Promising results from a pilot study to reduce distress in Vietnamese American dementia and memory loss caregivers

Van M Ta Park; Vy Ton; Quyen Q Tiet; Quyen Vuong; Gwen Yeo; Dolores Gallagher-Thompson

doi:10.1016/j.trci.2019.05.006

Promising results from a pilot study to reduce distress in Vietnamese American dementia and memory loss caregivers

Alzheimers Dement (N Y). 2019 Jul 26:5:319-327. doi: 10.1016/j.trci.2019.05.006. eCollection 2019.

Authors

Van M Ta Park¹, Vy Ton², Quyen Q Tiet^{3

4}, Quyen Vuong⁵, Gwen Yeo⁶, Dolores Gallagher-Thompson^{6

7}

Affiliations

¹ Department of Community Health Systems, University of California at San Francisco, School of Nursing, San Francisco, CA, USA.
² Department of Health Science and Recreation, San Jose State University, One Washington Square, San Jose, CA.
³ California School of Professional Psychology at Alliant International University, San Francisco, CA, USA.
⁴ National Center for PTSD, VA Palo Alto HCS, Menlo Park, CA, USA.
⁵ International Children Assistance Network, Milpitas, CA, USA.
⁶ Department of Psychiatry and Behavioral Science, Stanford University, School of Medicine, Stanford, CA, USA.
⁷ University of California at Davis, Betty Irene Moore School of Nursing, Family Caregiving Institute, Sacramento, CA, USA.

Abstract

Introduction: This study developed and examined the feasibility of a culturally tailored, evidence-based skill-building program to reduce stress and depression of Vietnamese American dementia caregivers.

Methods: This pilot randomized controlled trial included pretest and posttest measures using the Center for Epidemiologic Studies-Depression Scale and the Revised Memory and Behavior Problems Checklist. The intervention (n = 30) group participated in a culturally tailored, 4-week Vietnamese-language cognitive-behavioral skills evidenced-based program (Our Family Journey); caregivers in the control condition (n = 30) received dementia-related educational materials (education control condition).

Results: Our Family Journey caregivers showed significantly lower somatic scores on the Center for Epidemiologic Studies-Depression Scale and reported lower frequency of care recipients' disruptive behaviors. However, they also reported being more stressed by their care recipients' depressive symptoms on the Revised Memory and Behavior Problems Checklist compared to caregivers in the education control condition.

Discussion: These promising results suggest that a culturally adapted program can benefit Vietnamese dementia caregivers. Additional research is needed to develop and evaluate stronger, more impactful interventions for this underserved group.

Keywords: Caregiver intervention; Dementia caregiving; Health disparities; Mental health; Vietnamese.