Paper
Thursday, July 22, 2004
This presentation is part of : Caregiving of the Elderly
PLST Model-Based Intervention: Impact on Predictors of Depression Among ADRD Family Caregivers
Virginia Lee Cruz, RN, PhD, School of Nursing, School of Nursing, Southern Illinois University Edwardsville, Edwardsville, IL, USA
Learning Objective #1: Identify the best predictors of caregivers' depression
Learning Objective #2: Explain the effects of the PLST intervention on caregivers' subjective burden and depression levels

Purpose: To investigate caregiver age, gender, relationship to care recipient, subjective burden, social support, use of community resources, use of psychotropic medications, care recipient's stage of dementing illness, and number and type of health care problems as possible predictors of depression among family caregivers of persons with Alzheimer's disease and related disorders (ADRD). Also, the longitudinal effect of the Progressively Lowered Stress Threshold (PLST) nursing intervention on changes in both caregiver depression and predictors of caregiver depression in treatment and control groups examined over time.

Design: Comparative correlational study and secondary analysis of a subset of data from the major longitudinal multi-site experimental study (PLST Model: Effectiveness for Rural Caregivers) in Iowa, USA.

Sample: Rural non-paid caregivers providing at least 4 hours of weekly supervision (N=57).

Methods: Data variables collected at baseline and at 12 months were analyzed. Pearson Product Moment correlation, backward multiple regression and repeated measures analysis of variance were used to analyze the data.

Findings: The correlation showed social support, subjective burden, caregiver relationship to the care recipient, caregiver age and care recipient genitourinary health problem with the lowest p-values. Subjective burden and relationship to the care recipient were the best predictors of caregiver depression, accounting for 27% of the variance in depression. A significant increase in subjective burden levels for both groups from baseline to 12 months with the control group having greater increased burden levels. No significant difference between the two groups on caregiver subjective burden at 12 months but the experimental group had higher burden levels. No significant difference resulted between groups on caregiver depression at 12 months. A significant difference within groups across time resulted with the control group having greater increased depression levels.

Conclusion: Findings suggest positive effects of the PLST intervention on caregiver's subjective burden and depression levels.

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Sigma Theta Tau International
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