The effects of treatment adherence and treatment-specific therapeutic competencies on outcome and goal attainment in telephone-based therapy with caregivers of people with dementia

Schinköthe, Denise; Altmann, Uwe; Wilz, Gabriele

doi:10.1080/13607863.2014.971704

Cited by 9 publications

(5 citation statements)

References 63 publications

(83 reference statements)

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“…It can also be pointed out that schema therapy helps the therapist to define chronic and deeper problems and to organize them in a comprehensible approach. Using this model, people can observe their original incompatible schemas as inconsistent, and thus become more motivated to get rid of problems by being aware of their existence (14).…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Schema Therapy Intervention on Somatic Symptom Experience, Medication Adherence, and Perceived Stress in Patients With Irritable Bowel Syndrome

Shirvan

Nikoogoftar

Ahadi

2022

Hormozgan medical journal

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Background: Irritable bowel syndrome (IBS) is one of the most prevalent gastrointestinal diseases that affects a significant part of the community. This study aimed to evaluate the effectiveness of schema therapy on the somatic symptom experience, medication adherence, and perceived stress in patients with IBS. Methods: The research method was a quasi-experimental research with pre-test, post-test, and follow-up and a control group. The statistical population of this study consisted of all patients with IBS who referred to medical centers and neurologists between November and January 2017. The study sample included 30 patients with IBS who were randomly divided into equal schema therapy and control groups. The intervention lasted two months. Perceived Stress Scale (PSS-14), Somatic Symptom Experience Questionnaire (BSS-FS), and Medication Adherence Questionnaire (MMAS-8) were used to collect data. In this study, means and standard deviations and analysis of variance with repeated measures were employed for descriptive statistics and the inferential analysis of results, respectively, using SPSS, version 22. Results: The results showed that schema therapy was effective on somatic symptom experience (P < 0.001), medication adherence (P < 0.001), and perceived stress (P < 0.001) in patients with IBS. Conclusion: It can be concluded that schema therapy was effective on somatic symptom experience, medication adherence, and perceived stress in patients with IBS; thus, it can be used to reduce psychological problems in patients with IBS.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Schema Therapy Intervention on Somatic Symptom Experience, Medication Adherence, and Perceived Stress in Patients With Irritable Bowel Syndrome

Shirvan

Nikoogoftar

Ahadi

2022

Hormozgan medical journal

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“…Caregivers' use of services is driven by care goals that evolve over time. Caregivers create goals to provide the best care for their family members at home (Schinköthe et al., 2015). Our study adds to the literature by suggesting services offered to caregivers should consider care goals to sustain care in the community and that these goals change over time.…”

Section: Discussionmentioning

confidence: 99%

Caregivers' decision‐making for health service utilisation across the Alzheimer's disease trajectory

Kokorelias

Gignac

Naglie

et al. 2021

Health Social Care Comm

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Health and social care services can enhance the community experiences of people with Alzheimer's disease and their caregivers but making decisions about service use is complex. Using a grounded theory methodology, we explored service use decisionmaking in 40 spousal and adult children caregivers for people with Alzheimer's disease across the caregiving and disease trajectory. Participants' perception of their initial service interactions influenced their decision-making process and use of services. Difficulties navigating the healthcare system and finding available services also influenced decision-making. Caregivers make decisions to sustain care in the community that change throughout the caregiving and disease trajectory. Two key factors influence service use (a) the goals of caregiving and (b) the practicalities of accessing services. Both factors change across caregiving phases. By expanding our understanding of how caregivers make service use decisions, we can augment future practice to help caregivers access services that can better support them across the disease trajectory.

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“…Previous research has highlighted differing relationships between aspects of therapist competence and outcomes (32). Group attendees were of varying cognitive ability, hence for this intervention it could be postulated that accurate pacing of information or minimal use of jargon may be more strongly associated with variability in outcome than providing reflective summaries of participant contributions.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are some important points to note. The majority of literature noting an important relationship between competence and outcomes has focused on the delivery of cognitive behavioural therapy (32,33). Whilst this may be due to the competence-outcome literature primarily focusing on these interventions, it is possible that therapist competence has a more central role in psychological therapies.…”

Section: Discussionmentioning

confidence: 99%

Therapist competence and clinical outcome in the rehabilitation of memory following traumatic brain injury trial

et al. 2021

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Objectives: Therapist competencies when delivering an intervention can impact clinical outcomes. However, the relationship between competence and outcome in the context of memory rehabilitation has not previously been investigated.We aimed to evaluate whether therapist competencies in delivering a groupbased memory rehabilitation intervention, as part of a randomised controlled trial, was associated with changes in clinical outcome in the participants with traumatic brain injury.Method: Outcome data on the Everyday Memory Questionnaire (EMQ) and Goal Attainment Scaling (GAS) were obtained for 24 participants of the memory rehabilitation trial. Video recordings of intervention sessions delivered by six therapists were coded using a checklist designed to evaluate therapist competence in group facilitation.Results: Therapists demonstrated consistently high levels of competency in facilitating the memory group. Correlational analyses showed that there was a nonsignificant weak association between EMQ and therapist competence (r=.28, p= .18), and between GAS and therapist competence for short-and long-term goals (r=-.33, p=.12 and r=-.24, p=.25, respectively). Conclusions:We found no significant association between competence and outcome in this memory rehabilitation trial. This may reflect insufficient variability in therapist competence and/or the nature of the clinical outcome measures used. Further research is needed to understand competence-outcome relationships in cognitive rehabilitation.

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The effects of treatment adherence and treatment-specific therapeutic competencies on outcome and goal attainment in telephone-based therapy with caregivers of people with dementia

Abstract: The results suggest the importance of treatment-specific competencies for outcome. Future research should identify empirically what kind of therapeutic behavior is appropriate to the challenges of a specific clientele such as caregivers of people with dementia.

Cited by 9 publications

References 63 publications

The Effectiveness of Schema Therapy Intervention on Somatic Symptom Experience, Medication Adherence, and Perceived Stress in Patients With Irritable Bowel Syndrome

The Effectiveness of Schema Therapy Intervention on Somatic Symptom Experience, Medication Adherence, and Perceived Stress in Patients With Irritable Bowel Syndrome

Caregivers' decision‐making for health service utilisation across the Alzheimer's disease trajectory

Therapist competence and clinical outcome in the rehabilitation of memory following traumatic brain injury trial

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