A Novel Technology to Disseminate WOOP (Wish, Outcome, Obstacle, Plan) to Dementia Caregivers

向痴呆症护理人员传播 WOOP（愿望、结果、障碍、计划）的新技术

基本信息

批准号：
10760438
负责人：
Donna B Fedus
金额：
$ 19.19万
依托单位：
BORROW MY GLASSES, LLC
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-30 至 2025-02-28
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10760438
关键词：
Achievement Address Adult Age Alzheimer&apos s Disease Alzheimer&apos s disease related dementia American Articulation Behavior Books Businesses Caregiver Burden Caregivers Caring Communities Complex Country Dementia Dementia caregivers Development E-learning Education Educational process of instructing Effectiveness Emotional Evidence based treatment Family Caregiver Gender General Population Gerontology Glass Goals Health Health Professional Healthcare Systems Individual Informal Social Control Institution Interpersonal Relations Intervention Language Learning Left Life Literature Long-Term Care for Elderly Managed Care Medical Methods Modification Online Systems Outcome Personal Satisfaction Persons Phase Population Positioning Attribute Psyche structure Psychologist Public Health Public Health Schools Quality of life Race Randomized, Controlled Trials Readiness Research Research Design Research Institute Research Personnel Role Site Small Business Technology Transfer Research Social Workers Specific qualifier value Spouse Caregiver Technology Testing Time Translating Universities Woman Work care recipients career caregiving commercialization depressive symptoms design effectiveness testing empowerment experience human centered design human old age (65+)implementation barriers implementation science improved innovation new technology perceived stress phase 1 study positive emotional state prototype social stress reduction teacher telephone coaching trend usability web site

项目摘要

1 Approximately 6.5 million Americans aged 65 and older live with dementia, supported by more than 11 million 2 unpaid family caregivers. These numbers are projected to rise exponentially in the coming decades fueling the 3 need to develop scalable ways to support dementia caregivers. The need to empower dementia caregivers to 4 continue providing care while maintaining their own health and well-being is recognized in public health 5 literature and in Strategy 3.B of the National Plan to Address Alzheimer's Disease. While effective caregiver 6 interventions exist, significant implementation barriers also exist. Many interventions have not been translated 7 for widespread use. Most require delivery by time-strapped healthcare professionals, which is problematic 8 given eldercare workforce shortages and medical delegation trends. The upshot is family caregivers are 9 typically left unsupported to determine ways to manage complex care while maintaining their own well-being. 10 One way to improve the capacity of dementia caregivers to manage caregiving responsibilities and bolster their 11 well-being is by pinpointing where they have control and where to focus efforts to attain their wishes or goals. A 12 brief, easy to learn 4-step intervention called Wish, Outcome, Obstacle, Plan (WOOP) does just that. WOOP is 13 a strategy that helps individuals set challenging but attainable goals and focus on internal obstacles over which 14 they have control. This helps them persist in goal-directed behavior, improving the likelihood they will attain the 15 wish or goal. WOOP, known scientifically as Mental Contrasting with Implementation Intentions (MCII), has 16 been rigorously developed over 20 years, translated into multiple languages, and used effectively in more than 17 100 countries worldwide across multiple domains such as career achievement, health, and interpersonal 18 relations. Recent preliminary work demonstrated WOOP to be effective for dementia caregivers. In a 19 randomized controlled trial, dementia caregivers taught to use WOOP via in-person one-on-one sessions and 20 phone coaching experienced reduced stress, reduced depressive symptoms, and increased positive emotions 21 and quality of life. What remains unknown is whether tailoring WOOP for dementia caregivers and delivering it 22 to groups via novel technology is feasible and effective. In this effort, Borrow My Glasses, a gerontology 23 education company and woman owned small business teams with research institute Yale University and 24 consultants including the developer of WOOP, healthcare professionals, and others with lived experience as 25 dementia caregivers. SPECIFIC AIMS: This STTR Phase I proposal uses human centered design to AIM 1: 26 translate WOOP into a novel technology prototype tailored to the needs of dementia caregivers and test it for 27 usability. AIM 2: conduct iterative proof-of-concept testing to evaluate the appropriateness, acceptability, 28 feasibility, and perceived benefit of disseminating WOOP to groups of dementia caregivers via web-based e- 29 learning technology. Overall feasibility in Phase 1 will inform a randomized controlled trial in Phase 2 to further 30 tailor the design, strategy, and readiness to scale WOOP for Dementia Caregivers commercially.

1大约650万65岁及以上的美国人患有痴呆症，超过1100万 2个无薪家庭护理人员。这些数字预计将在未来几十年中成倍增长，从而加剧 3需要开发可扩展的方法来支持痴呆症护理人员。需要使痴呆症照顾者能够 4继续提供护理，同时保持自己的健康和福祉在公共卫生中得到认可 5文献和战略3.b国家计划解决阿尔茨海默氏病。同时有效的照料者 6存在干预措施，还存在重大的实施障碍。许多干预措施尚未翻译 7用于广泛使用。大多数需要按时间短暂的医疗保健专业人员交付，这是有问题的 8鉴于老年人保健员工短缺和医疗代表团趋势。结果是家庭护理人员 9通常没有支持，以确定在保持自己的福祉的同时管理复杂护理的方法。 10一种提高痴呆症护理人员管理护理责任并增强其能力的一种方法 11幸福是通过指出他们的控制权以及集中精力来实现自己的愿望或目标的何处。一个 12简介，易于学习的4步干预称为愿望，结果，障碍，计划（Woop）就是这样做的。 woop是 13一种帮助个人设定具有挑战性但可实现的目标并专注于内部障碍的策略 14他们有控制权。这有助于他们坚持目标指导的行为，提高他们将获得的可能性 15愿望或目标。 Woop在科学上被称为与实施意图的心理对比（MCII），已有 16多年来经过20年的严格发展，被翻译成多种语言，并有效地用于全球1700个国家 /地区跨多个领域，例如职业成就，健康和人际关系 18关系。最近的初步工作证明Woop对痴呆症护理人员有效。在 19随机对照试验，痴呆症护理人员教导通过一对一的会议使用Woop 20个电话指导会减轻压力，减轻抑郁症状和增加积极情绪 21和生活质量。仍然未知的是为痴呆症护理人员量身定制Woop并提供 22通过新技术到小组是可行和有效的。在这种努力中，借我的眼镜，一种老年医学 23教育公司和妇女拥有耶鲁大学研究所的小型企业团队， 24名顾问包括Woop的开发人员，医疗保健专业人员以及其他具有生活经验的顾问 25个痴呆症护理人员。具体目的：该STTR I期建议使用以人为中心的设计目标1： 26将Woop转化为一种针对痴呆症护理人员需求的新型技术原型，并测试 27可用性。目标2：进行迭代概念证明测试以评估适当性，可接受性， 28可行性，以及通过基于网络的电子 29学习技术。第1阶段的总体可行性将告知第2阶段的随机对照试验，以进一步 30根据商业上的痴呆症护理人员量身定制设计，策略和准备。