A stakeholder derived intervention to enhance technology engagement and reduce the emotional divide in distance caregiving of older adults with cognitive impairment

利益相关者衍生的干预措施，旨在提高技术参与度并减少对患有认知障碍的老年人进行远程护理时的情感鸿沟

• 批准号: 10572911
• 负责人: Alyssa Mae Weakley
• 金额: $ 18.24万
• 依托单位: UNIVERSITY OF CALIFORNIA AT DAVIS
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-15 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10572911
• 关键词: Address; Adherence; Adoption; Agreement; Alzheimer' s Disease; Alzheimer' s disease related dementia; American; Appointment; Area; Behavior Therapy; Calendar; California; Caregivers; Caring; Child Rearing; Clinical; Couples; Data; Database Management Systems; Development; Doctor of Philosophy; Education; Elderly; Emotional; Emotional Bonds; Employment; Encapsulated; Enhancement Technology; Ethnic Origin; Exercise; Familiarity; Family Caregiver; Family member; Focus Groups; Funding; Future; Goals; Habits; Health; Home; Home Page; Impaired cognition; Individual; Intervention; Interview; K-Series Research Career Programs; Knowledge; Leadership; Life; Long-Term Care; Medication Management; Memory; Mentors; Mentorship; Methods; Modification; National Institute on Aging; Outcome; Participant; Persons; Positioning Attribute; Race; Randomized, Controlled Trials; Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Role; Sampling; Schedule; Series; Services; Techniques; Technology; Testing; Training; Universities; Work; acceptability and feasibility; asynchronous communication; care recipients; career; career development; caregiver interventions; caregiving; cognitive rehabilitation; design; digital; environmental enrichment for laboratory animals; evidence base; experience; family caregiving; functional improvement; healthy aging; improved; improved outcome; in-home care; innovation; innovative technologies; multidisciplinary; novel; primary caregiver; programs; psychosocial; remote health care; satisfaction; skills; technology training; therapy design; tool; uptake; web platform; web-based tool

Project Summary This career development award will provide the applicant (Alyssa Weakley, PhD) with the necessary training, knowledge, and experience to transition to an independent research career. Dr. Weakley’s overall career goal is to develop and validate accessible and innovative technology-based interventions that improve everyday functioning in individuals with Alzheimer’s disease and related dementias (ADRD), caregiving needs of informal family caregivers, and the relationship/bond of the care dyad. Dr. Weakley will build toward this goal with training and mentorship in (1) methods for identifying stakeholder (i.e., caregiver, care receiver) needs regarding technology use, adoption, and adherence; (2) developing inclusive (in terms of race/ethnicity) and accessible (in terms of technology familiarity) caregiver interventions; (3) randomized controlled trials (RCTs) of behavioral interventions; and (4) multidisciplinary team leadership and technology-based data management. Training aided by expert mentorship in these four areas will provide Dr. Weakley with the knowledge and skills to complete three research aims, the focus of the proposed research project. These aims include (1) identifying approaches to help cognitively impaired care receivers and distance caregivers engage with technology via stakeholder focus groups; (2) iteratively adapt and refine, through stakeholder co-design and participatory research methods, an intervention that facilitates use and integrates a remote caregiving web-based tool (Interactive-Care (I-CARE)) into everyday life; and (3) implementing a pilot RCT examining the feasibility and acceptability of the I-Care target intervention relative to basic I-Care training alone. The proposed research is significant because it couples innovative remote caregiver technology with stakeholder engagement to develop and test a novel intervention designed to improve outcomes for care receivers, caregivers, and their dyadic relationship. No research, to the applicant’s knowledge, has utilized a co-design approach for technology training that encapsulates remote caregiver and care receiver needs. Results will serve as pilot data for an R01 study that further investigates the most robust, scalable, and accessible approaches to improving functional outcomes in older adults with ADRD and caregivers. To complete her research and training aims, Dr. Weakley will leverage existing resources with expertise at three centers at University of California Davis: National Institute on Aging funded Alzheimer’s Disease Research Center, the Healthy Aging in a Digital World initiative, and the Family Caregiving Institute. These resources, along with the mentoring team’s strong commitment to Dr. Weakley’s research program, will provide Dr. Weakley with an enriched environment that will undoubtedly help her achieve her career development goals.

项目概要 该职业发展奖将为申请人（Alyssa Weakley 博士）提供必要的培训， 威克利博士的总体职业目标是过渡到独立研究职业的知识和经验。 开发和验证可访问且基于创新技术的干预措施，以改善日常状况 阿尔茨海默病和相关痴呆症 (ADRD) 患者的功能、护理需求 非正式的家庭护理人员以及护理二人组的关系/纽带将朝着这一目标建立。 在 (1) 识别利益相关者（即照顾者、被照顾者）需求的方法方面提供培训和指导 (2) 发展包容性（就种族/民族而言）和 （就技术熟悉程度而言）护理人员干预措施；（3）随机对照试验（RCT） 行为干预；(4) 多学科团队领导和基于技术的数据 在这四个领域的专家指导下进行的培训将为 Weakley 博士提供以下能力： 完成三个研究目标的知识和技能，即所提出的研究项目的重点。 包括 (1) 确定帮助认知障碍护理接受者和远程护理者参与的方法 (2) 通过利益相关者共同设计，迭代调整和完善 和参与性研究方法，一种促进使用和整合远程护理的干预措施 基于网络的工具（Interactive-Care (I-CARE)）融入日常生活；(3) 实施一项试点随机对照试验（RCT），检查 I-Care 目标干预相对于单独的基本 I-Care 培训的可行性和可接受性。 拟议的研究意义重大，因为它将创新的远程护理技术与利益相关者结合起来 参与开发和测试旨在改善被护理者的结果的新型干预措施， 据申请人所知，没有研究利用过协同设计。 包含远程护理人员和被护理人员需求的技术培训方法将得到满足。 作为 R01 研究的试点数据，该研究进一步调查了最稳健、可扩展且易于访问的方法 改善患有 ADRD 的老年人和护理人员的功能结果以完成她的研究和 为了实现培训目标，Weakley 博士将利用伦敦大学三个中心的现有资源和专业知识 加州戴维斯：国家老龄化研究所资助的阿尔茨海默病研究中心，健康老龄化 数字世界倡议和家庭护理研究所提供这些资源以及指导。 团队对 Weakley 博士研究计划的坚定承诺，将为 Weakley 博士提供丰富的 这无疑将帮助她实现职业发展目标。