Browsing by Author "Helen W. Lach"

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    An Integrative Stress Reduction Program for Family Caregivers of Persons with Advanced Dementia: A Pilot Study
    (Slack Incorporated, 2022) Panawat Sanprakhon; Nujjaree Chaimongkol; Pornpat Hengudomsub; Helen W. Lach; N. Chaimongkol; Faculty of Nursing, Burapha University, Chon Buri, 169 Longhard Bangsaen Road, Muang District, 20131, Thailand; email: nujjaree@buu.ac.th
    The current study sought to pilot test and examine the effects of an integrative stress reduction program (ISRP) on caregiver stress and sleep quality and behavioral and psychological symptoms of dementia (BPSD) of care recipients. Family caregivers (N = 12) of persons with moderate to severe dementia were recruited from memory clinics in Thailand. Twelve caregivers participated in five educational sessions on dementia care, stress, and BPSD management over 4 weeks. The Relative Stress Scale and Pittsburgh Sleep Quality Index were used to measure caregiver outcomes. The Neuropsychiatric Inventory was used to measure BPSD of care recipients. Outcome variables were collected at baseline, postintervention, and follow up. Data were analyzed using one-way repeated measures analysis of variance. Participants reported statistically decreased stress, improved sleep quality, and decreased BPSD among care recipients postintervention and at follow up (all p < 0.001). The ISRP was feasible and shows promise in reducing stress and improving sleep quality in caregivers and lessening BPSD in care recipients. Copyright © SLACK Incorporated.
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    Integrative Stress Reduction Program for Family Caregivers of Persons With Advanced Dementia: A Randomized-Controlled Trial
    (SAGE Publications Inc., 2023) Panawat Sanprakhon; Nujjaree Chaimongkol; Helen W. Lach; N. Chaimongkol; Faculty of Nursing, Burapha University, Chon Buri, Thailand; email: nujjaree@buu.ac.th
    Background: Older adults with advanced dementia require significant care, leading to high stress levels in caregivers. Objectives: The current study aimed to evaluate the effects of an Integrative Stress Reduction Program on Thai caregiverÕs outcomes of stress, sleep quality, and caregiver-assessed neuropsychiatric symptoms of persons with dementia. Methods: A single-blind randomized-controlled trial was conducted. A sample of family caregivers of people with dementia was recruited from memory clinics at outpatient community health centers in Thailand and randomly assigned to the experimental and control groups. Participants in the experimental group were enrolled in 5 intervention sessions over 4 weeks, while the control group received usual care. Outcome variables were collected at baseline, 4 weeks postintervention, and 8 weeks of follow-up. Results: Compared with the control group, caregivers in the experimental group (n = 27) had significantly decreased stress (p <.01) and better sleep quality (p <.01), and caregivers reported that their family members with dementia (n = 27) had decreased neuropsychiatric symptoms (p <.01) after the intervention (week 4) and at the 8-week follow-up. Conclusions: The Integrative Stress Reduction Program improved outcomes for caregivers and decreased neuropsychiatric symptoms in people with dementia. © The Author(s) 2023.