Caregiver Telephone Assessment and Skill-Building Kit

护理人员电话评估和技能培养套件

• 批准号: 6703009
• 负责人: TAMILYN BAKAS
• 金额: $ 9.01万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6703009
• 关键词: aging; behavioral /social science research tag; caregivers; chronic disease /disorder; clinical research; coping; depression; family nursing; human subject; nursing intervention; nursing research; stress; stress management; stroke; telecommunications

Stroke is the number one cause of serious, long-term disability in the United States, with most stroke survivors under the care of family members. Family caregivers are at risk for depression, psychosocial impairments, and mortality as a result of providing care. The lack of necessary skills is hypothesized to play a key role in negative caregiver outcomes. The ultimate career goal of the applicant is to become an independent investigator developing and evaluating intervention programs aimed at improving outcomes of family caregivers in chronic illness. Through a structured training plan consisting of formal coursework, workshops, conferences, and close mentoring by seasoned nurse researchers, the K01 Mentored Research Scientist Award will provide the applicant with the opportunity to develop and pilot-test the Telephone Assessment and Skill-building Kit (TASK), an individualized 8-week intervention program geared toward reducing depression and improving general health in stroke caregivers. Specific aims of the research plan are to: (a) gather evidence of content validity (accuracy, clinical feasibility, and theoretical relevance) for the TASK program components from experts, (b) gather evidence of the accuracy, feasibility, and acceptability of the TASK intervention program and the attention control group content from 6 family caregivers, and (c) conduct a pilot study with 46 caregivers randomized either to the intervention or attention control group to explore the effectiveness of the TASK intervention in enhancing stroke caregiver outcomes. The intervention will be guided by a conceptual model derived from Lazarus' theory of stress and coping and Mishers theory of uncertainty in illness. Caregiver outcomes will be measured at baseline (1-2 weeks after the stroke survivor is discharged home), and again at 4, 8, and 12 weeks after baseline. Findings will serve as preliminary data for an RO1 application to test the effectiveness of the TASK program in a large randomized clinical trial.

中风是美国严重，长期残疾的第一大原因，大多数中风幸存者在家庭成员的照顾下。由于提供护理，家庭护理人员面临抑郁症，社会心理障碍和死亡率的风险。假设缺乏必要的技能可以在负面照顾者的结果中发挥关键作用。申请人的最终职业目标是成为一名独立的研究人员，开发和评估旨在改善慢性疾病家庭护理人员结果的干预计划。通过经验丰富的护士研究人员的正式课程，研讨会，会议和密切指导的结构化培训计划，K01指导研究科学家奖将为申请人提供开发和试验电话评估和技能建设套件（任务）的机会，该工具包（任务）是一个个性化的8周干预计划 减少抑郁症并改善中风护理人员的一般健康。研究计划的具体目的是：（a）收集有关专家的任务计划组件的内容有效性（准确性，临床可行性和理论相关性）的证据，（（b）收集证据，（b）收集证据的证据证据，任务干预计划的准确性，可行性和可接受性以及6个家庭护理人员的注意事项，以及（c）对46护理人员的效率进行启用或（c）进行46个护理人员的效率（c）干预增强中风护理人员的结果。干预措施将以源自拉撒路的压力和应对理论以及疾病不确定性理论的概念模型来指导。护理人员的结果将在基线时测量 中风幸存者已出院），在基线后4、8和12周再次出院。调查结果将作为RO1应用程序的初步数据，以测试大型随机临床试验中任务程序的有效性。