Training for Providers of an Evidence-Based AD Family Caregiver Intervention

为循证 AD 家庭护理人员干预提供者提供培训

• 批准号: 8474676
• 负责人: John V Hobday
• 金额: $ 42.58万
• 依托单位: HEALTHCARE INTERACTIVE, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8474676
• 关键词: Agreement; Alzheimer' s Disease; Behavior; Caregivers; Caring; Certification; Chronic Disease; Clinical; Communities; Continuing Education; Counseling; Country; Cultural Diversity; Data; Data Analyses; Dementia; Development; Disease; Education; Educational Intervention; Elderly; Emotional; Family; Family Caregiver; Family member; Feedback; Future; Health system; Healthcare Systems; Home environment; Hour; Human Resources; Incidence; Individual; Internet; Intervention; Knowledge; Learning; Letters; Licensing; Life; Literature; Mental Depression; Modeling; Multimedia; New York; Nursing Homes; Online Systems; Outcome; Persons; Phase; Photography; Play; Price; Private Practice; Process; Production; Protocols documentation; Provider; Public Health; Publishing; Qualitative Evaluations; Randomized; Randomized Controlled Trials; Reaction; Reporting; Research; Research Personnel; Role; Self Efficacy; Severities; Site; Social Work; Social Workers; Societies; Solutions; Spouse Caregiver; Staging; Stress; Supervision; Testing; Time; TimeLine; Training; Training Programs; Universities; Videotape; Vision; aging population; base; caregiving; combat; commercial application; commercialization; cost effective; depressive symptoms; design; evidence base; experience; improved; innovation; meetings; member; patient home care; physical conditioning; programs; psychologic; psychosocial; research and development; response; satisfaction; sound; tool; treatment as usual; usability

DESCRIPTION (provided by applicant): Alzheimer's disease and related disorders (ADRD) constitute urgent challenges to U.S. healthcare systems as well as enormous burdens on society as a whole. Nearly 75 percent of the care for persons with ADRD is delivered at home, and family caregivers need ongoing support to manage the daunting physical and psychological demands of care. A 20+ year randomized controlled trial tested a psychosocial intervention for spouse caregivers, called the NYU Caregiver Intervention (NYUCI), and demonstrated long-term positive outcomes for people with ADRD and their family members. Most notably, the RCT showed that the NYUCI substantially reduced caregiver's depressive symptoms and the severity of their reaction to the behaviors caused by the illness, improved their physical health, and extended the time persons with ADRD were able to remain at home-an average of 1.5 years longer than those whose caregivers received usual care (Mittelman et al., AG14634, formerly MH42216; See www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=122). This Phase II effort proposes to complete and evaluate an innovative Internet-Based Multimedia Education (IBME) training program for providers in community agencies and private practice seeking to learn how to implement the NYUCI or become more proficient in counseling family caregivers of people with dementia. Certification and continuing education credits will be part of the product. Requests for training have become too numerous to satisfy in a timely manner in person. We hypothesize the proposed effort can provide effective training with the aid of the Internet so that fidelity to the NYUCI content, protocols, and outcomes can be achieved efficiently. We will test this hypothesis in YR2 with a randomized controlled trial that will inclue both quantitative analyses and qualitative evaluations, comparing the results of in person training and on-line training using the completed product. Because NYUCI assures support to family caregivers for the life of those with ADRD, the proposed IBME has the potential to transform ADRD home care but also U.S. healthcare systems as it disseminates access to the evidence-based NYUCI model to many more agencies than would be possible without an IBME format. The project's innovation derives from a unique vision, multilevel intervention, and creative combination of the NYUCI itself, the professional experience of the Investigators and other key personnel in the fields of family care, ADRD, and IBME development. In addition to its strong present commercial potential, this IBME may be also useful as a template for future training of providers of caregiving support to persons with chronic diseases other than ADRD.

描述（由申请人提供）：阿尔茨海默病及相关疾病（ADRD）对美国医疗保健系统构成了紧迫的挑战，也给整个社会带来了巨大的负担。 ADRD 患者近 75% 的护理是在家中进行的，家庭护理人员需要持续的支持来应对护理中令人畏惧的身体和心理需求。一项为期 20 多年的随机对照试验测试了针对配偶照顾者的心理社会干预措施，称为纽约大学照顾者干预 (NYUCI)，并证明了 ADRD 患者及其家庭成员的长期积极成果。最值得注意的是，随机对照试验表明，NYUCI 大大减轻了看护者的抑郁症状及其对疾病引起的行为的反应的严重程度，改善了他们的身体健康，并延长了患有 ADRD 的人能够留在家里的时间——平均比护理人员接受常规护理的患者长 1.5 年（Mittelman 等人，AG14634，以前的 MH42216；参见www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=122）。第二阶段的工作旨在完成和评估一项创新的基于互联网的多媒体教育 (IBME) 培训计划，该计划面向社区机构和私人诊所的提供者，旨在学习如何实施 NYUCI 或更加熟练地为痴呆症患者的家庭护理人员提供咨询。认证和继续教育学分将成为该产品的一部分。培训请求数量过多，无法亲自及时满足。我们假设所提议的工作可以借助互联网提供有效的培训，从而有效地实现对 NYUCI 内容、协议和结果的保真度。我们将在第二年通过随机对照试验来检验这一假设，该试验将包括定量分析和定性评估，比较现场培训和使用成品的在线培训的结果。由于 NYUCI 确保为患有 ADRD 的家庭护理人员提供支持，因此拟议的 IBME 有可能改变 ADRD 家庭护理以及美国医疗保健系统，因为它可以向更多机构传播基于证据的 NYUCI 模型没有 IBME 格式。该项目的创新源于NYUCI本身的独特视野、多层次干预以及创造性地结合了研究者和其他关键人员在家庭护理、ADRD和IBME发展领域的专业经验。除了目前强大的商业潜力之外，该 IBME 还可以作为未来培训除 ADRD 以外的慢性病患者的护理支持提供者的模板。