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Effects of modified 8‐week reminiscence therapy on the older spouse caregivers of stroke survivors in Chinese communities: A randomized controlled trial
Author(s) -
Mei Yongxia,
Lin Beilei,
Li Yingshuang,
Ding Chunge,
Zhang Zhenxiang
Publication year - 2018
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.4833
Subject(s) - spouse , randomized controlled trial , stroke (engine) , reminiscence , medicine , intervention (counseling) , physical therapy , caregiver burden , life satisfaction , quality of life (healthcare) , gerontology , psychology , dementia , psychiatry , psychotherapist , nursing , mechanical engineering , disease , sociology , anthropology , engineering , cognitive psychology
Objective Our aim was to evaluate the effectiveness of a modified 8‐week reminiscence therapy on the burden, positive experience, and life satisfaction of older spouse caregivers and the life satisfaction of stroke survivors. Methods We conducted a randomized controlled trial by using 75 older stroke couples recruited from communities in Zhengzhou, China. We randomly assigned participants to 1 of 3 groups: Group 1 (G 1 , 25 couples, all attend intervention) and Group 2 (G 2 , 22 couples, only caregivers attend intervention), who participated in a modified 8‐week reminiscence therapy, and a waiting list (control) group (G 3 , 28 couples). Interviewers blinded to treatment group assignment administered the life satisfaction to both stroke survivors and caregivers, caregiver burden, and positive experience for caregivers, at preintervention, immediately postintervention, and at 1 month and 3 months after cessation of the intervention. Results We found a statistically significant interaction between treatment groups and assessment time points for the 4 outcome measures ( P < .001). Although the effects were decreased after intervention at 1 month, the improvement in caregivers' positive experience, life satisfaction, burden, and life satisfaction of stroke survivors were still significant ( P < .001). Conclusions The use of a modified 8‐week reminiscence therapy in this study sample improved the life satisfaction of stroke survivors and their spouse caregivers, improved the positive experience of caregivers, and decreased the burden of caregivers.