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conferenceseries.com
Volume 8 Journal of Alzheimers Disease & Parkinsonism Dementia Congress 2018
September 17-18, 2018
September 17-18, 2018 Singapore
12th World Congress on
Advances and Innovations in Dementia
Wai-Kit Tang, J Alzheimers Dis Parkinsonism 2018, Volume 8
DOI: 10.4172/2161-0460-C5-048
How to improve caregiving self-efficacy on managing disruptive behavior of dementia client?
ARCT study on an evidence-based psychosocial intervention
Wai-Kit Tang
Castle Peak Hospital, Hong Kong
Background: Caregivers (CGs) of People with Dementia (PWD) often experience role overload and a high level of perceived
burden during caregiving. The American Psychiatric Association has recommended using a psychosocial intervention as a
quality practice to enhance the Self-Efficacy (SE) of CGs in dementia caregiving.
Methodology: Critically compare the program design through a literature review and adopting Bandura’s (1997) theoretical
framework of self-efficacy, an evidence-based psychosocial intervention for dementia caregiver (PSI-CG) was worked out
which aimed at enhancing the caregiving SE and reduce the perceived burden of the CG. The intervention focused on providing
four types of information to bolster the caregivers’ self-efficacy. They include mastery experience, vicarious learning, verbal
persuasion and physiological and psychological feedback. The intervention consisted of three face-to-face group sessions that
included knowledge and skills training, group sharing and relaxation exercises. After each group session, a telephone call was
provided to each CG by the program assistant for knowledge checking and consolidating strengths and gains in the previous
sessions. After validation on the intervention, an RCT study was conducted to examine the effectiveness. A total of 115 CG of
PWD were recruited while follow-up visit in the Mental Health Centre in Hong Kong. Upon three intervention groups, block
randomization and a block size of eight was used to randomize the CGs to receive either the PSI-CG (n=56) or the control
intervention (n=59) by using a ratio of 1:1.
Results & Conclusion: The GEE results indicated the intervention effectiveness that compared with the control group who
received the information booklet, those who received the PSI-CG had significantly greater improvements in overall caregiving
SE (p=0.045), particularly on the SE in handling disruptive behaviors (p=0.005). The particular favorable effect on handling
disturbing symptoms may be related to the education on the communication skills by modifying the CG mindset towards
PWD behaviors, and peer-led discussions over symptom management. For further improvements, future study may consider
adding components, for example, a social break and additional booster sessions, to facilitate peer support among the CG.
Biography
Wai-Kit Tang is currently working as a Psychogeriatric Nurse in Castle Peak Hospital, Hong Kong. Focusing on clinical nursing, his researching topics were mainly
about dementia and late-life depression. Having articles about psychosocial interventions for dementia caregivers in several international journals, he also studies
on clinical risk management.