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Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment

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  • Additional Information
    • Author(s):
    • Abstract:
      Background: Clinicians and researchers working with dementia caregivers typically assess caregiver stress in a clinic or research center, but caregivers’ stress is rooted at home where they provide care. This study aimed to compare ratings of stress-related measures obtained in research settings and in the home using ecological momentary assessment (EMA).Methods: EMA of 18 caregivers (mean age 66.4 years ±7.8; 89% females) and 23 non-caregivers (mean age 66.4 years ±7.9; 87% females) was implemented using a personal digital assistant. Subjects rated their perceived stress, fatigue, coping with current situation, mindfulness, and situational demand once in the research center and again at 3–4 semi-random points during a day at home. The data from several assessments conducted at home were averaged for statistical analyses and compared with the data collected in the research center.Results: The testing environment had a differential effect on caregivers and non-caregivers for the ratings of perceived stress (p < 0.01) and situational demand (p = 0.01). When tested in the research center, ratings for all measures were similar between groups, but when tested at home, caregivers rated their perceived stress as higher than non-caregivers (p = 0.02). Overall, caregivers reported higher perceived stress at home than in the research center (p = 0.02), and non-caregivers reported greater situational demand in the research center than at home (p < 0.01).Conclusions: The assessment method and environment affect stress-related outcomes. Evaluating participants in their natural environment provides a more sensitive measure of stress-related outcomes. EMA provides a convenient way to gather data when evaluating dementia caregivers. ABSTRACT FROM AUTHOR (Copyright of International Psychogeriatrics is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.)
    • Accession Number:
      ecological momentary assessment; EMA; perceived stress
    • Publication Information:
      Publication Type: Journal Article ISSN: 1041-6102
    • Accession Number:
      EP67329714
  • Citations
    • ABNT:
      FONAREVA, I. et al. Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment. International Psychogeriatrics, [s. l.], v. 24, n. 1, p. 90–98, 2012. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP67329714. Acesso em: 26 set. 2020.
    • AMA:
      Fonareva I, Amen AM, Ellingson RM, Oken BS. Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment. International Psychogeriatrics. 2012;24(1):90-98. Accessed September 26, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP67329714
    • APA:
      Fonareva, I., Amen, A. M., Ellingson, R. M., & Oken, B. S. (2012). Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment. International Psychogeriatrics, 24(1), 90–98.
    • Chicago/Turabian: Author-Date:
      Fonareva, Irina, Alexandra M. Amen, Roger M. Ellingson, and Barry S. Oken. 2012. “Differences in Stress-Related Ratings between Research Center and Home Environments in Dementia Caregivers Using Ecological Momentary Assessment.” International Psychogeriatrics 24 (1): 90–98. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP67329714.
    • Harvard:
      Fonareva, I. et al. (2012) ‘Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment’, International Psychogeriatrics, 24(1), pp. 90–98. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP67329714 (Accessed: 26 September 2020).
    • Harvard: Australian:
      Fonareva, I, Amen, AM, Ellingson, RM & Oken, BS 2012, ‘Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment’, International Psychogeriatrics, vol. 24, no. 1, pp. 90–98, viewed 26 September 2020, .
    • MLA:
      Fonareva, Irina, et al. “Differences in Stress-Related Ratings between Research Center and Home Environments in Dementia Caregivers Using Ecological Momentary Assessment.” International Psychogeriatrics, vol. 24, no. 1, Feb. 2012, pp. 90–98. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP67329714.
    • Chicago/Turabian: Humanities:
      Fonareva, Irina, Alexandra M. Amen, Roger M. Ellingson, and Barry S. Oken. “Differences in Stress-Related Ratings between Research Center and Home Environments in Dementia Caregivers Using Ecological Momentary Assessment.” International Psychogeriatrics 24, no. 1 (February 1, 2012): 90–98. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP67329714.
    • Vancouver/ICMJE:
      Fonareva I, Amen AM, Ellingson RM, Oken BS. Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment. International Psychogeriatrics [Internet]. 2012 Feb 1 [cited 2020 Sep 26];24(1):90–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP67329714