Caregiver Wellness after Traumatic Brain Injury (CG-WELL): An Intervention Designed to Promote Well-being in Caregivers of Acute Moderate to Severe Traumatic Brain Injuries

创伤性脑损伤后护理人员的健康 (CG-WELL)：旨在促进急性中度至重度创伤性脑损伤护理人员健康的干预措施

• 批准号: 10215077
• 负责人: Natalie Kreitzer
• 金额: $ 17.18万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10215077
• 关键词: Active Learning; Active Listening; Acute; Address; Adult; Affect; Award; Caregiver well-being; Caregivers; Caring; Characteristics; Chronic; Climacteric; Complex; Consensus; Control Groups; Coupled; Data; Distal; Education; Educational workshop; Enrollment; Face; Family; Family Caregiver; Family member; Feedback; Foundations; Friends; Future; Goals; Health; Injury; Intensive Care Units; Intervention; Knowledge; Measures; Mental Depression; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Modeling; Nervous System Trauma; Nurses; Outcome; Parents; Patients; Personal Satisfaction; Persons; Phase III Clinical Trials; Positioning Attribute; Preparation; Problem Solving; Provider; Psychologist; Psychosocial Factor; Publishing; Randomized; Randomized Controlled Trials; Recording of previous events; Recovery; Reporting; Research; Research Personnel; Resources; Risk Factors; Role; Severities; Social Distance; Social Workers; Spouse Caregiver; Survivors; Systems Theory; Telephone; Testing; Time; TimeLine; Training; Training Activity; Transportation; Traumatic Brain Injury; Universities; Work; base; biopsychosocial; career; caregiver education; caregiver interventions; caregiving; cohort; contextual factors; coping; depressive symptoms; disability; efficacy testing; experience; feasibility testing; follow-up; health related quality of life; improved; improved outcome; innovation; nervous system disorder; novel; online intervention; pediatric traumatic brain injury; phase III trial; primary outcome; psychosocial; recruit; response; satisfaction; skills; symposium; symptomatic improvement; therapy design; trend; usability

Project Description / Abstract: My long-term career goal is to improve caregiver and patient dyad outcomes by developing family- centered psychosocial interventions that enhance education, support, and skill-building in caregivers of moderate to severe traumatic brain injury (msTBI) survivors. The training activities in my K23 proposal include: (1) mentored experiential learning; (2) seminars, workshops, and conferences; (3) didactic coursework; and (4) skills developed by completing the study aims. Training will be overseen by my Primary Mentor (Opeolu Adeoye, University of Cincinnati (UC)), and Co-Mentors (Tamilyn Bakas, UC; Shari Wade, UC; Brad Kurowski, UC). Additional training will be obtained by working with Collaborators (Heidi Sucharew and Paula Shear, UC; and Carrie Collier, Bowen Family Systems Theory Research Group). My research will test Caregiver Wellness after TBI (CG-Well), a skill-building, education, and support intervention I have developed. I will be prepared to submit an R01 for a large Phase III clinical trial at the completion of the K23 award. After injury, survivors of msTBI depend on informal family caregivers. Upwards of 77% of family caregivers experience poor outcomes, such as adverse life changes, poor health related quality of life, and increased depressive symptoms. Caregivers frequently report minimal support or training to prepare them for their new role. Periods of care transitions, such as ICU discharge, are most difficult. The majority (93%) of previously developed caregiver and caregiver/survivor dyad interventions after msTBI focus on providing information or practical skills to either survivors, or to long-term caregivers (>6 months post injury), rather than education, support, and skill-building that the new caregiver may use proactively that will benefit the dyad acutely after injury. The Aims of this proposal are to: (1) Determine feasibility, satisfaction, and data trends of CG-Well; and (2) Understand how baseline psychosocial risk factors affect response to CG-Well compared to an Information, Support, and Referral control group. To accomplish this, I will first enroll 6-10 caregivers and tailor CG-well until each finds the intervention acceptable, appropriate, and feasible. I will then enroll 100 (50/group) dyads and determine satisfaction ratings, recruitment, retention, and treatment fidelity of CG-Well. Additionally, I will determine if caregivers report reductions in depressive symptoms and improvements in life changes as a result of improvements in task difficulty and threat appraisal in CG-Well compared to ISR at six months. Information obtained in Aims 1 and 2 will be used to plan a larger Phase III trial of CG-Well. Completing these Aims and the training plan will improve outcomes of caregivers and downstream outcomes of survivors of msTBI, and provide me with the skillset necessary to become an independent researcher who can develop and test high-impact, high-fidelity, sustainable interventions.

项目描述/摘要： 我的长期职业目标是通过发展家庭关系来改善护理人员和患者的二人结果 以社会心理干预为中心，加强对照顾者的教育、支持和技能建设 中度至重度创伤性脑损伤 (msTBI) 幸存者。我的 K23 提案中的培训活动包括： (1) 指导式体验式学习； (2) 研讨会、讲习班和会议； (3) 教学课程；和（4） 通过完成学习目标而发展的技能。培训将由我的主要导师（Opeolu Adeoye，辛辛那提大学 (UC)）和共同导师（Tamilyn Bakas，UC；Shari Wade，UC；Brad Kurowski， 加州大学）。通过与合作者（Heidi Sucharew 和 Paula Shear，加州大学； 和 Carrie Collier，Bowen 家庭系统理论研究小组）。我的研究将测试看护者的健康 TBI（CG-Well）之后，我开发了一项技能培养、教育和支持干预措施。我会做好准备 在 K23 奖项完成后提交 R01 进行大型 III 期临床试验。 受伤后，多发性脑损伤的幸存者依赖非正式的家庭照顾者。 77%以上的家庭 护理人员经历不良结果，例如不利的生活变化、与健康相关的生活质量差，以及 抑郁症状增加。护理人员经常报告说，为他们准备的支持或培训很少 他们的新角色。护理过渡期（例如出院 ICU）是最困难的。大多数（93%） 先前在 MSTBI 后开发的照顾者和照顾者/幸存者二元干预措施重点是提供 向幸存者或长期护理人员（受伤后 6 个月以上）提供信息或实用技能，而不是 新护理人员可以主动使用的教育、支持和技能建设，这将使夫妻双方受益 受伤后急性。该提案的目的是： (1) 确定可行性、满意度和数据趋势 CG-嗯； (2) 了解基线心理社会风险因素如何影响对 CG-Well 的反应 信息、支持和推荐控制组。为了实现这一目标，我将首先招募 6-10 名护理人员， 调整 CG 直到每个人都认为干预措施可以接受、适当且可行。然后我会报名100个 （50/组）二元组并确定 CG-Well 的满意度、招募、保留和治疗保真度。 此外，我将确定护理人员是否报告抑郁症状减轻和生活改善 与 6 级 ISR 相比，CG-Well 中任务难度和威胁评估的改进导致了变化 几个月。目标 1 和目标 2 中获得的信息将用于计划更大规模的 CG-Well III 期试验。 完成这些目标和培训计划将改善护理人员的成果和下游成果 msTBI 幸存者的研究，并为我提供成为一名独立研究员所需的技能 可以开发和测试高影响力、高保真度、可持续的干预措施。