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Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: initial findings


Glueckauf, Robert L., Davis, W. Shuford, Willis, Floyd, Sharma, Dinesh, Gustafson, David J., Hayes, Jocelyn, Stutzman, Mary, Proctor, James, Kazmer, Michelle M., Murray, Leticia, Shipman, Judith, McIntyre, Vera, Wesley, Lonnie, Schettini, Gabriel, Xu, Jian, Parfitt, Francine, Graff-Radford, Neill, Baxter, Cynthia, Burnett, Kathleen, Noël, La Tonya, Haire, Kambria, Springer, Jane


Rehabilitation Psychology, Volume: 57, No.: 2, Pages.: 124-139

Year of Publication



Objectives: Discuss initial findings of a randomized clinical trial comparing the effects of telephone-based and face-to-face (f-to-f) cognitive-behavioral therapy (CBT) on changes in caregiver (CG) burden, assistance support, depression, and health status for African American (AA) CGs with depression.; Design: Pilot study using a prepost, two-group design with 14 enrolled and randomized participants.; Measures: Subjective Burden subscale of the Caregiver Appraisal Inventory, Assistance Support subscale of the Interpersonal Support Evaluation List, Physical Symptoms subscale of the Caregiver Health and Health Behavior Inventory and the Center for Epidemiologic Studies Depression Scale.; Results: Prepost improvements were found on 11 completers across all measures for both telephone and f-to-f CBT. Moderate and similar effects sizes for CG subjective burden and assistance support were found for both the telephone and f-to-f groups. Effect sizes for physical symptoms and depression varied from low to moderate, respectively, with a trend toward smaller improvements in f-to-f CBT than in telephone CBT. Qualitative analysis highlighted CGs’ perceptions of the active ingredients of treatment and provided indirect support for similar gains in emotional and psychosocial functioning across the two treatment modalities.; Conclusions: Both telephone-based and f-to-f CBT showed improvements in depression, subjective burden, and assistance support in dementia AA CGs. Replication with a larger sample size (N = 106) is currently in progress. Study limitations and future directions for research are also addressed.; PsycINFO Database Record (c) 2012 APA, all rights reserved.

Bibtex Citation

@article{Glueckauf_2012, doi = {10.1037/a0028688}, url = {}, year = 2012, publisher = {American Psychological Association ({APA})}, volume = {57}, number = {2}, pages = {124--139}, author = {Robert L. Glueckauf and W. Shuford Davis and Floyd Willis and Dinesh Sharma and David J. Gustafson and Jocelyn Hayes and Mary Stutzman and James Proctor and Michelle M. Kazmer and Leticia Murray and Judith Shipman and Vera McIntyre and Lonnie Wesley and Gabriel Schettini and Jian Xu and Francine Parfitt and Neill Graff-Radford and Cynthia Baxter and Kathleen Burnett and La Tonya Noël and Kambria Haire and Jane Springer}, title = {Telephone-based, cognitive-behavioral therapy for African American dementia caregivers with depression: Initial findings.}, journal = {Rehabilitation Psychology} }


african americans, aged, alzheimer disease, behavioural, caregivers, cognitive, cognitive therapy, complications, cost of illness, depressive disorder, female, florida, health status, humans, male, methods, middle aged, pilot projects, problem solving, psychology, rehabilitation, social support, somatoform disorders, stress, psychological, telephone, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Carer Burden (instruments measuring burden), Carers’ Mental Health, Carers’ Physical Health

Type of Interventions

Intervention for Carers

Carer Focussed Interventions