Caregivers' Strengths-Skills:Managing Older Cancer Patients' Symptoms

护理人员的优势技能：管理老年癌症患者的症状

• 批准号: 7912026
• 负责人: VICTORIA H. RAVEIS
• 金额: $ 13.1万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2010-01-08
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7912026
• 关键词: Address; Adherence; Advocacy; Advocate; Aftercare; Aging; Analgesics; Anxiety; Attention; Cancer Detection; Cancer Patient; Cancer Survivorship; Caregivers; Caring; Chronic; Communication; Communities; Community Health Centers; Decision Making; Disease; Elderly; Ensure; Family; Family Caregiver; Family member; Fostering; Goals; Health; Health Professional; Healthcare; Healthcare Systems; Intervention; Knowledge; Lead; Life; Low income; Malignant Neoplasms; Nomads; Outcome; Outpatients; Palliative Care; Patient Care; Patient Monitoring; Patients; Perception; Physical Function; Population; Problem Solving; Quality of life; Recovery; Relative (related person); Reporting; Resources; Role; Self Efficacy; Social Problems; Support Groups; Symptoms; Time; Training; Training Programs; Training and Education; active method; cancer diagnosis; coping; depressive symptoms; ethnic minority population; experience; group support; health related quality of life; improved; mortality; older patient; palliation; programs; satisfaction; skills; skills training; symptom management; treatment duration

DESCRIPTION (provided by applicant): We propose to implement and evaluate the efficacy of a short-term problem-solving skills training program for familial caregivers to lower income older (60+) post-treatment cancer patients. The goal of the intervention is to equip family caregivers with problem-solving skills and knowledge that will provide them with a more adaptive means of attending to any symptoms their elderly relative may be experience during the cancer survivorship period. By focusing attention on families' potential role in palliative care efforts during the post-treatment period, we propose that we will be able to impact patients' health related quality of life, by fostering enhanced symptom recognition, improved symptom control, advocacy with health professionals, and adherence to symptom management options. Familial caregivers to older cancer patients who have completed active treatment will be accrued from Community/Migrant Health Centers (C/MHCs). Caregivers and patients will be followed for ten months. The specific aims are to: (1) Deliver a brief problem-solving training program with regard to symptom management ("Problem-solving") to enhance caregiver skills (i.e., perceived self-efficacy, social problem-solving and communication) of familial caregivers to older post-treatment cancer patients. (2) Evaluate the efficacy of problem-solving in enhancing caregiver skills, relative to participating in a caregiver support group ("Support"): (a) Assess short- and long-term change in caregiver skills reported by caregivers assigned to either the Problem-solving condition or the Support condition; and, (b) Compare change reported by caregivers in the Problem-solving condition, relative to reports by those in the Support condition; (3) Assess the impact of change in caregiver skills on: (a) Change in patients' symptomology and physical functioning, depressive symptomology, anxiety, quality of life, perceptions of and satisfaction with care ("patient outcomes"); (b) Change in caregivers' depressive symptomology, anxiety, quality of life, perceptions of and satisfaction with patient care ("caregiver outcomes"). (4) Disseminate information that informs family training in palliation and symptom control to participating C/MHCs and other C/MHCs serving these populations, contingent on demonstrating beneficial program outcomes.

描述（由申请人提供）：我们建议实施和评估短期解决问题的技能培训计划，以使家庭护理人员降低年龄较大（60+）后治疗后癌症患者。干预措施的目的是为家庭护理人员配备解决问题​​的技能和知识，这将为他们提供更适应性的能力，以便在癌症生存期间可能会经历其老年亲戚的任何症状。通过将注意力集中在治疗后的家庭中在姑息治疗工作中的潜在作用，我们建议我们能够通过促进症状识别，改善症状控制，对卫生专业人员的倡导以及遵守症状管理方案来影响患者与健康相关的生活质量。社区/移民卫生中心（C/MHC）将获得已完成活跃治疗的老年癌症患者的家庭护理人员。护理人员和患者将被追踪十个月。具体目的是： （1）关于症状管理（“解决问题”）的简短解决问题的培训计划，以提高家庭护理人员的护理人员技能（即感知的自我效能感，社会问题和沟通）为老年治疗后癌症患者。 （2）评估问题解决方案在提高护理人员技能方面的功效，相对于参与护理人员支持小组（“支持”）：（a）评估分配给解决问题状况或支持状况的护理人员报告的护理人员技能的短期和长期变化； （b）比较护理人员在解决方案条件下报告的变更，相对于支持条件的人的报告； （3）评估护理人员技能变化对以下方面的影响：（a）患者症状和身体机能的变化，抑郁症状，焦虑，生活质量，对护理的看法和满意度（“患者结果”）； （b）看护人抑郁症状，焦虑，生活质量，对患者护理的满意度的变化（“看护人的结果”）。 （4）传播信息，这些信息将抑制和症状控制的家庭培训告知参与的C/MHC和其他服务于这些人群的C/MHC，这取决于展示有益的计划结果。