How to address the needs of non-responders to REACH VA: a qualitative analysis. (2nd September 2019)

• Record Type: Journal Article
• Authors: Nehrig, Nicole; Chen, Cory K.
• Is Part Of: Aging & mental health. Volume 23:Number 9(2019)
• Page Start: 1203
• Page End: 1208
• Publication Date: 2019-09-02
• Subjects: Alzheimer's disease -- caregiver mental health -- psychotherapy -- qualitative methods; Older people -- Mental health -- Periodicals; Geriatric psychiatry -- Periodicals; Older people -- Psychology -- Periodicals; Aging -- Psychological aspects -- Periodicals; Aged -- psychology -- periodicals; Mental Health -- periodicals; Mental Health Services -- periodicals; Aging -- psychology -- periodicals; Aged, 80 and over -- psychology -- periodicals; 618.97689
• DOI: 10.1080/13607863.2018.1484885
• Languages: English
• ISSNs: 1360-7863

Abstract

Abstract: Objective: This study used qualitative methods to understand how to further alleviate symptoms of depression and caregiver burden and address the needs of non-responders following a course of Resources for Enhancing Alzheimer's Caregiver Health in VA (REACH VA). Methods: Semi-structured interviews with caregivers and interventionists post-treatment were coded for themes related to ways to address the needs of non-responder caregivers. Results: The following suggestions recurred among non-responder caregivers and interventionists: (1) tailor skills and psychoeducation material to caregiver's needs; (2) provide greater overall support within the realm of caregiving; (3) explore and process caregiver's emotions around caregiving experience and grief; (4) address interpersonal difficulties and barriers to asking for help; (5) spend more time practicing skills to aid in implementing them at home. Conclusions: For many non-responders, a longer-term treatment targeting caregivers' emotional processing, interpersonal skills, social connection, acquisition and implementation of skills is indicated.