Stress-Busting Program for Family Caregivers

PRINCIPAL INVESTIGATORS:
Sharon Lewis, PhD, FAAN
Debbie Billa

OVERALL SNAPSHOT OF CAREGIVER INTERVENTION/PROGRAM:

The Stress-Busting Program provides caregivers information about stress (particularly stress associated with caregiving), how to deal with stress through relaxation and problem solving, and how to care for themselves while caring for a loved one with dementia. In addition, there is information about caring for a person with dementia.

The program consists of 90-minute sessions that occur once per week for 9 weeks. The program is conducted in a small group setting with two group facilitators. Participants will be provided many resources including a handbook covering class material, a meditation CD, and a relaxation strategies DVD.

TARGETED CAREGIVER POPULATION (AGE, ETHNICITY, CONDITION/DISEASE):


Family caregivers of people with Alzheimer’s disease or related dementias

INTERVENTION/PROGRAM MATERIALS:


MANUAL OF PROCEDURES: Master trainers and group facilitators are given a Facilitators' Manual to help them facilitate groups using the caregiver handbook.

INTERVENTION/PROGRAM SPECIFIC OUTCOME MEASURES:
Decreased depression, perceived stress, and subjective caregiver burden, and increased caregiver quality of life

WORKBOOK/WORKSHEETS:
Caregivers participating in the Stress-Busting Program for Family Caregivers are given a handbook divided into 9 chapters. One chapter is covered at every session. Additionally, every chapter has a self-reflection exercise and at each session the caregivers learn a stress management technique.

OTHER INTERVENTION RESOURCES:
For caregivers: Relaxation Strategies DVD and a 30-minute Meditation CD. For facilitators: Facilitators' CD and Caregiver Journey DVD.

LENGTH OF INTERVENTION/PROGRAM: 9 weeks

NUMBER OF SESSIONS: 9 weeks

LENGTH OF EACH SESSION: 1.5 hours

DESCRIPTION OF SESSION CONTENT:


See “The Program” (per fact sheet PDF)

From Lewis paper: The program involves psychoeducational support groups that meet with two facilitators for 90 minutes once a week for 9 consecutive weeks. During the 9-week program, participants discuss various topics related to caregiving and are taught specific stress-management techniques (Table 1). Caregivers are given a handbook, a relaxation/meditation CD, and a Relaxation Strategies DVD. The 30-minute relaxation CD guides listeners in relaxation breathing, muscle relaxation, and guided imagery. Caregivers are encouraged to use the CD every day. The material in the handbook is the primary resource used for education and is the focus for discussion of various topics. Caregivers are encouraged to actively participate in group discussions.

At each session, caregivers are taught various stress-management techniques. Learning a variety of techniques enables caregivers to identify those that work best for them. Some techniques work better for certain situations. Relaxation is the key component of any stress-management program. There are many methods to manage stress as a biologic response, but the common pathway is relaxation.

METHOD OF ADMINISTRATION/ DELIVERY:
Psychoeducational (multi-component) intervention

Caregivers are given a handbook, a relaxation/meditation CD, and a Relaxation Strategies DVD

TRAINING:


Master Trainer Certification (per fact sheet PDF)

COST AND TIME CONSIDERATIONS:

Participant Cost:
Cost for participant materials is $35 + Shipping and handling/participant (per PDF)

Licensing Fee:
Single Entity License (3 years) fee $500; Multi Entity License (3 years) $1,000

Master Training Costs: A minimum of two Master Trainers from each sponsoring agency/organization are required to participate in training. For training conducted in San Antonio, Texas - $1,500/participant. Training also available onsite.

Supplies for Master Trainers - $100

VIDEO CLIP OF INTERVENTION/PROGRAM

WEBSITE

DOWNLOADABLE FACT SHEETS:

Program information

http://www.caregiverstressbusters.org/wp-content/uploads/2013/06/Stress-Busting-Program-Information.pdf

Information about adoption of program

http://www.caregiverstressbusters.org/wp-content/uploads/2013/06/SBP-Flyer-for-Adoption.pdf

BRIEF DESCRIPTION OF EVIDENCE:


In the published study of data supporting this intervention, caregivers had significant decreases in perceived stress, depression, subjec¬tive caregiver burden, anxiety, and anger/hostility. In addition, they also had improvements in general health, vitality, social function, and men¬tal health scores.

Based on analysis of quality-of-life measures from the beginning to the end of the intervention, improve¬ment was shown by 97.4% of caregivers who partici¬pated in the study, with 61% showing improvement on all measures tested.

REPRESENTATIVE PUBLICATIONS/REFERENCES:


Lewis, S. L., Miner-Williams, D., Novian, A., Escamilla, M. I., Blackwell, P. H., Kretzschmar, J. H., Arévalo-Flechas, L. C. and Bonner, P. N. (2009), A Stress-Busting Program for Family Caregivers. Rehabilitation Nursing, 34: 151–159.

KEYWORDS/SEARCH TERMS:

Alzheimer’s disease; Alzheimer’s disease and related dementias; caregiving; intervention; stress

OTHER GENERAL COMMENTS REGARDING INTERVENTION/PROGRAM:
For additional program information, contact us at:
WellMed Charitable Foundation
8637 Fredericksburg RD, Suite 100
San Antonio, TX 78240
1-866-390-6491 Toll Free
Email: stressbusters@wellmed.net