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Comparing the Effect of a Moderate Physical Activity Intervention on the Mental Health Outcomes of African American and Caucasian Dementia Family Caregivers: A Secondary Data Analysis

Contact Information

Keywords

Fawn A. Cothran, fawn_cothran@rush.edu

African American; caregivers; dementia; physical activity intervention.

Abstract

Increased attention to the effects of the stressful demands of caregiving on the mental health of dementia caregivers has resulted in the development of numerous interventions. The current study is a secondary analysis of a randomized controlled trial that tested a 12-month moderate physical activity intervention with dementia caregivers. Our secondary data analysis examined racial differences in caregiver mental health outcomes including subjective burden, depressive symptoms, and positive affect, as well as differences in physical activity. A total of 211 community-dwelling dementia family caregivers were randomly assigned to a 12-month Enhanced Physical Activity (treatment) Intervention (EPAI) or a Caregiver Skill Building (control) Intervention (CSBI). Of these, 34 African American and 80 Caucasian caregivers completed the study. At baseline, race was associated with subjective burden and positive affect, but not with depressive symptoms. Post intervention (12 months), there were no racial differences in subjective burden or depressive symptoms. However, race was significantly associated with decreased positive affect (p = 0.003) and decreased total minutes of physical activity (p = 0.012). Findings suggest that the mental health needs of African American caregivers warrant additional exploration, where physical activity may be of benefit. These findings provide a cultural perspective to consider during intervention development for future nurse-driven research.

Citation

Cothran, F. A., Paun, O., Barnes, L. L., Epps, F., Schoeny, M., & Farran, C. J. (2017). Comparing the Effect of a Moderate Physical Activity Intervention on the Mental Health Outcomes of African American and Caucasian Dementia Family Caregivers: A Secondary Data Analysis. Issues in mental health nursing, 38(12), 996–1004. https://doi.org/10.1080/01612840.2017.1364807

DOI

10.1080/01612840.2017.1364807

Model

Human

Conent Area

Fawn A. Cothran

EWB-Related Construct

(2) Life Satisfaction
(3) Positive Affect

Study Design

Species or Study Population

(5) RCT

Sex (%Female)

81.96%

Age (Mean, SD)

61.85, 11.63

Younger Controls?

No

Longitudinal Data?

Yes

Sample Size

194

Interventions

Moderate Physical Activity Intervention

Ethnicity (%white)

71.13%

Inclusion Criteria

(1) family caregiver of a person diagnosed with probable or possible AD, or a related dementia who resided at home; (2) ≥ 30 years of age and English speaking; (3) reported some to moderate strain in providing care for ≥ 1 personal/instrumental activities of daily living ; (4) provided ≥ 10 hours of care per week; (5) not planning to relocate or place care recipient in a nursing home within 6 months; (6) had regular telephone access; (7) engaged in ≤ 60 minutes of regular physical activity per week for ≥ 6 months; (8) not involved in another caregiver intervention; and (9) had no medical conditions contraindicating moderate physical activity participation.

Exclusion Criteria

not stated

EWB Measures

PANAS

Non-EWB Behavioral
Measures

10-item Center for Epidemiologic Studies Depression Scale
Physical Activity
Subjective Caregiver Burden Scale

Physiological Measures

N/A

Brain IMaging Modality

Brain IMaging Paradigm

N/A

Brain Region/Circuit

N/A

Biological Measures

N/A

Other Neural Measures

Data Availability?

No

Data Avalability Details

N/A

Diagnostic Measures

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