Effectiveness of the Online “Dialogue Circles” Nursing Intervention to Increase Positive Mental Health and Reduce the Burden of Caregivers of Patients with Complex Chronic Conditions. Randomized Clinical Trial

Jose Manuel Tinoco-Camarena, Montserrat Puig-Llobet (), María Teresa Lluch-Canut, Juan Roldan-Merino, Mari Carmen Moreno-Arroyo, Antonio Moreno-Poyato, Judith Balaguer-Sancho, Zaida Agüera, Maria Aurelia Sánchez-Ortega and Miguel Ángel Hidalgo-Blanco
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Jose Manuel Tinoco-Camarena: Center of Cornellà Specialists, Consorci Sanitari Integral, 08940 Barcelona, Spain
Montserrat Puig-Llobet: Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
María Teresa Lluch-Canut: Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
Juan Roldan-Merino: Department of Mental Health, Campus Docent Sant Joan de Déu School of Nursing, University of Barcelona, Sant Boi de Llobregat, 08830 Barcelona, Spain
Mari Carmen Moreno-Arroyo: Department of Nursing, Fundamental and Medical-Surgical, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
Antonio Moreno-Poyato: Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
Judith Balaguer-Sancho: Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
Zaida Agüera: Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L’Hospitalet de Llobregat, 08907 Barcelona, Spain
Maria Aurelia Sánchez-Ortega: University School of Nursing and Occupational Therapy of Terrassa (EUIT), Universitat Autònoma de Barcelona, 08221 Terrassa, Spain
Miguel Ángel Hidalgo-Blanco: Department of Nursing, Fundamental and Medical-Surgical, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain

IJERPH, 2022, vol. 20, issue 1, 1-13

Abstract: The personal demands involved in caring for a chronically ill person can lead to emotional and physical exhaustion in caregivers. The aim of this study was to evaluate the effectiveness of an online nursing intervention called “dialogue circles” designed to reduce caregiver overload and enhance positive mental health (PMH) in family caregivers. We used a pre-post design. The sample consisted of 86 family caregivers of patients with complex chronic conditions, randomly assigned to the intervention group (n = 43) or the control group (n = 43). All participants completed the Zarit scale and the Positive Mental Health Questionnaire 15 days before starting the intervention and 30 days after its completion. Comparison of the post-test changes revealed statistically significant differences between the two groups in PMH and overload, with the intervention group showing greater positive changes in all dimensions of PMH after the intervention and lower scores on overload. In conclusion, the results suggest that incorporating dialogue circles as an online nursing intervention in the caregivers of patients with complex chronic conditions can enhance PMH and decrease caregiver overload, especially in settings where face-to-face encounters are not possible.

Keywords: chronic disease; nursing intervention; clinical trial; dialogue circle; positive mental health; caregiver overload (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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