Couples Managing Early-Stage Dementia: Mutual Influences on Daily Stress, Self-Care, and Well-Being

应对早期痴呆症的夫妇：对日常压力、自我护理和幸福感的相互影响

基本信息

批准号：
10220718
负责人：
Courtney A. Polenick
金额：
$ 12.85万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10220718
关键词：
Activities of Daily Living Adult Affect Aging Alzheimer&apos s disease related dementia Area Biological Buffers Caregiver Burden Caregivers Caring Cognition Cognitive Communities Complex Couples Data Dementia Early Diagnosis Early Intervention Elderly Family Family Caregiver Foundations Gender Goals Growth Health Hospitalization Hydrocortisone Incidence Individual Intervention K-Series Research Career Programs Knowledge Life Link Literature Measures Medical Mental Depression Mental Health Mentors Mentorship Methods Modeling Moods Morbidity - disease rate Outcome Pathway interactions Patient Self-Report Pattern Perception Personal Satisfaction Persons Prevalence Process Public Health Reporting Research Research Personnel Resources Risk Risk Factors Role Self Care Self Efficacy Services Severities Shapes Sleep Source Spouse Caregiver Spouses Stress Testing Time Training Translating Vulnerable Populations Wife Woman adverse outcome alpha-amylase biopsychosocial career caregiving clinical care coping dementia care design disability early awareness experience functional disability gender difference improved men negative affect novel preservation prevent programs protective factors psychosocial satisfaction skills stressor therapy design

项目摘要

PROJECT SUMMARY Alzheimer's disease and related dementias (ADRD) are an increasing public health concern, currently affecting over 5 million US adults and approximately 3 million of their spousal caregivers. This project extends research on caregiver stress and health outcomes to consider the relations among daily stress, self-care, and well-being within couples managing the early stages of ADRD, a potentially critical time window to preserve each care partner's well-being. There is growing recognition for the value of early intervention and self-care strategies among persons with ADRD and their caregivers, reflecting the urgency for greater awareness of early mutual influences within care dyads that inform interventions to maintain their optimal health and functioning. The proposed mentored career development award combines a rigorous program of research, mentorship, and didactics to facilitate the candidate's growth toward an overall career goal of becoming an independent investigator focused on informing the design of interventions for aging couples with complex care needs including ADRD to improve both partners' well-being. The training aims will assist the candidate in acquiring: 1) grounded knowledge of clinical care and educational needs for persons with ADRD and their spouses that will provide a foundation for translating research findings into targeted interventions; 2) specialized skills in the assessment, analysis, and interpretation of biomeasures of stress that are potential mechanisms linking the ADRD care situation to health and well-being; and 3) proficiency in the use of intensive repeated measures designs that will generate novel information on proximal risk and protective factors for poor outcomes within care dyads. The training aims seek to further develop the candidate's expertise as an interdisciplinary researcher in the area of later-life spousal caregiving relationships and align closely with the research aims to: 1) examine the links among own and partner reports of daily stressors, self-care, and well- being within care dyads; 2) determine the links among own and partner reports of daily stressors and biomeasures of stress within care dyads; and 3) identify which individuals and couples are more or less resilient to stress by evaluating how psychosocial resources (self-efficacy, dyadic coping, and marital quality) within dyads moderate the associations among daily stress, self-care, and well-being. The findings will yield key knowledge of everyday mutual influences on positive and negative outcomes among couples managing early-stage ADRD, informing targeted interventions to promote the well-being of both care partners.

项目概要阿尔茨海默病和相关痴呆（ADRD）是一个日益严重的公共卫生问题，目前影响超过 500 万美国成年人及其约 300 万配偶照顾者。该项目延伸对照顾者压力和健康结果的研究，考虑日常压力、自我护理和护理之间的关系管理 ADRD 早期阶段的夫妇的福祉，这是一个潜在的关键时间窗口关爱每个伙伴的福祉。人们越来越认识到早期干预和自我护理的价值 ADRD 患者及其护理人员的战略，反映出提高 ADRD 意识的紧迫性护理二人组中的早期相互影响为维持最佳健康状况的干预措施提供信息发挥作用。拟议的指导职业发展奖结合了严格的研究计划，指导和教学，以促进候选人的成长，实现成为一名独立调查员专注于为接受复杂护理的老年夫妇提供干预措施的设计包括 ADRD 在内的需求，以改善合作伙伴的福祉。培训目标将帮助候选人获得： 1) ADRD 患者及其患者的临床护理和教育需求的基础知识配偶将为将研究结果转化为有针对性的干预措施提供基础； 2）评估、分析和解释潜在的压力生物测量的专业技能将 ADRD 护理状况与健康和福祉联系起来的机制； 3）熟练使用密集重复的措施设计将产生有关贫困人口的近期风险和保护因素的新信息护理二元组内的结果。培训的目的是进一步发展候选人的专业知识晚年配偶照顾关系领域的跨学科研究人员，并与研究目的是：1）检查自己和伴侣的日常压力源、自我护理和健康状况报告之间的联系。处于护理二人组中； 2）确定自己和合作伙伴的日常压力源报告之间的联系护理二元组内压力的生物测量； 3）确定哪些个人和夫妇或多或少通过评估心理社会资源（自我效能、二元应对和婚姻质量）如何应对压力在二元组中，调节日常压力、自我保健和幸福感之间的关联。研究结果将产生夫妻管理中日常相互影响对积极和消极结果的关键知识早期 ADRD，告知有针对性的干预措施，以促进护理伙伴双方的福祉。