Dementia Care in Thailand: Infrastructure and Research Development

泰国的痴呆症护理：基础设施和研究发展

基本信息

批准号：
8074276
负责人：
Hongtu Chen
金额：
$ 16.22万
依托单位：
BRIGHAM AND WOMEN'S HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-25 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8074276
关键词：
Affect Age Aging Alzheimer&apos s Disease Asia Attitude Belief Brain Diseases Caregivers Caring Charge China Chronic Clinical Services Collaborations Communities Country Data Dementia Development Development Plans Diagnosis Disease District Hospitals Economics Education Elderly Ensure Face Family Family Caregiver Fertility Rates Financial Support Focus Groups Foundations Geriatrics Gerontology Growth Health Services Research Health system Hospitals India Individual Institutes Institution Institutionalization International Intervention Interview Japan Lead Letters Longevity Modeling NIH Program Announcements Participant Persons Policy Maker Population Population Research Provider Psychiatry Public Health Qualitative Methods Qualitative Research Quality of life Research Research Infrastructure Research Institute Research Methodology Research Personnel Resources Services Singapore Societies Structure Taiwan Testing Thailand Training United States National Institutes of Health Universities Woman abstracting age related aged aging population base caregiving cost effective cost effectiveness cultural values evidence base experience follow-up human capital improved infrastructure development international center intervention program medical schools preference programs rapid growth research and development systems research

项目摘要

DESCRIPTION (provided by applicant): Title: Dementia Care in Thailand: Infrastructure and Research Development Program Announcement (PAR-08-113): NIH Fogarty International Center - Brain Disorders in the Developing World: Research Across the Lifespan (R21). Abstract: The research planning and development activities proposed in this application are intended to build collaborative research capacity to develop strategies for improving care for elders with dementia in Thailand. Rapid growth of the elderly population in Thailand has resulted in inevitable increases in the number of people with Alzheimer's disease and related dementia (ADRD). Both the Thai health care and research communities recognize the urgent need for identifying strategies and resources to provide appropriate caregiver support to families of elders with ADRD. During the 2-year study, we propose the following specific aims: (1) Establishing the Thai Center for Dementia Caregiving Research (TCDCR); (2) building research capacity by training Thai researchers in qualitative research methods; (3) conducting in-depth qualitative interviews and participant observation with Thai dementia caregivers to document their caregiving experiences and to identify culturally acceptable intervention strategies; (4) conducting focus groups with caregivers as well as other stakeholders, including community-based eldercare providers, and policy makers to examine the feasibility of implementing intervention models proposed in Aim3; and (5) developing and submit an R01 application based on R21 study findings to test the cost-effectiveness of a culturally appropriate intervention for Thai dementia caregivers. The proposed project will be carried out by an interdisciplinary team through collaboration with Thai investigators from public health agencies (Foundation of Thai Gerontology Research and Development Institute), clinical service organizations (two large Thai district hospitals), and academic institutions (Health System Research Institute of Thailand), with the support of the US investigators from the Brigham and Women's Hospital/Harvard Medical School (Department of Psychiatry) and Stanford University School of Medicine (Stanford Geriatric Education Center). PUBLIC HEALTH RELEVANCE: This R21 proposes the continuation of a unique collaboration between U.S. and Thai investigators dedicated to enhancing the capacity for dementia care-giving research and identifying best strategies for implementing an evidence-based, culturally appropriate intervention for family caregivers of elders with dementia in Thai.

描述（由申请人提供）：标题：泰国痴呆症护理：基础设施和研究开发计划公告 (PAR-08-113)：NIH 福格蒂国际中心 - 发展中国家的脑部疾病：整个生命周期的研究 (R21)。摘要：本申请中提出的研究规划和开发活动旨在建立协作研究能力，以制定改善泰国痴呆症老年人护理的策略。泰国老年人口的快速增长导致阿尔茨海默病和相关痴呆症（ADRD）患者数量不可避免地增加。泰国医疗保健和研究界都认识到迫切需要确定策略和资源，为患有 ADRD 的老年人家庭提供适当的护理人员支持。在为期两年的研究中，我们提出以下具体目标：（1）建立泰国痴呆症护理研究中心（TCDCR）； (2) 通过培训泰国研究人员定性研究方法来建设研究能力； (3) 对泰国痴呆症护理人员进行深入的定性访谈和参与观察，记录他们的护理经验并确定文化上可接受的干预策略； (4) 与护理人员以及其他利益相关者（包括社区老年护理提供者和政策制定者）进行焦点小组讨论，以审查实施目标 3 中提出的干预模式的可行性； (5) 根据 R21 研究结果制定并提交 R01 申请，以测试针对泰国痴呆症护理人员的文化上适当的干预措施的成本效益。拟议的项目将由跨学科团队与来自公共卫生机构（泰国老年学研究与发展研究所基金会）、临床服务组织（泰国两家大型地区医院）和学术机构（卫生系统研究所）的泰国研究人员合作进行泰国），并得到了布莱根妇女医院/哈佛医学院（精神病学系）和斯坦福大学医学院（斯坦福老年教育中心）美国研究人员的支持。公共卫生相关性：本 R21 提议美国和泰国研究人员继续开展独特的合作，致力于提高痴呆症护理研究的能力，并确定最佳策略，为痴呆症老年人的家庭护理人员实施基于证据的、文化上适当的干预措施泰语。