REDUCING BEHAVIOR PROBLEMS IN DEMENTIA--DAY CARE USE

减少痴呆症的行为问题——日托服务的使用

• 批准号: 6151498
• 负责人: STEVEN H ZARIT
• 金额: $ 40.7万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-02-01 至 2004-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6151498
• 关键词: behavior disorders; behavioral /social science research tag; caregivers; clinical research; comorbidity; dementia; depression; health care service utilization; human middle age (35-64); human old age (65+); human subject; longitudinal human study; mental health epidemiology; psychological aspect of aging; social service; social service evaluation

Care for people suffering from a dementing illness is complicated, stressful, and often expensive. Of the various problems faced by family caregivers, disturbances in behavior and mood are the most stressful and often lead to the breakdown of the caregiving situation and institutionalization of the patient. One of the more promising ways of addressing care needs for patients living in the community is through adult day service programs (ADS), which provide structured activities that utilize patients' remaining abilities and give caregivers a break from the often continuous pressures they face. In previous work by our research group, we found that caregivers who enrolled a relative with dementia into an ADS program experienced significant reductions in care- related stressors and improved well-being, compared to a control group. The proposed study extends that work by exploring the effects of ADS on the behavior and mood of dementia patients. ADS may affect behavior and mood by keeping patients involved in structured activities. By easing the problems faced by family caregivers, ADS use may also reduce use of health and long term care services. The proposed study will use a quasi-experimental, nonequivalent group design. People with dementia who are starting an ADS program and their caregivers will be compared to a control group not using these services. It is hypothesized that dementia patients using ADS will experience significant reductions in behavior problems and depressive symptoms over time, compared to controls. We also expect that caregivers in the ADS group will experience decreases in care-related stress and improved well-being, and will use fewer health and long-term care services than the control group. These changes will be mediated by improvements in their relative's behavior.

照顾患有痴呆症的人很复杂， 压力很大，而且往往很昂贵。 面对家庭面临的各种问题 对于看护者来说，行为和情绪的干扰是最有压力的， 往往会导致护理状况的崩溃 将患者送入机构。比较有前途的方法之一 解决生活在社区的患者的护理需求是通过 成人日间服务计划 (ADS)，提供结构化活动 利用患者剩余的能力并让护理人员休息一下 来自他们经常面临的持续压力。 在我们之前的工作中 研究小组，我们发现为亲属登记的护理人员 痴呆症纳入 ADS 计划后，护理费用显着减少 与对照组相比，相关的压力源和幸福感得到改善。 拟议的研究通过探索 ADS 对 痴呆症患者的行为和情绪。 ADS 可能会影响行为和 通过让患者参与结构化活动来调节情绪。 通过宽松 家庭护理人员面临的问题，ADS 的使用也可能会减少 健康和长期护理服务。 拟议的研究将使用 准实验性、非等效的群体设计。患有痴呆症的人 正在启动 ADS 计划，他们的照顾者将被与 对照组不使用这些服务。 假设 使用 ADS 的痴呆症患者将显着减少 随着时间的推移，行为问题和抑郁症状与 控制。 我们还期望 ADS 组的护理人员能够 减少与护理相关的压力并改善幸福感，以及 与对照相比，将使用更少的医疗和长期护理服务 团体。这些变化将通过它们的改进来调节 亲戚的行为。