Abstract
Background. The transition to hospice care is typically a new and stressful experience for caregivers who often report increased negative emotions, such as anxiety and depression and lack of preparedness regarding their role. According to self-regulation theory, heightened anxiety and depressive symptoms in a new experience can be explained by the lack of an accurate cognitive schema.
Purpose. The purpose of this study was to test the feasibility and preliminary effects of a theory-based intervention program (ESI-CH: Education and Skill-building Intervention for Caregivers of Hospice patients) that targets cognitive schema development and skill building in this new role for caregivers of loved ones newly admitted to hospice services.
Method. A pre-experimental one-group pre- and post-test study design was used. Outcome measures included: depression, anxiety, activity restriction, preparedness and beliefs/confidence.
Results. Caregivers reported the timing of the intervention was perfect as they began this new experience. Most of the caregivers reported that the information was very helpful to preparing them for what to expect in this new role and they would recommend it to their friends. Caregivers who completed the intervention program reported a) feeling more prepared to care for their loved one, and b) had higher beliefs/confidence about their ability to care for their loved one. The impact of the intervention ranged from small effects for anxiety to medium effects for beliefs/confidence and preparedness. Caregivers with high levels of depression and/or high levels of anxiety at baseline reported lower levels of anxiety after the intervention.
Conclusion. Findings from this study indicate that the ESI-CH program is feasible and acceptable to deliver with caregivers of hospice patients. Results support that the ESI-CH program assists caregivers in developing a cognitive schema for their new role for effective coping and skill development in caring for their loved one on hospice.
Sigma Membership
Unknown
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Intervention, Family Caregivers
Recommended Citation
Lindstrom, Kathryn B. and Melnyk, Bernadette Mazurek, "Feasibility and preliminary effects of an intervention for caregivers of newly admitted hospice patients" (2012). Convention. 30.
https://www.sigmarepository.org/convention/2011/presentations_2011/30
Conference Name
41st Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Grapevine, Texas, USA
Conference Year
2011
Rights Holder
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Acquisition
Proxy-submission
Feasibility and preliminary effects of an intervention for caregivers of newly admitted hospice patients
Grapevine, Texas, USA
Background. The transition to hospice care is typically a new and stressful experience for caregivers who often report increased negative emotions, such as anxiety and depression and lack of preparedness regarding their role. According to self-regulation theory, heightened anxiety and depressive symptoms in a new experience can be explained by the lack of an accurate cognitive schema.
Purpose. The purpose of this study was to test the feasibility and preliminary effects of a theory-based intervention program (ESI-CH: Education and Skill-building Intervention for Caregivers of Hospice patients) that targets cognitive schema development and skill building in this new role for caregivers of loved ones newly admitted to hospice services.
Method. A pre-experimental one-group pre- and post-test study design was used. Outcome measures included: depression, anxiety, activity restriction, preparedness and beliefs/confidence.
Results. Caregivers reported the timing of the intervention was perfect as they began this new experience. Most of the caregivers reported that the information was very helpful to preparing them for what to expect in this new role and they would recommend it to their friends. Caregivers who completed the intervention program reported a) feeling more prepared to care for their loved one, and b) had higher beliefs/confidence about their ability to care for their loved one. The impact of the intervention ranged from small effects for anxiety to medium effects for beliefs/confidence and preparedness. Caregivers with high levels of depression and/or high levels of anxiety at baseline reported lower levels of anxiety after the intervention.
Conclusion. Findings from this study indicate that the ESI-CH program is feasible and acceptable to deliver with caregivers of hospice patients. Results support that the ESI-CH program assists caregivers in developing a cognitive schema for their new role for effective coping and skill development in caring for their loved one on hospice.
Description
41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.