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Effectiveness of a psychoeducational skill training DVD program to reduce stress in Chinese American dementia caregivers: results of a preliminary study


Gallagher-Thompson, Dolores, Wang, Peng-Chih, Liu, Weiling, Cheung, Vinnie, Peng, Rebecca, China, Danielle, Thompson, Larry W.


Aging & Mental Health, Volume: 14, No.: 3, Pages.: 263-273

Year of Publication



Prior research (Gallagher-Thompson, D., Gray, H., Tang, P., Pu, C.-Y., Tse, C., Hsu, S., et al. (2007). Impact of in-home intervention versus telephone support in reducing depression and stress of Chinese caregivers: Results of a pilot study. American Journal of Geriatric Psychiatry, 15, 425-434.) found that an in-home behavioral management program, derived conceptually from cognitive behavioral theories (CBT), was effective in reducing caregiver related stress and depressive symptoms in Chinese American dementia caregivers (CGs). Results were promising, but a more cost-effective intervention is needed to serve this growing population. Past work also found that a psychoeducational videotaped training program based on CBT was effective in reducing stress due to caregiving in Caucasian and African American dementia family CGs (Steffen, 2000, Anger management for dementia caregivers: A preliminary study using video and telephone interventions. Behavior Therapy, 31, 281-299.). To date no research has been conducted using a technological medium to deliver a similar kind of intervention to Chinese American caregivers. The present study evaluated the effectiveness of a similar but culturally “tailored” program in which 70 CGs were randomly assigned to a 12-week CBT skill training program delivered on a DVD, or to a general educational DVD program on dementia. Both were available in Mandarin Chinese or English as preferred. Pre post change analyses indicated that CGs did not differ on change in level of negative depressive symptoms, but positive affect was higher, and patient behaviors were appraised as less stressful and bothersome, for CGs in the CBT skill training program. They were also more satisfied with the program overall and reported that they believed they were able to give care more effectively. Results encourage further development of theoretically based interventions, delivered using modern technology, for this ever increasing group of CGs.;

Bibtex Citation

@article{Gallagher_Thompson_2010, doi = {10.1080/13607860903420989}, url = {}, year = 2010, month = {apr}, publisher = {Informa {UK} Limited}, volume = {14}, number = {3}, pages = {263--273}, author = {Dolores Gallagher-Thompson and Peng-Chih Wang and Weiling Liu and Vinnie Cheung and Rebecca Peng and Danielle China and Larry W. Thompson}, title = {Effectiveness of a psychoeducational skill training {DVD} program to reduce stress in Chinese American dementia caregivers: Results of a preliminary study}, journal = {Aging {&} Mental Health} }


adult, asian americans, caregivers, cognitive therapy, cultural characteristics, dementia, depression, effectiveness, ethnology, focus groups, humans, language, nursing, psychology, stress, psychological, video recording

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Carers’ Mental Health, Other carer outcomes (e.g. financial burden and more), Satisfaction with care/services

Type of Interventions

Intervention for Carers

Carer Focussed Interventions

Training programmes / workshops including behavioural training