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Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers.

Publication ,  Journal Article
Williams, VP; Bishop-Fitzpatrick, L; Lane, JD; Gwyther, LP; Ballard, EL; Vendittelli, AP; Hutchins, TC; Williams, RB
Published in: Psychosom Med
November 2010

OBJECTIVE: To determine whether video-based coping skills (VCS) training with telephone coaching reduces psychosocial and biological markers of distress in primary caregivers of a relative with Alzheimer's disease or related dementia (ADRD). METHODS: A controlled clinical trial was conducted with 116 ADRD caregivers who were assigned, alternately as they qualified for the study, to a Wait List control condition or the VCS training arm in which they viewed two modules/week of a version of the Williams LifeSkills Video adapted for ADRD family care contexts, did the exercises and homework for each module presented in an accompanying Workbook, and received one telephone coaching call per week for 5 weeks on each week's two modules. Questionnaire-assessed depressive symptoms, state and trait anger and anxiety, perceived stress, hostility, caregiver self-efficacy, salivary cortisol across the day and before and after a stress protocol, and blood pressure and heart rate during a stress protocol were assessed before VCS training, 7 weeks after training was completed, and at 3 months' and 6 months' follow-up. RESULTS: Compared with controls, participants who received VCS training plus telephone coaching showed significantly greater improvements in depressive symptoms, trait anxiety, perceived stress, and average systolic and diastolic blood pressures that were maintained over the 6-month follow-up period. CONCLUSIONS: VCS training augmented by telephone coaching reduced psychosocial and biological indicators of distress in ADRD caregivers. Future studies should determine the long-term benefits to mental and physical health from this intervention. TRIAL REGISTRATION: http://www.clinicaltrials.gov; #NCT00396825.

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Published In

Psychosom Med

DOI

EISSN

1534-7796

Publication Date

November 2010

Volume

72

Issue

9

Start / End Page

897 / 904

Location

United States

Related Subject Headings

  • Video Recording
  • Treatment Outcome
  • Teaching
  • Surveys and Questionnaires
  • Stress, Psychological
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Personality Inventory
  • Middle Aged
  • Male
 

Citation

APA
Chicago
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Williams, V. P., Bishop-Fitzpatrick, L., Lane, J. D., Gwyther, L. P., Ballard, E. L., Vendittelli, A. P., … Williams, R. B. (2010). Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers. Psychosom Med, 72(9), 897–904. https://doi.org/10.1097/PSY.0b013e3181fc2d09
Williams, Virginia P., Lauren Bishop-Fitzpatrick, James D. Lane, Lisa P. Gwyther, Edna L. Ballard, Analise P. Vendittelli, Tiffany C. Hutchins, and Redford B. Williams. “Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers.Psychosom Med 72, no. 9 (November 2010): 897–904. https://doi.org/10.1097/PSY.0b013e3181fc2d09.
Williams VP, Bishop-Fitzpatrick L, Lane JD, Gwyther LP, Ballard EL, Vendittelli AP, et al. Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers. Psychosom Med. 2010 Nov;72(9):897–904.
Williams, Virginia P., et al. “Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers.Psychosom Med, vol. 72, no. 9, Nov. 2010, pp. 897–904. Pubmed, doi:10.1097/PSY.0b013e3181fc2d09.
Williams VP, Bishop-Fitzpatrick L, Lane JD, Gwyther LP, Ballard EL, Vendittelli AP, Hutchins TC, Williams RB. Video-based coping skills to reduce health risk and improve psychological and physical well-being in Alzheimer's disease family caregivers. Psychosom Med. 2010 Nov;72(9):897–904.

Published In

Psychosom Med

DOI

EISSN

1534-7796

Publication Date

November 2010

Volume

72

Issue

9

Start / End Page

897 / 904

Location

United States

Related Subject Headings

  • Video Recording
  • Treatment Outcome
  • Teaching
  • Surveys and Questionnaires
  • Stress, Psychological
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Personality Inventory
  • Middle Aged
  • Male