Preserving identity and planning for advance care (PIPAC): an intervention to increase coping in the early stages of dementia

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dc.contributor Burgio, Louis D.
dc.contributor DeCoster, Jamie
dc.contributor Snow, Andrea Lynn
dc.contributor Griffith, Randall
dc.contributor.advisor Allen, Rebecca S.
dc.contributor.author Hilgeman, Michelle M.
dc.date.accessioned 2017-03-01T14:36:09Z
dc.date.available 2017-03-01T14:36:09Z
dc.date.issued 2010
dc.identifier.other u0015_0000001_0000382
dc.identifier.other Hilgeman_alatus_0004D_10486
dc.identifier.uri https://ir.ua.edu/handle/123456789/888
dc.description Electronic Thesis or Dissertation
dc.description.abstract The current study examined the feasibility and limited efficacy testing of the newly developed Preserving Identity and Planning for Advance Care (PIPAC) intervention. This intervention combined one self-adjusting component and one self-maintaining component to maximize coping and enhance quality of life in individuals in the early stages of dementia. Blocked randomization stratified by race and gender was used to assign participants and a family contact to either the: (a) multi-component intervention group, or the (b) minimal support phone contact control group. Of the 19 dyads randomly assigned to group 18 completed post-treatment assessment (i.e., 10 intervention and 8 control). Individuals with dementia were M = 82.8 (SD = 6.46) years old; six (31.6%) were men and 13 were women (68.4%). Participants were predominantly White/Caucasian (94.7%) with one Black/African American (5.3%) individual with dementia. Family contacts were M = 70.14 (SD = 12.16) years old and were predominantly spouses (47.4%) or adult children (42.1%). They were 84.2% White/Caucasian and 12.5% Black/African American. Feasibility data, including a focus group with research staff, demonstrated successful implementation, acceptability, and practicality of the intervention package. Furthermore, limited efficacy testing using between subjects ANCOVAs to control for baseline values revealed clinically meaningful differences (i.e., medium to large effect sizes) between groups at post-treatment for depression, quality of life, indicators of health-related quality of life, and decisional conflict. Higher levels of coping and awareness were also observed post-treatment in intervention group individuals. Overall, the PIPAC intervention shows promise as a brief, manualized, psychosocial treatment for individuals in the early stages of dementia.
dc.format.extent 238 p.
dc.format.medium electronic
dc.format.mimetype application/pdf
dc.language English
dc.language.iso en_US
dc.publisher University of Alabama Libraries
dc.relation.ispartof The University of Alabama Electronic Theses and Dissertations
dc.relation.ispartof The University of Alabama Libraries Digital Collections
dc.relation.hasversion born digital
dc.rights All rights reserved by the author unless otherwise indicated.
dc.subject.other Psychology, Clinical
dc.subject.other Gerontology
dc.subject.other Aging
dc.title Preserving identity and planning for advance care (PIPAC): an intervention to increase coping in the early stages of dementia
dc.type thesis
dc.type text
etdms.degree.department University of Alabama. Dept. of Psychology
etdms.degree.discipline Psychology
etdms.degree.grantor The University of Alabama
etdms.degree.level doctoral
etdms.degree.name Ph.D.


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