Dementia Caregiver Treatment for Nursing Home Transition

疗养院过渡期间的痴呆症护理人员治疗

基本信息

批准号：
6905309
负责人：
JENNIFER D DAVIS
金额：
$ 6.74万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-01 至 2007-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The goal of the proposed study is to determine the efficacy of a telephone-based psychosocial intervention (Family Intervention: Telephone Tracking-Nursing Home; FITT-NH) to improve informal dementia caregiver adjustment and caregiver-staff interactions during the transition from community to long-term care. The intervention is theoretically derived and includes education, active problem-solving, and support techniques to improve coping and adaptation during transitions. Preliminary findings from a randomized pilot study of FITT-Dementia (R21 MH62561; G. Tremont, Principal Investigator), support efficacy of the intervention for reducing perceived burden, situational anxiety, and reaction to memory and behavior problems in the care recipient, increasing use of community resources, and improving health-related quality of life in home caregivers compared to usual care. The proposed study is a randomized, controlled 3-month trial of FITT-NH compared to standard care. Treatment strategies are based on assessment of key areas (e.g., emotional adjustment, health, family life, social support, and caregiver-staff communication) during each contact to individualize the intervention to caregivers' needs. Eighty informal dementia caregivers will be enrolled following admission of the care recipient to a long-term care facility. Treatment will be delivered for 3 months, and outcome measures will be obtained at baseline, immediately following treatment, and at a 3-month follow-up. Primary caregiver outcomes are burden, mood, anticipatory grief, perceptions of staff-caregiver interactions, perceived quality of visitation, and satisfaction with the facility. Resource utilization is a secondary outcome. It is hypothesized that caregivers receiving FITT-NH will demonstrate (1) better emotional adjustment (e.g., less anticipatory grief, fewer depressive and anxiety symptoms, less perceived burden, and better health-related quality of life, and (2) better staff-caregiver relationships (e.g., more positive perceptions of staff-caregiver interactions, fewer hassles and disagreements with staff, and better perceived quality of visitations). This low-cost intervention may be useful as part of routine care for dementia caregivers transitioning their family member to long-term care facilities.

描述（由申请人提供）：拟议研究的目的是确定基于电话的心理社会干预措施（家庭干预：电话跟踪 - 荷马家族； Fitt-NH）的功效，以改善非正式的痴呆症护理人员的调整和从社区过渡到长期护理的过渡期间的护理人员互动。理论上是从理论上得出的，包括教育，积极的问题解决以及在过渡过程中改善应对和适应的支持技术。 Fitt-Dementia的随机试验研究（R21 MH62561； G。Tremont，首席研究员）的初步发现，减少干预措施减轻感知负担，情境焦虑以及对护理人员的记忆和行为问题的支持，对社区资源的使用增加了与健康相比，与健康质量相比，对护理中的记忆和行为问题相比，它会增加。拟议的研究是一项与标准护理相比，Fitt-NH的随机控制的3个月试验。治疗策略是基于对关键领域的评估（例如，情感调整，健康，家庭生活，社会支持和照顾者 - 沟通），以使护理人员需求的干预个性化。在承认长期护理机构的护理人员接收者后，将招募80名非正式痴呆症护理人员。治疗将进行3个月，并在基线，治疗后立即获得结局指标，并在3个月的随访中获得。初级护理人员的结果是负担，情绪，预期的悲伤，对员工互动的看法，探访质量以及对设施的满意度。资源利用是次要结果。 It is hypothesized that caregivers receiving FITT-NH will demonstrate (1) better emotional adjustment (e.g., less anticipatory grief, fewer depressive and anxiety symptoms, less perceived burden, and better health-related quality of life, and (2) better staff-caregiver relationships (e.g., more positive perceptions of staff-caregiver interactions, fewer hassles and disagreements with staff, and better perceived quality of visitations).这种低成本的干预措施可能是对痴呆症护理人员进行常规护理的一部分，将其家庭成员过渡到长期护理设施。