The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study

Objective: The psychological impact of care giving responsibility for dementia patients is significant regardless of the cultural background. Most of the current advanced caregivers’ interventions, originating from developed western countries, do not necessarily apply to local settings. Hence, there...

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Main Authors: Zakaria, Rozanizam, Ab Razak, Asrenee
Format: Article
Language:English
Published: ASEAN Journal of Psychiatry 2017
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Online Access:http://irep.iium.edu.my/77054/1/ASEANJP-18-1-2017-07-Rozanizam-OA_1%20%281%29.pdf
http://irep.iium.edu.my/77054/
http://www.aseanjournalofpsychiatry.org/index.php/aseanjournalofpsychiatry/article/view/461
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spelling my.iium.irep.770542020-02-14T00:45:27Z http://irep.iium.edu.my/77054/ The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study Zakaria, Rozanizam Ab Razak, Asrenee R Medicine (General) Objective: The psychological impact of care giving responsibility for dementia patients is significant regardless of the cultural background. Most of the current advanced caregivers’ interventions, originating from developed western countries, do not necessarily apply to local settings. Hence, there is a need for an effective culturally competent psychological intervention for these caregivers. The aim of the study is to assess the effectiveness of the cultural-based support group for Malay caregivers of dementia patients in Kelantan towards their burden, anxiety and depression level, and quality of life. Methods: This was an experimental study, without control, investigating pre and post support group intervention effectiveness in reducing caregiver burden, anxiety and depression, and improving the quality of life. Sixteen caregivers completed the program, which involved seven fortnightly support group sessions with duration of 2 hours each, conducted over twelve weeks. Caregivers’ burden was assessed using Caregiver Strain Index (CSI) while their psychological well-being was objectively assessed using Hospital Anxiety and Depression Scale (HADS). WHO Quality of Life questionnaire (WHOQOL-BREF) was used to measure the quality of life. The validated Malay versions of the questionnaires were used. Results: There was a statistically significant reduction in the level of caregiver burden (p = or < 0.001). Measurement of both scores of anxiety and depression comparing pre and post intervention also showed improvement, but statistically were not significant. Assessment of caregivers’ quality of life showed statistically significant improvement in the domains of social, psychological and physical (all with the p-value <0.05). Discussion: Our cultural-based support group is an effective intervention to improve burden, psychological well-being and quality of life among local caregivers of dementia patients. ASEAN Journal of Psychiatry 2017 Article PeerReviewed application/pdf en http://irep.iium.edu.my/77054/1/ASEANJP-18-1-2017-07-Rozanizam-OA_1%20%281%29.pdf Zakaria, Rozanizam and Ab Razak, Asrenee (2017) The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study. ASEAN Journal of Psychiatry, 18 (1). ISSN 2231-7805 E-ISSN 2231-7791 http://www.aseanjournalofpsychiatry.org/index.php/aseanjournalofpsychiatry/article/view/461
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Zakaria, Rozanizam
Ab Razak, Asrenee
The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study
description Objective: The psychological impact of care giving responsibility for dementia patients is significant regardless of the cultural background. Most of the current advanced caregivers’ interventions, originating from developed western countries, do not necessarily apply to local settings. Hence, there is a need for an effective culturally competent psychological intervention for these caregivers. The aim of the study is to assess the effectiveness of the cultural-based support group for Malay caregivers of dementia patients in Kelantan towards their burden, anxiety and depression level, and quality of life. Methods: This was an experimental study, without control, investigating pre and post support group intervention effectiveness in reducing caregiver burden, anxiety and depression, and improving the quality of life. Sixteen caregivers completed the program, which involved seven fortnightly support group sessions with duration of 2 hours each, conducted over twelve weeks. Caregivers’ burden was assessed using Caregiver Strain Index (CSI) while their psychological well-being was objectively assessed using Hospital Anxiety and Depression Scale (HADS). WHO Quality of Life questionnaire (WHOQOL-BREF) was used to measure the quality of life. The validated Malay versions of the questionnaires were used. Results: There was a statistically significant reduction in the level of caregiver burden (p = or < 0.001). Measurement of both scores of anxiety and depression comparing pre and post intervention also showed improvement, but statistically were not significant. Assessment of caregivers’ quality of life showed statistically significant improvement in the domains of social, psychological and physical (all with the p-value <0.05). Discussion: Our cultural-based support group is an effective intervention to improve burden, psychological well-being and quality of life among local caregivers of dementia patients.
format Article
author Zakaria, Rozanizam
Ab Razak, Asrenee
author_facet Zakaria, Rozanizam
Ab Razak, Asrenee
author_sort Zakaria, Rozanizam
title The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study
title_short The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study
title_full The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study
title_fullStr The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study
title_full_unstemmed The effectiveness of a cultural-based support group for Malay dementia caregivers in Kelantan, Malaysia: a pre-post intervention study
title_sort effectiveness of a cultural-based support group for malay dementia caregivers in kelantan, malaysia: a pre-post intervention study
publisher ASEAN Journal of Psychiatry
publishDate 2017
url http://irep.iium.edu.my/77054/1/ASEANJP-18-1-2017-07-Rozanizam-OA_1%20%281%29.pdf
http://irep.iium.edu.my/77054/
http://www.aseanjournalofpsychiatry.org/index.php/aseanjournalofpsychiatry/article/view/461
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score 13.211869