RANDOMIZED INTERVENTION FOR FAMILIES OF PERSONS WITH DAT

对 DAT 患者家属的随机干预

• 批准号: 2257090
• 负责人: SHARON K OSTWALD
• 金额: $ 13.1万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-08-01 至 1996-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2257090
• 关键词: Alzheimer's disease; behavior modification; caregivers; coping; dementia; family; home health care; human subject; patient care management; psychological stressor; social behavior; social perception; social support network

Alzheimer's disease claims more than one victim: Family members who provide care for persons with dementia experience serious negative impacts in the areas of physical and psychological health and social functioning. Dementia-related behavior problems, including caregiver's subjective inability to attribute problem behaviors to the disease and their over-appraisal of care-recipients' abilities to control them, contribute substantially to these impacts. The accumulated stresses of the objective burdens of providing care and bearing the costs of maintaining the person with dementia of the alzheimer's type (DAT), extended social isolation, and lack of family support further contribute to the negative impacts. This three year project proposes to test the effectiveness of a randomized inter-disciplinary, family systems-based, non-pharmacological and psychoeducational intervention on 140 families of persons with dementia of the Alzheimer's type. The goal of the program is to decrease the caregivers' perceptions of behavior problems in persons with DAT and to decrease the depression experienced by caregivers. We postulate that the way a family perceives and organizes around the dementing disorder of a member affects the strain the primary caregivers experience, the behavior of the care-recipient (as judged by the caregiver), and the depression experienced by the primary caregiver. This intervention focuses on increasing the concordance of a family's understanding of Alzheimer's disease, enhancing their understanding and skill in the management of behavior problems and increasing the family's support for the primary caregiver and person with DAT. The preliminary study demonstrated that it is feasible to implement the family intervention and desired outcomes can be obtained. The design of this study will test whether the desired outcomes are attributable to the intervention. Repeated measures ANCOVA will be used to test for Group X Time effects.

阿尔茨海默氏病声称多个受害者：家庭成员 为患有痴呆症患者提供严重负面的护理 身体和心理健康和社会领域的影响 功能。 与痴呆相关的行为问题，包括护理人员 主观无法将问题行为归因于疾病和 他们对照顾人控制它们的能力的过度关注， 为这些影响做出了基本贡献。 积累的应力 提供护理和承担成本的客观负担 维持患有阿尔茨海默氏症类型（DAT）的痴呆症的人， 扩展社会隔离和缺乏家庭支持进一步贡献 负面影响。 这个三年的项目建议测试 随机跨学科，基于家庭系统的有效性， 对140个家庭的非药理学和心理教育干预 患有阿尔茨海默氏症痴呆症的人。 目标的目标 计划是减少看护者对行为问题的看法 在患有DAT的人身上，减少抑郁症 照顾者。 我们假设家庭感知和组织的方式 在成员的痴呆症周围影响主要的菌株 照顾者的经验，护理人员的行为（根据 护理人员）以及主要照顾者的沮丧。 这种干预重点是增加家庭的一致性 了解阿尔茨海默氏病，增强他们的理解和 在管理行为问题和增加家庭的技能方面的技能 支持主要护理人员和患有DAT的人。 初步 研究表明，实施家庭是可行的 可以获得干预和期望的结果。 这个设计 研究将测试期望的结​​果是否归因于 干涉。 重复措施ANCOVA将用于测试组 X时间效果。