Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients
Caregivers are known to experience increased morbidity when compared to non-caregivers. Does an intervention targeting caregiver distress affect their health care utilization? One hundred forty-eight caregivers of allogeneic hematopoietic stem cell transplant patients were randomized to treatment as...
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| Format: | Article |
| Language: | English |
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Wiley
2014-03-01
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| Series: | Mental Illness |
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| Online Access: | http://www.pagepress.org/journals/index.php/mi/article/view/5120 |
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| _version_ | 1832552723069796352 |
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| author | Rita Ouseph Calvin Croy Crystal Natvig Teresa Simoneau Mark L. Laudenslager |
| author_facet | Rita Ouseph Calvin Croy Crystal Natvig Teresa Simoneau Mark L. Laudenslager |
| author_sort | Rita Ouseph |
| collection | DOAJ |
| description | Caregivers are known to experience increased morbidity when compared to non-caregivers. Does an intervention targeting caregiver distress affect their health care utilization? One hundred forty-eight caregivers of allogeneic hematopoietic stem cell transplant patients were randomized to treatment as usual (TAU) or a psychoeducation, paced respiration, and relaxation (PEPRR) intervention. Assessments of caregivers’ service utilization were collected at baseline and 1, 3, and 6 months post-transplant. During the first 30 days after patient transplant, caregiver medical and mental health professional service use decreased while support group attendance peaked. Mixed model regressions showed a significant decrease in mental health service use by the PEPRR group (P=0.001). At six months caregivers in TAU had predicted marginal probabilities of mental health services utilization over 10 times as high as caregivers in PEPRR (18.1% <em>vs</em> 1.5%). Groups failed to differ in medical service (P=0.861) or support group (P=0.067) use. We can conclude that participation in PEPRR compared to TAU was associated with reduced mental health service utilization. Caregiver psychosocial support services are critical to improve caregiver outcomes. |
| format | Article |
| id | doaj-art-8adf22bb57f24048b40b417e26713c23 |
| institution | Kabale University |
| issn | 2036-7457 2036-7465 |
| language | English |
| publishDate | 2014-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Mental Illness |
| spelling | doaj-art-8adf22bb57f24048b40b417e26713c232025-02-03T05:58:02ZengWileyMental Illness2036-74572036-74652014-03-016110.4081/mi.2014.51202761Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patientsRita Ouseph0Calvin Croy1Crystal Natvig2Teresa Simoneau3Mark L. Laudenslager4Duke University, Durham, NC; Anschutz Medical Campus, University of Colorado, Denver, COAnschutz Medical Campus, University of Colorado, Denver, COAnschutz Medical Campus, University of Colorado, Denver, COPresbyterian/St Luke’s Medical Center, Denver, COAnschutz Medical Campus, University of Colorado, Denver, COCaregivers are known to experience increased morbidity when compared to non-caregivers. Does an intervention targeting caregiver distress affect their health care utilization? One hundred forty-eight caregivers of allogeneic hematopoietic stem cell transplant patients were randomized to treatment as usual (TAU) or a psychoeducation, paced respiration, and relaxation (PEPRR) intervention. Assessments of caregivers’ service utilization were collected at baseline and 1, 3, and 6 months post-transplant. During the first 30 days after patient transplant, caregiver medical and mental health professional service use decreased while support group attendance peaked. Mixed model regressions showed a significant decrease in mental health service use by the PEPRR group (P=0.001). At six months caregivers in TAU had predicted marginal probabilities of mental health services utilization over 10 times as high as caregivers in PEPRR (18.1% <em>vs</em> 1.5%). Groups failed to differ in medical service (P=0.861) or support group (P=0.067) use. We can conclude that participation in PEPRR compared to TAU was associated with reduced mental health service utilization. Caregiver psychosocial support services are critical to improve caregiver outcomes.http://www.pagepress.org/journals/index.php/mi/article/view/5120mental health, caregivers, stress, intervention |
| spellingShingle | Rita Ouseph Calvin Croy Crystal Natvig Teresa Simoneau Mark L. Laudenslager Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients Mental Illness mental health, caregivers, stress, intervention |
| title | Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients |
| title_full | Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients |
| title_fullStr | Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients |
| title_full_unstemmed | Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients |
| title_short | Decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients |
| title_sort | decreased mental health care utilization following a psychosocial intervention in caregivers of hematopoietic stem cell transplant patients |
| topic | mental health, caregivers, stress, intervention |
| url | http://www.pagepress.org/journals/index.php/mi/article/view/5120 |
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