Judith T Moskowitz1, Elaine O Cheung1, Karin E Snowberg2, Alice Verstaen3, Jennifer Merrilees4, John M Salsman5, Glenna A Dowling2. 1. Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine. 2. Department of Physiological Nursing, University of California, San Francisco. 3. Department of Psychology, University of California, Berkeley. 4. Department of Neurology, University of California, San Francisco. 5. Department of Social Sciences and Health Policy, Wake Forest School of Medicine.
Abstract
OBJECTIVE: To test the effects of Life Enhancing Activities for Family Caregivers (LEAF), a 6-week positive emotion regulation intervention, on outcomes of positive emotion, depression, anxiety, and physical health as measured by the Patient-Reported Outcomes Measurement Information System® (PROMIS®). METHOD: A randomized controlled trial (N = 170) comparing LEAF (N = 86) to an emotion reporting/waitlist condition (N = 84) in dementia caregivers. LEAF was individually delivered online by trained facilitators. Participants in the control condition completed daily online emotion reports and then crossed over into the intervention condition after 6 weeks. The study was registered with Clinicaltrials.gov (NCT01825681) and funded by R01NR014435. RESULTS: Analyses of difference in change from baseline to 6 weeks demonstrated significantly greater decreases in PROMIS® depression (d = -.25; p = .02) and Quality of Life in Neurological Disorders (NeuroQOL) anxiety (d = -.33; p < .01), as well as improvements in PROMIS®physical health (d = .24; p = .02) in the intervention condition compared to the emotion reporting/waitlist control. The intervention also showed greater improvements in positive emotion (d = .58; p < .01) and positive aspects of caregiving (d = .36; p < .01). Increases in positive emotion significantly mediated the effect of LEAF on depression over time. CONCLUSIONS: This randomized controlled trial of the online-facilitated positive emotion regulation intervention in dementia caregivers demonstrated small to medium effect sizes on caregiver well-being and shows promise for remotely delivered programs to improve psychological well-being in caregivers of people with dementia and other chronic illnesses. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
RCT Entities:
OBJECTIVE: To test the effects of Life Enhancing Activities for Family Caregivers (LEAF), a 6-week positive emotion regulation intervention, on outcomes of positive emotion, depression, anxiety, and physical health as measured by the Patient-Reported Outcomes Measurement Information System® (PROMIS®). METHOD: A randomized controlled trial (N = 170) comparing LEAF (N = 86) to an emotion reporting/waitlist condition (N = 84) in dementia caregivers. LEAF was individually delivered online by trained facilitators. Participants in the control condition completed daily online emotion reports and then crossed over into the intervention condition after 6 weeks. The study was registered with Clinicaltrials.gov (NCT01825681) and funded by R01NR014435. RESULTS: Analyses of difference in change from baseline to 6 weeks demonstrated significantly greater decreases in PROMIS® depression (d = -.25; p = .02) and Quality of Life in Neurological Disorders (NeuroQOL) anxiety (d = -.33; p < .01), as well as improvements in PROMIS® physical health (d = .24; p = .02) in the intervention condition compared to the emotion reporting/waitlist control. The intervention also showed greater improvements in positive emotion (d = .58; p < .01) and positive aspects of caregiving (d = .36; p < .01). Increases in positive emotion significantly mediated the effect of LEAF on depression over time. CONCLUSIONS: This randomized controlled trial of the online-facilitated positive emotion regulation intervention in dementia caregivers demonstrated small to medium effect sizes on caregiver well-being and shows promise for remotely delivered programs to improve psychological well-being in caregivers of people with dementia and other chronic illnesses. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Authors: Janelle M Painter; Jasmine Mote; Andrew D Peckham; Erica H Lee; Timothy R Campellone; Jennifer G Pearlstein; Stefana Morgan; Ann M Kring; Sheri L Johnson; Judith T Moskowitz Journal: Gen Hosp Psychiatry Date: 2019-07-23 Impact factor: 3.238
Authors: David Olem; Maya Earle; Walter Gómez; Lara Coffin; Paul Cotten; Jennifer P Jain; Judith T Moskowitz; Adam W Carrico Journal: Cogn Behav Pract Date: 2020-11-10
Authors: Elaine O Cheung; Ian Kwok; Allison B Ludwig; William Burton; Xinzi Wang; Neha Basti; Elizabeth L Addington; Carly Maletich; Judith T Moskowitz Journal: Glob Adv Health Med Date: 2021-01-28