Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: Initial findings.

2012 ◽  
Vol 57 (2) ◽  
pp. 124-139 ◽  
Author(s):  
Robert L. Glueckauf ◽  
W. Shuford Davis ◽  
Floyd Willis ◽  
Dinesh Sharma ◽  
David J. Gustafson ◽  
...  
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Dementia Caregivers

scholarly journals Healing Interpersonal and Racial Trauma: Integrating Racial Socialization Into Trauma-Focused Cognitive Behavioral Therapy for African American Youth

2020 ◽  
pp. 107755952092145 ◽  
Author(s):  
Isha W. Metzger ◽  
Riana Elyse Anderson ◽  
Funlola Are ◽  
Tiarney Ritchwood
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Racial Socialization ◽  
Behavioral Therapy ◽  
African American Youth ◽  
Cognitive Behavioral ◽  
Trauma Treatment ◽  
Evidence Based ◽  
Socialization Theory ◽  
Racial Trauma

African American youth are more likely than their peers from other racial and ethnic groups to experience interpersonal traumas and traumatic racist and discriminatory encounters. Unfortunately, evidence-based trauma treatments have been less effective among these youth likely due to these treatments not being culturally tailored to address both interpersonal and racial trauma. In this article, we utilize the racial encounter coping appraisal and socialization theory to propose suggestions for adapting trauma-focused cognitive behavioral therapy—an evidence-based trauma treatment for children and adolescents—to include racial socialization or the process of transmitting culture, attitudes, and values to help youth overcome stressors associated with ethnic minority status. We conclude by discussing implications for the research and clinical community to best promote healing from both interpersonal and racial trauma for African American youth.

scholarly journals A meta-analysis of low-intensity cognitive behavioral therapy-based interventions for dementia caregivers

2018 ◽  
Vol 31 (07) ◽  
pp. 961-976 ◽  
Author(s):  
Laura Kaddour ◽  
Naoko Kishita ◽  
Anthony Schaller
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Medium Effect ◽  
Outcome Variable ◽  
Progressive Dementia ◽  
Dementia Caregivers ◽  
Low Intensity ◽  
As Stress

ABSTRACTObjectives:This study aimed to review the effectiveness of low-intensity cognitive behavioral therapy (CBT)–based interventions for informal dementia caregivers when compared to non-active control conditions.Design:Literature searches were conducted in databases of published (PsycINFO, MEDLINE, CINAHL, Scopus) and unpublished (Open Grey, ISRCTN registry, ClinicalTrials.gov, ProQuest) literature. Individual meta-analyses were conducted for each outcome variable. Pooled intervention effect estimates were calculated as Hedge’sgusing a random-effects model.Included studies:Studies examining the effect of low-intensity CBT-based interventions for informal caregivers for people with any progressive dementia were included. Randomized controlled trials and controlled clinical trials were included.Measurements:Outcomes included the psychological variables of anxiety, depression, burden, and distress (defined as stress or strain).Results:A total of five studies reported anxiety outcomes, 12 reported on depression, three reported on burden, and six reported distress outcomes. Results demonstrated a significant effect of low-intensity CBT-based interventions in reducing all examined psychological difficulties. Small effect sizes were found for anxiety (g= 0.35), depression (g= 0.27), and distress (g= 0.33). A medium effect was found for burden (g= 0.53).Conclusions:The results provide initial support for low-intensity CBT-based interventions for dementia caregivers. Clinical implications and research recommendations are explored. Strengths and limitations of the study are discussed.

Culturally Responsive Cognitive Behavioral Therapy

2016 ◽  
Vol 15 (6) ◽  
pp. 427-442 ◽  
Author(s):  
Julia C. Zigarelli ◽  
Janine M. Jones ◽  
Cinthia I. Palomino ◽  
Reiko Kawamura
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Cultural Values ◽  
Culturally Responsive ◽  
Behavioral Therapy ◽  
Cultural Factors ◽  
Cognitive Behavioral ◽  
Evidence Based ◽  
Evidence Based Treatment

This case study provides an analysis of culturally responsive cognitive behavioral therapy with a 15-year-old African American female. The focus of this case study is on the course of treatment and how it was influenced by the implementation of the Jones Intentional Multicultural Interview Schedule (JIMIS)—a process that was completed at the beginning of treatment. A total of 20 therapy sessions were recorded and transcribed for the analysis. The research team analyzed the data qualitatively by identifying culturally salient codes that were stated within each session and coding transcripts using Dedoose software version 6.1.18. Results showed that four culturally salient codes were prominent throughout treatment and that these codes were strongly related to African American culture: gender norms, informal kinship, socioeconomic status, and race/ethnicity. The connections between the coded themes, the cultural values of the client, as well as the implications for treatment outcomes are described. This study provides evidence of the value of initiating discussion of cultural factors at the beginning of treatment to shape the direction of evidence-based treatment. The study also suggests that integrating cultural factors with African American clients is important and does not reduce the quality of care or diminish from the fidelity of the evidence-based treatment. Based on these findings, recommendations for researchers and clinicians are also discussed.

scholarly journals 0501 Development and Initial Evaluation of Web-Based Cognitive Behavioral Therapy for Insomnia “Nitecapp” in Rural Dementia Caregivers: A Mixed-Methods Study

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A192-A192
Author(s):  
C McCrae ◽  
A F Curtis ◽  
N Nair ◽  
C B Deroche ◽  
J Shenker ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Internet Access ◽  
Usability Testing ◽  
Primary Care Providers ◽  
Cognitive Behavioral ◽  
Font Size ◽  
Dementia Caregivers ◽  
Web Based ◽  
Program Content

Abstract Introduction Informal caregivers (CGs) of persons with dementia frequently experience insomnia. The time consuming and unpredictable schedule of CGs, and associated emotional/physical exhaustion emphasize the need for brief, easily accessible interventions to treat insomnia. Internet-based behavioral insomnia interventions hold promise, particularly for rural CGs who have limited access to traditional in-person treatments. This study aimed to 1) translate an efficacious 4 session cognitive behavioral therapy for insomnia (CBT-I) to web-based “NiteCAPP” for dementia caregivers, and 2) conduct NiteCAPP usability testing/evaluate acceptability of content and features. Methods NiteCAPP is an online CBT-I that incorporates guided delivery through weekly therapist moderator feedback. A stepwise approach was implemented in order to explore user needs and validate NiteCAPP content in a focus group of rural dementia caregivers (n=5) and primary care providers (PCPs; n=5). Participants conducted usability testing and provided ratings of program content (1-least favorable to 5-most favorable) regarding ease of use, amount of information, website maintaining interest, adequate font size, videos maintaining interest/easy to understand/helpful. Participants also indicated whether they had at home internet access, method of internet access, and provided open ended feedback on NiteCAPP. Feedback transcripts were compiled and analyzed independently (C.S.M., A.F.C.) through deductive content analysis. Topics mentioned frequently were categorized and merged into common themes during consensus meeting, and NiteCAPP was subsequently adapted. Results Average ratings for NiteCAPP features were high, ranging from 4.1/5 to 4.7/5 across all items. All participants had access to internet through both phone and computer. No barriers to use identified. Feedback themes were largely positive (e.g., comprehensive written material, promotes independence, excellent visual tools for therapy moderator feedback, good pacing, use of visual contrast). Negative themes for improvement/adaptation included adding font size options, a light/dark mode, tab with all videos, reducing amount of scrolling, adding a glossary of terms. Conclusion Rural dementia CGs and PCPs evaluated NiteCAPP as easy to use with acceptable features and program content and no barriers to access. Improvement themes were used to adapt NiteCAPP. Next steps are to evaluate feasibility and preliminary efficacy of NiteCAPP in rural dementia CGs with insomnia. Support none

Response of African American and Caucasian women to cognitive behavioral therapy for PTSD

1999 ◽  
Vol 30 (4) ◽  
pp. 581-595 ◽  
Author(s):  
Lori A. Zoellner ◽  
Norah C. Feeny ◽  
Lee A. Fitzgibbons ◽  
Edna B. Foa
Keyword(s):  
African American ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Caucasian Women
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