A Problem Solving Intervention for hospice caregivers: a pilot study.

Journal of Palliative Medicine
George DemirisDonna Berry

Abstract

The Problem Solving Intervention (PSI) is a structured, cognitive-behavioral intervention that provides people with problem-solving coping skills to help them face major negative life events and daily challenges. PSI has been applied to numerous settings but remains largely unexplored in the hospice setting. The aim of this pilot study was to demonstrate the feasibility of PSI targeting informal caregivers of hospice patients. We enrolled hospice caregivers who were receiving outpatient services from two hospice agencies. The intervention included three visits by a research team member. The agenda for each visit was informed by the problem-solving theoretical framework and was customized based on the most pressing problems identified by the caregivers. We enrolled 29 caregivers. Patient's pain was the most frequently identified problem. On average, caregivers reported a higher quality of life and lower level of anxiety postintervention than at baseline. An examination of the caregiver reaction assessment showed an increase of positive esteem average and a decrease of the average value of lack of family support, impact on finances, impact on schedules, and on health. After completing the intervention, caregivers reported lower l...Continue Reading

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Citations

Jan 18, 2011·Journal of Gerontological Social Work·Karla T WashingtonSara Shaunfield
Mar 20, 2012·Journal of Social Work in End-of-life & Palliative Care·Debra Parker OliverHannah Novak
Feb 7, 2013·Journal of Palliative Medicine·Kathryn B Lindstrom, Bernadette Mazurek Melnyk
Jun 26, 2010·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Debra Parker Oliver, George Demiris
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Jun 8, 2012·Qualitative Health Research·Elaine Wittenberg-LylesSara Shaunfield
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Jul 6, 2014·Journal of Palliative Medicine·Colin G PottieScott A Irwin
Apr 25, 2013·Palliative Medicine·Marjorie KelleyElaine Wittenberg-Lyles
Dec 15, 2015·Journal of Social Work in End-of-life & Palliative Care·Amary Alcide, Miriam Potocky
Nov 10, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kwok Ying ChanTak Mao Chan
Feb 15, 2014·Palliative & Supportive Care·Karla T WashingtonDebra Parker Oliver
Dec 19, 2013·Health Communication·Elaine Wittenberg-LylesSara Shaunfield
May 5, 2016·Journal of Social Work in End-of-life & Palliative Care·Debra Parker Oliver
Jul 29, 2016·The American Journal of Hospice & Palliative Care·Debra Parker OliverGreg Petroski
Mar 16, 2016·The American Journal of Hospice & Palliative Care·Nai-Ching Chi, George Demiris
Apr 28, 2011·The American Journal of Hospice & Palliative Care·Jaime R BoquetGeorge Demiris
Feb 7, 2012·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Elaine Wittenberg-LylesJacob Stone
Dec 17, 2019·Journal of Palliative Care·Julia GyapayDonna Flood
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Dec 21, 2010·Journal of Gerontological Social Work·John G Cagle, Pamela J Kovacs
Sep 1, 2020·Journal of Social Work in End-of-life & Palliative Care·Christin Gregory, Zvi Gellis

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