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Originalartikel

OSCAR – ein internetbasiertes Unterstützungsprogramm für Angehörige von Menschen mit einer Hirnverletzung: Pilotstudie

Published Online:June 06, 2014https://doi.org/10.1024/1016-264X/a000102

Abstract

Erhöhte Depressivität und Ängstlichkeit sowie ein erhöhtes subjektives Belastungserleben sind bei Angehörigen von Menschen mit einer Hirnverletzung häufig. Die vorliegende Pilotuntersuchung widmet sich der Evaluation einer neuartigen Intervention, dem OSCAR Online-Coaching, einer internetbasierten Mehrkomponentenintervention. In einer randomisierten, kontrollierten Pilotstudie mit 35 TeilnehmerInnen wurde ein 16-wöchiges therapeutengeleitetes Selbsthilfeprogramm mit einer Wartekontrollgruppe verglichen. Als primäre Ergebnismasse wurde der Perceived Stress Questionnaire und das Zarit Burden Interview eingesetzt. Intention-to-treat-Analysen der unmittelbaren Effekte direkt nach der Intervention zeigten keine signifikanten Gruppenunterschiede auf den primären und auf sekundären Ergebnismassen. Im 6-Monate Follow-up, nach Zugang der Kontrollgruppe zur Intervention, wurde in der Gesamtstichprobe eine signifikante Reduktion des Caregiver Burden, depressiver Symptome, der Angst, sowie eine Zunahme positiver Emotionen gefunden. Die Zufriedenheit mit dem Programm war gut.


OSCAR – An Internet-Based Supportive Coaching for Informal Caregivers of Adult Individuals with an Acquired Brain Injury: Pilotstudy

Caregivers of patients after brain injury often suffer from increased depression, anxiety and stress experience. The OSCAR Online-Coaching, which implements a novel, internet-based minimal contact intervention, was evaluated in a pilot study. A 16-week guided self-help program was compared to a wait list control group in a randomised, controlled study with 35 participants. Primary outcome measures were the Perceived Stress Questionnaire and the Zarit Burden Interview. Intention-to-treat analyses of effects immediately after the intervention did not show significant group differences on primary and secondary outcome measures. In the 6-month follow-up, and after the wait list control group has received access to the intervention, a significant decrease of caregiver burden, depressive symptoms, anxiety and an increase in positive emotions was found in the whole sample. Caregivers were satisfied with the program.

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