학술논문
Engaging care partners of persons living with dementia in acceptance and commitment therapy (ACT) programs: a scoping review.
Document Type
Academic Journal
Author
Durepos P; Faculty of Nursing, University of New Brunswick, Fredericton, Canada.; MacLean R; Faculty of Nursing, University of New Brunswick, Fredericton, Canada.; Ricketts N; Alzheimer Society of New Brunswick, Fredericton, Canada.; Boamah SA; School of Nursing, McMaster University, Hamilton, Canada.; Witherspoon R; Library Sciences, University of New Brunswick, Fredericton, Canada.; Gould O; Department of Psychology, Mount Allison University, Sackville, Canada.; Olthuis JV; Department of Psychology, University of New Brunswick, Fredericton, Canada.; Totton K; Faculty of Nursing, University of New Brunswick, Fredericton, Canada.; Tucker K; Master of Applied Health Services Research, University of New Brunswick, Fredericton, Canada.; Boulay I; Alzheimer Society of New Brunswick, Fredericton, Canada.; Robitaille A; Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, Canada.; Centre of Excellence in Frailty-Informed Care, The Perley and Rideau Veterans' Health Centre, Ottawa, Canada.; Aquino-Russell C; Faculty of Nursing, University of New Brunswick, Fredericton, Canada.; Kaasalainen S; Library Sciences, University of New Brunswick, Fredericton, Canada.
Source
Publisher: Routledge Country of Publication: England NLM ID: 9705773 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1364-6915 (Electronic) Linking ISSN: 13607863 NLM ISO Abbreviation: Aging Ment Health Subsets: MEDLINE
Subject
Language
English
Abstract
Objectives: Acceptance and commitment therapy (ACT) is a relatively new type of psychotherapy effective for treating depression and anxiety amongst family care partners of persons living with dementia [PLWD]. However, care partner engagement in mental health services is low and specific guidelines for designing ACT programs for care partners of PLWD do not exist. The purpose of this scoping review was to examine patterns in care partner engagement in ACT programs to identify program factors potentially influencing engagement.
Methods: A comprehensive scoping review according to Arksey and O'Malley's framework was followed. Databases and grey literature were searched for primary studies of ACT programs with care partners of PLWD. Data were charted and synthesized.
Results: Ten studies met inclusion criteria and were analyzed. Amongst these, engagement was highest in three ACT programs that were delivered individually, remotely and were therapist-led or supported. Conversely, engagement was the lowest in two ACT programs that were self-directed, web-based and had minimal or no care partner-therapist interaction. Program factors perceived as influencing engagement included tailoring and personalization, mode of delivery and format, therapeutic support and connectedness, program duration and pace.
Conclusion: Findings from this review suggest that care partners engagement may be promoted by designing ACT programs that focus on the therapeutic client-therapist relationship, are delivered remotely and individually. Future research should focus on evaluation of best implementation practices for engagement and effectiveness.
Methods: A comprehensive scoping review according to Arksey and O'Malley's framework was followed. Databases and grey literature were searched for primary studies of ACT programs with care partners of PLWD. Data were charted and synthesized.
Results: Ten studies met inclusion criteria and were analyzed. Amongst these, engagement was highest in three ACT programs that were delivered individually, remotely and were therapist-led or supported. Conversely, engagement was the lowest in two ACT programs that were self-directed, web-based and had minimal or no care partner-therapist interaction. Program factors perceived as influencing engagement included tailoring and personalization, mode of delivery and format, therapeutic support and connectedness, program duration and pace.
Conclusion: Findings from this review suggest that care partners engagement may be promoted by designing ACT programs that focus on the therapeutic client-therapist relationship, are delivered remotely and individually. Future research should focus on evaluation of best implementation practices for engagement and effectiveness.