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and associated hypotheses on 1) published studies documenting the efficacy of this intervention in white women and 2) unpublished clinical data supporting its clinical utility in women of color.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）：终末期肾病（ESRD）是一种严重影响黑人家庭的致残性疾病，特别是我们的初步研究显示，三分之一的黑人女性家庭护理人员经历了明显的抑郁症状。我们的长期目标是开发有效、定制且与文化相关的干预措施，以优化代表性不足群体的家庭看护者的心理和身体健康状况。指导本研究的具体目标是 1) 检查认知行为治疗师促进干预 (INSIGHT) 在改善抑郁症状（抑郁症状评分、绝望、焦虑和自尊）方面的功效；2] 确定抑郁症状是否有所改善症状与接受 INSIGHT 治疗的 ESRD 患者的黑人女性护理人员的功能改善有关。我们的这些目标和相关假设基于 1) 已发表的研究，记录了这种干预措施对白人女性的功效，以及 2)。未发表的临床数据支持其在有色人种女性中的临床实用性。在 3 年的时间内，我们将进行一项随机 ll 期安慰剂对照临床试验，以测试这种为期 12 周的治疗师促进的认知行为治疗的功效，样本包括 72 名 ESRD 患者的黑人女性护理人员（治疗=36，控制=36)。我们将招募在筛选访谈期间自我报告至少轻度抑郁症状的黑人女性护理人员参加该研究。我们将在基线、治疗结束时以及治疗完成后 12 周使用既定的纸笔自我报告问卷来评估研究结果（抑郁症状、绝望、焦虑、自尊和功能）。对于那些被分配到治疗组但退出的护理人员，将与研究假设所规定的分析一起进行意向治疗分析。还将利用治疗组的数据进行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