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Rehabilitation psychology
May, 2012;57 (2): 98-112.

Does problem-solving training for family caregivers benefit their care recipients with severe disabilities? A latent growth model of the Project CLUES randomized clinical trial.

Jack W Berry, Timothy R Elliott, Joan S Grant, Gary Edwards, Philip R Fine
Author Information
  1. Jack W Berry: Department of Psychology, Samford University, Birmingham, AL 35229, USA. jwberry@samford.edu
PMID: 22686549 DOI: 10.1037/a0028229

Abstract

OBJECTIVE: To examine whether an individualized problem-solving intervention provided to family caregivers of persons with severe disabilities provides benefits to both caregivers and their care recipients.
DESIGN: Family caregivers were randomly assigned to an education-only control group or a problem-solving training (PST) intervention group. Participants received monthly contacts for 1 year.
PARTICIPANTS: Family caregivers (129 women, 18 men) and their care recipients (81 women, 66 men) consented to participate.
MAIN OUTCOME MEASURES: Caregivers completed the Social Problem-Solving Inventory-Revised, the Center for Epidemiological Studies-Depression scale, the Satisfaction with Life scale, and a measure of health complaints at baseline and in 3 additional assessments throughout the year. Care recipient depression was assessed with a short form of the Hamilton Depression Scale.
RESULTS: Latent growth modeling was used to analyze data from the dyads. Caregivers who received PST reported a significant decrease in depression over time, and they also displayed gains in constructive problem-solving abilities and decreases in dysfunctional problem-solving abilities. Care recipients displayed significant decreases in depression over time, and these decreases were significantly associated with decreases in caregiver depression in response to training.
CONCLUSIONS: PST significantly improved the problem-solving skills of community-residing caregivers and also lessened their depressive symptoms. Care recipients in the PST group also had reductions in depression over time, and it appears that decreases in caregiver depression may account for this effect.

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Grants

  1. R01 HD037661/NICHD NIH HHS
  2. R49 CE000191/NCIPC CDC HHS
  3. R49/CE000191/NCIPC CDC HHS
  4. R01HD37661/NICHD NIH HHS

MeSH Term

Adult
Aged
Aged, 80 and over
Caregivers
Cost of Illness
Depressive Disorder
Disability Evaluation
Persons with Disabilities
Female
Humans
Male
Mental Status Schedule
Middle Aged
Problem Solving
Quality of Life
Statistics as Topic
Surveys and Questionnaires
United States
Young Adult
Journal Article Multicenter Study Randomized Controlled Trial Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.
Article has an altmetric score of 9

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