Comprehensive Support for Alzheimer's Disease Caregivers

为阿尔茨海默病护理人员提供全面支持

• 批准号: 7116414
• 负责人: JOSEPH E. GAUGLER
• 金额: $ 25.75万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7116414
• 关键词: Alzheimer' s disease; aging; behavioral /social science research tag; caregivers; clinical research; counseling; data collection; human subject; human therapy evaluation; longitudinal human study; psychotherapy; stress management

DESCRIPTION (provided by applicant): Family care for AIzheimer's patients has received significant attention in the gerontological literature. Considerable research has demonstrated who caregivers are, what caregivers do, and the potential emotional, psychological, physical, social, and financial burdens caregivers experience. However, psychosociat interventions designed to alleviate negative caregiving outcomes generally report mixed results. One particular intervention that has proved successful in reducing caregiver depression and delaying care recipient institutionalization is the Enhanced Counseling and Support Intervention (ECS) implemented by Mittelman and her associates at the New York University AIzheimer's Disease Research Center (NYU-ADRC; see Mittelman et al., 1993; 1995). While the ECS was one of the few psychosocial interventions that have reported positive results, findings were limited to one experimental site and spouses of AIzheimer's patients. The proposed analysis will expand on prior research by: 1) testing the benefits of the ECS for Alzheimer's caregivers at a non-urban experimental site, the University of Kentucky Alzheimer's Disease Research Center (UK-ADRC); and 2) expanding the scope of the ECS by focusing on adult child Alzheimer's caregivers and comparing the benefits of the ECS intervention at both the UK-ADRC and NYU-ADRC sites. This 5-year study will use a randomized experimental design and will include 440 adult child caregivers across the two experimental sites (220 adult child caregivers at UK-ADRC; 220 adult child caregivers at NYU-ADRC). The experimental design (which will include the ECS treatment condition and a usual contact control group), up to 5-years of data collection, and a large sample size will allow for more valid and generalizable results than other psychosocial interventions. Moreover, the prospective longitudinal design with assessments beginning prior to enrollment, every 4 months during the first year of the intervention, and every 6 months thereafter will allow for use of sophisticated longitudinal analyses (i.e., growth curve models) to determine the effectiveness of the ECS. The proposed evaluation will provide detailed information on the potential of the ECS to serve as a model intervention for various family caregivers of Alzheimer's patients in diverse geographic contexts.

描述（由申请人提供）：艾茨海默病患者的家庭护理在老年学文献中受到了极大的关注。大量研究表明，看护者是谁、看护者做什么，以及看护者承受的潜在情感、心理、身体、社会和经济负担。然而，旨在减轻负面护理结果的社会心理干预措施通常报告的结果好坏参半。纽约大学艾茨海默病研究中心 (NYU-ADRC) 的 Mittelman 及其同事实施的强化咨询和支持干预 (ECS) 是一项已被证明能成功减少看护者抑郁症和延迟看护者入院时间的特殊干预措施；参见 Mittelman 等人.，1993；1995）。虽然 ECS 是为数不多的已报告积极结果的心理社会干预措施之一，但研究结果仅限于一个实验地点和阿尔茨海默病患者的配偶。 拟议的分析将通过以下方式扩展先前的研究：1）在非城市实验地点肯塔基大学阿尔茨海默病研究中心（UK-ADRC）测试 ECS 对阿尔茨海默病护理人员的好处； 2) 通过关注成年儿童阿尔茨海默病护理人员并比较 UK-ADRC 和 NYU-ADRC 站点 ECS 干预的益处，扩大 ECS 的范围。这项为期 5 年的研究将采用随机实验设计，包括两个实验地点的 440 名成年儿童看护者（UK-ADRC 220 名成年儿童看护者；NYU-ADRC 220 名成年儿童看护者）。实验设计（包括 ECS 治疗条件和通常的接触对照组）、长达 5 年的数据收集和大样本量将比其他心理社会干预措施提供更有效和更普遍的结果。此外，前瞻性纵向设计在入组前开始评估，干预第一年每 4 个月一次，此后每 6 个月一次，将允许使用复杂的纵向分析（即生长曲线模型）来确定干预措施的有效性。电子计算机系统。拟议的评估将提供有关 ECS 潜力的详细信息，以作为不同地理环境中阿尔茨海默病患者的各种家庭护理人员的模型干预措施。