ผลของโปรแกรมการโค้ชผู้ดูแลเพื่อการสนับสนุนทางสังคมต่อสุขภาวะทางจิตของผู้สูงอายุที่มีภาวะซึมเศร้า

Abstract

This quasi-experimental, two-group pretest-posttest research aimed to examine the effect of caregiver coaching program for social support on psychological well-being among elderly with depression. Participants comprised 44 community dwelling elderly aged 60 years or over, who had mild or moderate depression. They were assigned to the experimental or control group, twenty-two in each group. The experimental group received the program, whereas the control group did not. Confounding factors were controlled by matching depression and activity daily living (ADL). The research instruments consisted of 1) the caregiver coaching program for social support developed from (a) the conceptual framework of social support of House, (b) the coaching process of Thorpe and Clifford, (c) the experiential learning of Kolb and (d) literature reviews, five sessions were provided over 4 weeks with each session lasting 45-90 minutes. 2) the demographic data questionnaire; and 3) the Psychological Well-Being questionnaire. Content validity of the instrument parts 1 and 2 was verified by three experts. The reliability of the Psychological WellBeing questionnaire was tested using Cronbach’s alpha coefficient, yielding a value of .87. Data were analyzed using descriptive statistics, Wilcoxon Signed-Ranks test and Mann-Whitney U test. The results revealed that the score of the psychological well-being of elderly with depression after participating in the caregiver coaching for social support program were statically significantly higher than that before participating in the program (Z = -4.028, p < .001). In addition, the scores of psychological well-being of elderly with depression after the program was statistically significantly more higher than that of participants who did not received the program (Z = -2.283, p < .05). Thus, the caregiver coaching program for social support for elderly with depression could improve psychological well-being of elderly with depression. Therefore, it could be applied in the program for implementation among elderly with depression in the community.