INSIGHT for Black Female Caregivers

黑人女性护理人员的洞察力

• 批准号: 6898615
• 负责人: Mona Newsome Wicks
• 金额: $ 21.9万
• 依托单位: UNIVERSITY OF TENNESSEE HEALTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6898615
• 关键词: African American; anxiety; behavioral /social science research tag; caregivers; chronic renal failure; clinical depression; clinical research; clinical trial phase II; cognitive behavior therapy; coping; culture; female; group counseling; group therapy; health care personnel performance; human subject; human therapy evaluation; nursing research; patient oriented research; questionnaires; self concept; social support network; women' s health

DESCRIPTION (provided by applicant): End stage renal disease (ESRD) is a disabling condition that unduly affects black families, particularly the one in three black female family caregivers that our preliminary research shows experience significant depressive symptoms. Our long-term goal is to develop effective, customized, and culturally-relevant interventions that optimize family caregiver mental and physical health status in under represented groups. The specific aims that guide this study are to 1) examine the efficacy of a cognitive behavioral therapist facilitated intervention (INSIGHT) in improving depressive symptoms (depressive symptom scores, hopelessness, anxiety, and self-esteem; and 2] determine if improvements in depressive symptoms are associated with improved functioning in black female caregivers of persons diagnosed with ESRD receiving INSIGHT Therapy. We base these aims and associated hypotheses on 1) published studies documenting the efficacy of this intervention in white women and 2) unpublished clinical data supporting its clinical utility in women of color. Over a 3-year period we will conduct a randomized phase-ll placebo-control, clinical-trial to test the efficacy of this 12-week therapist-facilitated cognitive behavioral treatment in a sample of 72 black female caregivers of persons with ESRD (treatment=36, control=36). We will enroll into the study black female caregivers who self-report at least mild depressive symptoms during the screening interview. We will assess study outcomes (depressive symptoms, hopelessness, anxiety, self-esteem, and functioning) using established paper and pencil self-report questionnaires at baseline, at the end of the treatment, and 12 weeks after completion of the treatment. An intent to treat analysis will be conducted along with the analyses dictated by the study hypotheses for those caregivers who are assigned to the treatment group but drop out. A preplanned subgroup analysis with data from the treatment group will also be conducted to ascertain whether treatment duration is associated with better outcomes.

描述（由申请人提供）：末期肾脏疾病（ESRD）是一种过度影响黑人家庭的残疾疾病，尤其是三分之二的黑人女性护理人员，我们的初步研究表明，表现出明显的抑郁症状。我们的长期目标是开发有效，定制和与文化相关的干预措施，以优化代表群体中家庭护理人员的身心健康状况。指导这项研究的具体目的是1）检查认知行为治疗师在改善抑郁症状（抑郁症状得分，绝望，绝望，焦虑和自尊心的抑郁症状得分，焦虑和自尊心的抑郁症状上的改善中，抑郁症状是否与抑郁症状相关联在抑郁症状上是否相关的是，抑郁症状是否与抑郁症状相关联，对抑郁症的症状是否相关联，对抑郁症的症状是相关的一位诊断的人，抑郁症状是否与抑郁症状相关联，抑郁症状是否相关。发表的研究记录了这种干预措施对白人妇女的疗效和2）未发表的临床数据，支持其有色女性的临床实用性。在3年的时间里，我们将进行随机的相位安慰剂对照，临床审判，以测试这项为期12周的治疗师的认知行为治疗在72名ESRD患者的黑人女性看护人样本中的疗效（治疗= 36，对照= 36）。我们将入学黑人女性照顾者，他们在筛查访谈中至少自我报告的抑郁症状至少轻度抑郁症状。我们将使用既定的纸和铅笔自我报告问卷，治疗结束时以及治疗完成后的12周来评估研究结果（抑郁症状，绝望，焦虑，自尊和功能）。将对分析的意图以及研究假设所决定的那些分配给治疗组但退出的护理人员所决定的分析。还将进行具有治疗组数据的预先计划的亚组分析，以确定治疗持续时间是否与更好的结果相关。

项目成果

INSIGHT potentially prevents and treats depressive and anxiety symptoms in black women caring for chronic hemodialysis recipients.

INSIGHT 可以预防和治疗照顾慢性血液透析患者的黑人女性的抑郁和焦虑症状。

• 发表时间: 2007
• 期刊: Nephrology nursing journal : journal of the American Nephrology Nurses' Association
• 作者: Wicks,MonaN;Bolden,Lois;Mynatt,Sarah;Rice,MurielCurry;Acchiardo,SergioR
• 通讯作者: Acchiardo,SergioR