Self-Directed Online Training Intervention for Chinese Dementia Caregivers

中国痴呆症护理人员自主在线培训干预

基本信息

批准号：
8905894
负责人：
Hongtu Chen
金额：
$ 59.79万
依托单位：
ENVIRONMENT AND HEALTH GROUP, INC.
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：
2011-09-30 至 2017-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8905894
关键词：
Active Learning Address Adherence Algorithms Area Behavioral Caregivers Caring Chinese People Chronic Chronic Disease Clip Communication Communities Compulsive Behavior Cultural Backgrounds Data Dementia Development Education Educational Curriculum Educational Intervention Effectiveness Effectiveness of Interventions Elderly Emotions Ensure Evaluation Exposure to Expressed Emotion Face Family Family Caregiver Funding Hallucinations Health Individual Internet Intervention Intervention Studies Knowledge Lead Learning Length Linguistics Mediating Mental Depression Mental Health Minority Groups Outcome Penetration Personal Satisfaction Phase Population Prevalence Public Health Randomized Controlled Trials Recommendation Reporting Research Self Care Self Efficacy Sleeplessness Small Business Innovation Research Grant Social support Stress Technology Training Training Programs arm base behavioral economics burden of illness caregiving commercialization depressive symptoms design ethnic minority population flexibility handheld mobile device health disparity improved innovation insight intervention effect intervention program phase 1 study phase 2 study physical conditioning primary outcome programs prototype public health relevance skills skills training social software development therapy design

项目摘要

DESCRIPTION (provided by applicant): The objective of this Phase II application is to develop an online self-directed learning (SDL) intervention program that seeks to improve caregiving and self-care skills among ethnic Chinese dementia caregivers. The benefits of such a product may include improved psychological health in caregivers and a reduction in behavioral disturbances among elderly care recipients with dementia. While online dementia caregiver interventions are advantageous in reaching broad audiences, they face significant challenges in engaging the target audience and keeping them engaged throughout the intervention program. The proposed online SDL skill training intervention addresses these challenges with a comprehensive engagement design to ensure retention and effective learning in the training program. All Phase I Study Aims have been successfully completed. The prototype provides preliminary evidence that an SDL training intervention is able to successfully engage ethnic Chinese caregivers of elders with dementia, improving perceived self-efficacy to manage caregiving tasks, while reducing negative emotions in the caregiver. Phase II Specific Aims: The Phase II study will further develop the prototype into a fully functioning online SDL skill training intervention for ethnic Chinese dementia caregivers, and evaluate it in a randomized control trial. In Specific Aim 1, we will develop additional multi-lingual training video clips to complete the training program, and make them available for Cantonese-, Mandarin-, and/or English-speaking caregivers from different Chinese cultural backgrounds. In Specific Aim 2, we will develop software that enables and integrates all engagement design functionalities. In Specific Aim 3, we will conduct a randomized controlled trial to evaluate the effectiveness of the SDL training intervention based on a comprehensive engagement design (intervention arm) compared to one that does not rely on a comprehensive engagement design (control arm). Primary Hypotheses: The intervention arm will result in significantly better caregiver health outcomes (reduced perceived stress and depressive symptoms) and care recipient outcomes (reduced behavioral disturbances) compared to the control arm. Secondary Hypotheses: The effects of the intervention on the primary outcomes are mediated through increased adherence (e.g., amount of total exposure) to the intervention program, increased self-efficacy in handling caregiving tasks, and reduced expressed emotion. Evidence of the effectiveness of the SDL intervention will contribute to the larger information and communication technology field, increasing our understanding and basic knowledge of effective engagement in the rapidly growing field of online health interventions. The comprehensive engagement approach developed through this SBIR could be transferred to other ethnic minority groups facing dementia caregiving challenges, as well as other populations facing challenges related to the management of other chronic conditions.

描述（通过应用程序证明）：II应用程序的目的是开发在线自我指导的学习（SDL）AM，该学习旨在提高中国痴呆症护理人员的护理自我护理技能。在护理人员和老年护理护理护理护理护理护理中，痴呆症的痴呆症痴呆症的痴呆症护理人员在接触观众中有利计划。在特定的AIM 1 g视频片段中，Chintia Chintia的护理人员在培训计划中进行了评估，并使它们适用于广东话，普通话和/或来自不同文化背景的讲英语的护理人员AIM 2 L英语设计功能3，我们将根据全面的参与设计（Internation）进行随机控制试验，以评估SDL训练的评估。结果（行为扰动减少）次要假设：国际对PRIA结果的影响是对干预计划的媒体依从性（例如，总暴露量），在护理任务中提高了自我效能，并降低了表达的情绪，增加了我们在Nline Health快速增长的领域的参与。通过该SBIR开发的全面英语方法可能是其他与其他慢性病管理有关的护理人员的少数民族。