Title:Tele-Mindfulness for Dementia's Family Caregivers: A Randomized Trial
with a Usual Care Control Group
Volume: 19
Issue: 5
Author(s): Shadi Zarei, Gita Lakhanpal and Joel Sadavoy*
Affiliation:
- Department of Psychiatry, University of Toronto, Toronto, Canada
- Mount Sinai Hospital, Joseph & Wolf Lebovic Health Complex, Toronto, Ontario, Canada
Keywords:
Neurodegenerative diseases, caregiving, clinical trial, online, mindfulness, feasibility, dementia.
Abstract:
Background: Caring for a family member with dementia is stressful and challenging. Family
caregivers, as a vulnerable marginalized population and invisible backbone of the health care system,
need accessible and effective interventions that are tailored to their particular needs.
Objectives: The objective of this study was to evaluate the feasibility and effectiveness of a live online
mindfulness-based cognitive therapy (tele-MBCT) intervention for family caregivers of individuals with
dementia.
Methods: Family caregivers were assigned to a tele-MBCT intervention or a usual care control group.
Tele-MBCT participants attended eight weekly live online training and practiced mindfulness practices
at home. All participants completed surveys at baseline, post-intervention, and 4-week follow-up.
Results: 26 participants (age 60±13 years) were enrolled and randomized (14 in the intervention and 12
in the control group), and 92.3% completed the study. 88% of the participants were female, and 70%
were caring for a parent for a mean of 5.12±2.88 years. 84% of the participants in the intervention group
attended at least seven sessions and the average of daily practice was 23.58±45.71 minutes. All participants
were satisfied with the intervention, and 88.8% were satisfied with the online delivery method.
Participants in the intervention group showed Pre-Post improvement in self-compassion (t (11) = -2.49,
p=0.03) and coping strategies (t (11) = 3.62, p=0.004) compared to the control group.
Conclusion: Tele-MBCT is a feasible intervention and may improve psychological outcomes and adaptive
coping in family caregivers of individuals with dementia. A larger controlled trial is warranted.