Proposal for intervention with third generation therapies for caregivers of people with dementia in rural areas
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Abstract
Family caregivers of people with dementia suffer a progressive overload in the task of caring, which makes them especially vulnerable to suffering psychological and health problems. In the case of caregivers who reside in rural areas, this challenge increases due to their high age, technological barriers and problems with access to specialized assistance resources. Third generation therapies offer us, in this context, new ways of understanding and doing psychotherapy, incorporating concepts such as acceptance, psychological flexibility or values, which can help prevent overload. Aim. To develop an intervention proposal with a hybrid design between the Acceptance and Commitment Therapy (ACT) models (Losada, 2015) and the Mindfulness and Self-Compassion (MSC) program. Methodology. A pre-post design is proposed, with two experimental groups (in-person and online) and a control group of caregivers of people with dementia. It is proposed to influence the variables: caregiver overload, anxiety, depression, quality of life, mindfulness, experiential avoidance and ambivalence. Results: The group program consists of ten sessions organized into five thematic blocks: knowing dementia, self-care, experiential avoidance, cognitive flexibility and values, interspersed with the practice of mindfulness techniques. A pre and post program evaluation is established, three monthly reinforcement sessions and finally three follow-up evaluations at 3, 6 and 12 months. Conclusions: Third generation psychological interventions may constitute a beneficial option to maintain the psychological well-being of family members who care for people with dementia. In our case, we propose a psychoeducational program adapted to the special characteristics of caregivers who live in rural environments.
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