Transcript Dia 1 - Trimbos

Improving Mental Health by Sharing Knowledge
Mastery over dementia:
An internet intervention
for family caregivers of
hall
people with dementia
Anne Margriet Pot
Professor of Geropsychology
Presentation
• Background
• Development of Internet course
• Demo:
www.masteryoverdementia.com
Use of computer and internet
among different age groups in 2005 (%)
100
4
10
80
12
7
6
6
6
5
7
10
60
78
84
88
87
87
84
77
12
66
8
50
20
33
24
5
13
computer with internet
70-74
65-69
60-64
55-59
50-54
45-49
40-44
35-39
30-34
25-29
20-24
15-19
0
5
5
≥85
80
80-84
93
75-79
40
11
computer without internet
In the Netherlands
Source: CBS (POLS’05)
Mental health problems of family
caregivers
• Depressive disorder: 22.3%
(Cuijpers, 2005)
• Higher use of psychotropic drugs,
higher morbidity and mortality
(Schulz & Martire, 2004)
Trimbos-instituut 2009 4
Advantages e-mental health
Reaching hard-toreach caregivers
Efficient support
Reaching
many caregivers
Self-management
Offering extra choice
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E-mental health interventions for
family caregivers
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Promising
Effect on depressive symptoms
Improvement copingstrategies
Decrease burden
(Mann-Poll, De Lange & Pot, 2007)
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Examples of e-mental health interventions
developed by Trimbos-institute
Website: www.dementiedebaas.nl
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Site map website
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Course is based on caregivers' stress proces model
Characteristics
zorg stress caregiver
model
Disease
appraisal
support coping
mental
health
problems
And what is known from the
literature till now
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Individual interventions
Cognitive Behavior Therapy
Interactive psycho-education
Improvement coping strategies
Combination individual and groupsupport
Pinquart & Sörenson. Int Psychogeriatr 2007:18;577-95;
Gallagher-Thompson & Coon. Psychol Aging 2007:22;3751;
Selwood A et al. J Affect Disord 2007:101; 75-89.
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'Mastery over dementia'
Psychological techniques used:
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Psycho-education
Relaxation
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Cognitive Behavior Therapy
Problemsolving Therapy
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Assertiveness training
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Support from a coach
(health care professional)
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Content lessons
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Lesson
Lesson
Lesson
Lesson
Lesson
Lesson
Lesson
Lesson
1:
2:
3:
4:
5:
6:
7:
8:
coping with behavioral problems
arranging help from others
time for yourself
thinking and feeling
non-helping thoughts
helping thoughts
stand up for yourself: assertiveness
communicate problems
• Booster lesson: summary techniques learned
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Lesson
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After the lessons
• Booster session after 1 month
• Access to file
• Participation client forum with
guidance of health care professional
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More information
Anne Margriet Pot, [email protected]
Trimbos-instituut 2009
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