Abstract
PurposeThe purpose of this study was to develop a multi-component counseling program and examine the short-term effects of an 8-session program.Design/methodology/approachThis present study was a research and development of a multi-component counseling program for enhancing resilience. The concept of resilience was reviewed based on a synthesis of existing research, together with an exploration of qualitative data derived from an interview with ten caregivers of older persons with dementia. Six domains of resilience were identified: physical, relationships, emotional, moral, cognitive and spiritual; which were then used to develop the eight-week program. The program was examined by a panel of three experts for content validity, which yielded an index of 0.87. The program was then tried out with 60 caregivers recruited and assigned 30 caregivers in the intervention and control group. The Caregiver’s Resilience Scale (CRS) was used by trained nurses to evaluate the program and data were analyzed using repeated measures ANOVA.FindingsThe results indicated that the resilience scores of the participants in the intervention group were statistically significantly higher than those of the control group at one month after program participation and at the follow-up three months later (p < 0.05).Originality/valueIt could be concluded that the program yielded support for the evidence-based practice of non-pharmacological intervention. The program would be suitable as a clinical practice guideline to provide help to caregivers of older persons with dementia at the outpatient setting.
Highlights
At present, advances in medical technology in Thailand have improved both medical treatment and diagnoses
The concept of resilience theory [18] was reviewed based on a synthesis of existing research, together with an exploration of qualitative data derived from an interview with ten caregivers of older persons with dementia
The managing physical care session was revised using the usual guideline on care of activities of daily living (ADL) and instrumental activities of daily living (IADL)
Summary
Advances in medical technology in Thailand have improved both medical treatment and diagnoses. There is a high incidence of the physical illness of dementia that is associated with elderly people and longevity, an illness which affects both the physical and psychological wellbeing of many in the aging population. Dementia is a part of the global cognitive impairment issue associated with aging. It does not result in alteration of an individual’s consciousness, but leads to functional decline in elderly persons [2]. Dementia progresses over time, causing both behavioral and psychological symptoms of dementia (BPSD) in those who have developed the illness. When an older person has BPSD, their symptoms can be a cause of both stress and distress in caregivers, when the patients exhibit cognitive and functional decline [3]
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