title: Resourcefulness Training for Women Dementia Caregivers: Acceptability and Feasibility of Two Methods.
abstract: Almost 10 million women in the United States are caregivers for elders with dementia and many experience extreme stress that compromises their health. Acceptable and feasible interventions to teach them resourcefulness skills for managing stress may improve their health and facilitate continued caregiving. This study examined two commonly used methods for practicing skills taught during resourcefulness training (RT) to women caregivers of elders with dementia (n=63): journaling and digital voice recording. It also explored whether providing caregivers a choice between the two methods made it more acceptable or feasible. Qualitative and quantitative data were collected before, during, and after RT. Caregivers who recorded used more words (M=5446) but recorded fewer days (M=17) than those who journaled (M=2792 words and M=27 days). Similar concerns in relation to time management and practice method were expressed by women caregivers irrespective of practice method (journal versus recorder) or random versus choice condition. While journaling was more frequent than recording, more words were expressed during recordings. Perceived stress and depressive symptoms were unrelated to the number of practice days or word counts, suggesting RT acceptability and feasibility even for highly stressed or depressed caregivers. Because intervention feasibility is important for RT effectiveness testing, alternatives to the journaling and recording methods for practicing RT skills should be considered.
authors.affiliation: a Case Western Reserve University , Bolton School of Nursing , Cleveland , Ohio , USA.
authors.forename: Jaclene A
authors.initials: JA
authors.lastname: Zauszniewski
authors.affiliation: b Case Western Reserve University , Cleveland , Ohio , USA.
authors.forename: Nirmala
authors.initials: N
authors.lastname: Lekhak
authors.affiliation: c Case Western Reserve University , Nursing, Cleveland , Ohio , USA.
authors.forename: Betty
authors.initials: B
authors.lastname: Napoleon
authors.affiliation: c Case Western Reserve University , Nursing, Cleveland , Ohio , USA.
authors.forename: Diana L
authors.initials: DL
authors.lastname: Morris
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000193:education* / Q000523:psychology*; D003704:Dementia / Q000523:psychology / Q000628:therapy*; D003863:Depression / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008499:Medical Records; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D013315:Stress, Psychological / Q000517:prevention & control*; D014956:Writing