Methods:

The sample for this study is the experimental group that participated in the (cost)effectiveness trial of MoD (N = 149). Data on characteristics of family caregivers and people with dementia, completion and user evaluation were used and analyzed with descriptive statistics, χ2and T-tests.

Results:

MoD reaches a wide variety of caregivers, also those aged 75+, having a relative with a recent diagnosis of dementia or living in a care home. However, the percentage of caregivers who did not complete all eight lessons was rather high (55.7%). Among the completers (N = 66; 44.3%) were significantly more spouses, caregivers living in the same household, older caregivers, and those caring for somebody with another formal diagnosis than Alzheimer's disease. Caregivers’ evaluation showed that females rated higher on the comprehensibility of the lessons and feedback and spent less time on the lessons.

Conclusion:

The guided self-help Internet intervention MoD is acceptable for a broad range of family caregivers of people with dementia. The next step is to substantiate its (cost)effectiveness.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andersson, G. and Cuijpers, P. (2009). Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. Cognitive Behavior Therapy, 38, 196205.CrossRefGoogle ScholarPubMed
Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P. and Titov, N. (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One, 5, e13196.CrossRefGoogle ScholarPubMed
Arnberg, F. K., Linton, S. J., Hultcranz, M., Heinz, E. and Jonsson, U. (2014). Internet-delivered psychological treatment for mood and anxiety disorders: a systematic review of their efficacy, safety and cost-effectiveness. PLoS One, 9, e98118.CrossRefGoogle ScholarPubMed
Blom, M. M., Bosman, J., Cuijpers, P., Zarit, S. H. and Pot, A. M. (2013). Effectiveness of Internet therapy for caregivers of people with dementia: design of a randomized controlled trial. BMC Psychiatry, 13, 17.CrossRefGoogle ScholarPubMed
Boots, L. M. M., de Vugt, M. E., van Knippenberg, R. J. M., Kempen, G. I. J. M. and Verhey, F. R. (2014). A systematic review of Internet-based supportive interventions for caregivers of patients with dementia. International Journal of Geriatric Psychiatry, 29, 331344.CrossRefGoogle ScholarPubMed
Brodaty, H. and Arasaratnam, C. (2012). Meta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia. American Journal of Psychiatry, 169, 946953.CrossRefGoogle ScholarPubMed
Choi, M., Kong, S. and Jung, D. (2012). Computer and Internet interventions for loneliness and depression in older adults: a meta-analysis. Health Information Research, 18, 191198.CrossRefGoogle ScholarPubMed
Christensen, H., Griffiths, K. M. and Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: systematic review. Journal of Medical Internet Research, 11, e13.CrossRefGoogle Scholar
Cooper, C., Balamurali, T. B., Selwood, A. and Livingston, G. (2007). A systematic review of intervention studies about anxiety in caregivers of people with dementia. International Journal of Geriatric Psychiatry, 22, 181188.CrossRefGoogle ScholarPubMed
Cuijpers, P. (2005). Depressive disorders in caregivers of dementia patients: a systematic review. Aging & Mental Health, 9, 325330.CrossRefGoogle ScholarPubMed
Cuijpers, P., Marks, I.M., van Straten, A., Cavanagh, K., Gega, L. and Andersson, G. (2009). Computer-aided psychotherapy for anxiety disorders: a meta-analytic review. Cognitive Behaviour Therapy, 38, 6682.CrossRefGoogle ScholarPubMed
Hedman, E., Andersson, E., Lindefors, N., Andersson, G., Rück, C. and Ljótsson, B. (2012). Cost-effectiveness and long-term effectiveness of Internet-based cognitive behaviour therapy for severe health anxiety. Psychological Medicine, 21, 112.Google Scholar
Jorm, A. F. (2004). The informant questionnaire on cognitive decline in the elderly (IQCODE): a review. International Psychogeriatrics, 16, 275293.CrossRefGoogle ScholarPubMed
Kelders, S. M., Kok, R. N., Ossebaard, H. C. and van Gemert-Pijnen, J. E. (2012). Persuasive system design does matter: a systematic review of adherence to web-based interventions. Journal of Medical Internet Research, 14, e152.CrossRefGoogle Scholar
Mann-Poll, P. S., de Lange, J. and Pot, A. M. (2007). E-mental health interventions for family caregivers of older adults: a review. Tijdschrift voor Gerontologie en Geriatrie, 38, 274287.Google ScholarPubMed
McKechnie, V., Barker, C. and Stott, J. (2014). Effectiveness of computer-mediated interventions for informal carers of people with dementia: a systematic review. International Psychogeriatrics, 26, 16191637.CrossRefGoogle Scholar
Olazarán, J.et al. (2010). Nonpharmacological therapies in Alzheimer's disease: a systematic review of efficacy. Dementia, Geriatrics and Cognitive Disorders, 30, 161178.CrossRefGoogle ScholarPubMed
Peck, D. F. (2010). The therapist-client relationship, computerized self-help and active therapy ingredients. Clinical Psychology and Psychotherapy, 17, 147153.CrossRefGoogle ScholarPubMed
Pinquart, M. and Sörensen, S. (2003). Differences between caregivers and non-caregivers in psychological health and physical health: a meta-analysis. Psychology & Aging, 18, 250267.CrossRefGoogle Scholar
Pinquart, M. and Sörensen, S. (2006). Helping caregivers of persons with dementia: which interventions work and how large are their effects? International Psychogeriatrics, 18, 577595.CrossRefGoogle ScholarPubMed
Pot, A. M. (2004). The caregiving stress process. In Jones, G. M. M. and Miesen, B. M. L. (eds.), Care-giving in Dementia. Research and Applications, Volume 3. Hove and New York: Brunner-Routledge.Google Scholar
Proudfoot, J.et al. (2004). Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial. British Journal of Psychiatry, 185, 4654.CrossRefGoogle ScholarPubMed
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.CrossRefGoogle Scholar
Schulz, R. and Martire, L. M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. American Journal of Geriatric Psychiatry, 12, 240249.CrossRefGoogle ScholarPubMed
Selwood, A., Johnston, K., Katona, C., Lyketsos, C. and Livingston, G. (2007). Systematic review of the effect of psychological interventions on family caregivers of people with dementia. Journal of Affective Disorders, 101, 7589.CrossRefGoogle ScholarPubMed
Spek, V.et al. (2007). Internet-based cognitive behavioural therapy for subthreshold depression in people over 50 years old: a randomized controlled clinical trial. Psychological Medicine, 37, 17971806.CrossRefGoogle Scholar
Van Ballegooijen, W.et al. (2014). Adherence to Internet-based and face-to-face cognitive behavioural therapy for depression: a meta-analysis. PLoS One, 9, e100674.CrossRefGoogle ScholarPubMed
Van‘t Leven, N., Prick, A. E. J. C., Groenewoud, J. G., Roelofs, P. D. D. M., de Lange, J. and Pot, A. M. (2013). Dyadic interventions for community-dwelling people with dementia and their family caregivers: a systematic review. International Psychogeriatrics, 25, 15811603.CrossRefGoogle ScholarPubMed
Waller, R. and Gilbody, S. (2009). Barriers to the uptake of computerized cognitive behavioural therapy: a systematic review of the quantitative and qualitative evidence. Psychological Medicine, 39, 705712.CrossRefGoogle Scholar
WHO (2012). Dementia: A Public Health Priority. Geneva: WHO.Google Scholar
Wierzbicki, M. and Pekarik, , G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24, 190195.CrossRefGoogle Scholar
Wilson, K. C., Mottram, P. G. and Vassilas, C. A. (2008). Psychotherapeutic treatments for older depressed people. Cochrane Database of Systematic Review, 1, CD004853.Google Scholar
Zarit, S. H. and Femia, E. E. (2008). A future for family care and dementia intervention research? Challenges and strategies. Aging & Mental Health, 12, 513.CrossRefGoogle ScholarPubMed
Zigmond, A. S. and Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361370.CrossRefGoogle ScholarPubMed