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.

项目摘要 该职业发展奖将为申请人（Alyssa feekley，PhD）提供必要的培训， 知识和经验过渡到独立研究职业。 Feamley博士的整体职业目标是 开发和验证可访问和创新的基于技术的干预措施，每天改善 在阿尔茨海默氏病和相关痴呆症（ADRD）的个体中发挥作用 非正式家庭护理人员以及护理二元的关系/纽带。 Feamley博士将朝着这个目标建立 通过（1）方法识别利益相关者（即护理人员，护理接收者）的培训和心理 关于技术使用，采用和依从性； （2）发展包容性（就种族/种族而言）和 可访问的（就技术熟悉性而言）护理人员干预； （3）随机对照试验（RCT） 行为干预； （4）多学科团队的领导和基于技术的数据 管理。在这四个领域获得专家指导的培训将为Feamley博士提供 拟议研究项目的重点，完成三项研究目标的知识和技能。这些目标 包括（1）识别方法来帮助认知受损的护理接收者和远程护理人员参与 通过利益相关者焦点小组进行技术； （2）通过利益相关者共同设计迭代适应和完善 以及参与研究方法，一种干预措施，促进使用和整合远程护理 日常生活中基于Web的工具（Interactive-Care（I-Care））； （3）实施一个飞行员RCT检查 仅相对于基本的I-Care培训，I-CARE目标干预的可行性和可接受性。 拟议的研究很重要，因为它将创新的远程护理人员与利益相关者结合在一起 参与以开发和测试一种新颖的干预措施，旨在改善护理接收者的结果， 护理人员及其二元关系。据申请人所知，没有研究使用共同设计 封装远程护理人员和护理接收器需求的技术培训方法。结果将服务 作为一项R01研究的试验数据，该数据进一步研究了最强大，可扩展和可访问的方法 改善ADRD和护理人员老年人的功能结果。完成她的研究和 培训目的，Fearpley博士将利用现有的资源在大学的三个中心拥有专业知识 加利福尼亚戴维斯：国家老龄化研究所为健康衰老的阿尔茨海默氏病研究中心 在数字世界倡议和家庭护理学院。这些资源以及心理 团队对Feamley博士的研究计划的坚定承诺将为Feamley博士提供丰富 无疑将帮助她实现职业发展目标的环境。