Show simple item record

dc.contributor.authorLappalainen, Päivi
dc.contributor.authorPakkala, Inka
dc.contributor.authorLappalainen, Raimo
dc.contributor.authorNikander, Riku
dc.date.accessioned2021-04-20T05:00:27Z
dc.date.available2021-04-20T05:00:27Z
dc.date.issued2021
dc.identifier.citationLappalainen, P., Pakkala, I., Lappalainen, R., & Nikander, R. (2021). Supported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care. <i>Clinical Gerontologist</i>, <i>Early online</i>. <a href="https://doi.org/10.1080/07317115.2021.1912239" target="_blank">https://doi.org/10.1080/07317115.2021.1912239</a>
dc.identifier.otherCONVID_66507112
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/75121
dc.description.abstractObjectives: The objective of the present study was to investigate whether an acceptance and commitment therapy (ACT)-based web-intervention (Group 1, CareACT), or a standardized rehabilitation in a rehabilitation center (Group 2) was effective in enhancing the psychological well-being of family caregivers aged 60 and over compared to support provided by voluntary caregiver associations (Group 3). Methods: Altogether, 149 family caregivers participated in this quasi-experimental study. Primary outcome measure was depression. Secondary outcomes included anxiety, sense of coherence, quality of life, psychological flexibility, experiential avoidance, and thought suppression. The questionnaires were administered at baseline, and four, and 10 months post-measurement. We investigated differences in the changes between the groups using Mplus modeling techniques. Results: Regarding the main outcome of depression, the results suggest that the CareACT intervention was superior to standardized rehabilitation and to the support given by caregiver associations at four months, both showing a medium-sized difference between the groups. However, the change from four to 10 months post-intervention was not significantly different between these groups (d = 0.32–0.36). Thought suppression showed a significantly different change between the three groups from baseline to four months and to 10 months post-measurement (p = .038). Conclusions: Web-based ACT may have beneficial effects on depressive symptoms and thought suppression in older caregivers. Clinical implications: Web-based ACT could be a feasible alternative to institutional rehabilitation and support provided by voluntary caregiver associations. Web-based ACT responds flexibly to the needs of caregivers and provides them an opportunity for learning new skills to promote well-being.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherRoutledge
dc.relation.ispartofseriesClinical Gerontologist
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherfamily caregivers
dc.subject.othercommunity-dwelling older adults
dc.subject.otherrehabilitation
dc.subject.otherpsychological well-being
dc.subject.otherdepression
dc.subject.otherthought suppression
dc.subject.otherquality of life
dc.subject.otheronline
dc.subject.otherweb-based
dc.subject.otheracceptance and commitment therapy
dc.titleSupported Web-Based Acceptance and Commitment Therapy for Older Family Caregivers (CareACT) Compared to Usual Care
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202104202423
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.oppiainePsykologiafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiainePsychologyen
dc.contributor.oppiaineGerontology and Public Healthen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.relation.issn0731-7115
dc.relation.volumeEarly online
dc.type.versionpublishedVersion
dc.rights.copyright© 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.
dc.rights.accesslevelopenAccessfi
dc.subject.ysoelämänlaatu
dc.subject.ysoikääntyneet
dc.subject.ysohenkinen hyvinvointi
dc.subject.ysokuntoutus
dc.subject.ysoomaishoitajat
dc.subject.ysohyväksymis- ja omistautumisterapia
dc.subject.ysomasennus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p10759
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p1946
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p19104
jyx.subject.urihttp://www.yso.fi/onto/yso/p20112
jyx.subject.urihttp://www.yso.fi/onto/yso/p7995
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1080/07317115.2021.1912239
jyx.fundinginformationThe study was funded by the Social Insurance Institution (SII) of Finland.


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

CC BY-NC-ND 4.0
Except where otherwise noted, this item's license is described as CC BY-NC-ND 4.0