Military Stress-Busting Program for Family Caregivers
Final rept. 1 May 2010-31 Dec 2013
TEXAS UNIV HEALTH SCIENCE CENTER AT SAN ANTONIO
Pagination or Media Count:
Purpose To improve the quality of life of military family caregivers to help manage stress and cope better. Design Feasibility study using RE-AIM framework and mixed methods to adapt the evidence-based Stress-Busting Program to military context. Methods Program content adapted to military context 9-session intervention provided in small groups with two facilitators. Data collected at baseline, exit, and 2 months post-intervention, with interviews at one year post-intervention. Sample Procedure contact as many possible family caregivers of wounded warriors, self-identified as needing assistance with coping. Mostly female, White, and Hispanic spouses, 98 enrolled, 82 completed the intervention, 62 completed the full data collection. Analysis Longitudinal cohort design using repeated measures. Because average scores of groups were not appropriate for analysis due to large variability of individual differences, each person served as own control individual changes from baseline to post-intervention provided basis for assessment. Qualitative descriptive analysis of data collected on questionnaires, interviews, and facilitator notes. Findings Caregivers reported study to be very effective they acquired skills to change their behaviors, thinking, and family interactions, thereby improving their quality of life. It gave them permission to care for themselves they shared these skills with their wounded warriors and family members. Caregivers had statistically significant decreases in perceived stress, depression, anxiety, and somatization these findings were sustained two months post-intervention. A pattern of reduction in psychological symptoms was statistically significant at exit assessment and maintained at 2-month follow-up. Insomnia scores showed a statistically non-significant decline. Scores reflecting Spiritual Well-Being increased to statistical significance at 2-months.