Dementia Caregiver Rehabilitation: Enhancing Veteran and Family-Centered Care

痴呆症护理人员康复：加强退伍军人和以家庭为中心的护理

• 批准号: 9016454
• 负责人: Blake K. Scanlon
• 金额: --
• 依托单位: VETERANS ADMIN PALO ALTO HEALTH CARE SYS
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9016454
• 关键词: Address; Age; Aging; Alzheimer' s Disease; Award; Behavioral Symptoms; Caregiver Burden; Caregivers; Caring; Characteristics; Clinic; Clinical; Clinical Investigator; Clinical Nurse Specialists; Clinical Research; Clinical Trials; Cognitive; Communities; Cox Proportional Hazards Models; Data Analyses; Dementia; Demographic Factors; Diagnostic; Education; Educational Materials; Elderly; Environment; Family; Family Caregiver; Future; Goals; Healthcare Systems; Home visitation; House Call; Impaired cognition; Individual; Intervention; Lead; Left; Life; Life Expectancy; Long-Term Care; Longevity; Medical center; Mental Depression; Mental Health; Mental disorders; Mentors; Mentorship; Methods; Modality; Nerve Degeneration; Neurobehavioral Manifestations; Neurodegenerative Disorders; Nursing Homes; Outcome; Patients; Psychiatrist; Psychologist; Quality of life; Randomized; Rehabilitation therapy; Research; Research Infrastructure; Resources; Scientist; Severities; Socioeconomic Status; Techniques; Technology; Testing; Time; Training; Translating; Translational Research; Translations; Veterans; care burden; career; caregiving; coping; cost; depressive symptoms; design; experience; follow-up; group intervention; improved; innovation; intervention effect; mortality; neurodegenerative dementia; novel strategies; post intervention; programs; public health relevance; rehabilitation management; rural area; skills; telehealth; therapy design; treatment as usual

DESCRIPTION: This is an application for a CDA-2 award for Dr. Blake Scanlon, an aging/dementia fellow in the Sierra- Pacific Mental Illness Research, Education, and Clinical Center (MIRECC) at the VA Palo Alto Health Care System. Dr. Scanlon is establishing himself as a clinician-scientist who conducts Veteran- and family- centered clinical research on dementia and neurodegenerative disease. This CDA-2 award will provide Dr. Scanlon with the support and mentorship necessary to achieve the following goals: 1) develop Dr. Scanlon's skills in rehabilitative intervention; 2) enhance his training in clinical trials and translational science; 3) augment his basic skills in longitudinal data analysis with more advanced methodological training; 4) expand his expertise to include the provision of education and skill-building through advancing technologies including video telehealth; and 5) provide Dr. Scanlon the necessary training opportunities and mentorship to develop as an independent clinical investigator in VA. To accomplish these goals, Dr. Scanlon has gathered a mentoring team that includes one primary mentor: Dr. Jerome Yesavage (a geriatric psychiatrist and renowned expert in cognitive and psychiatric functioning across the lifespan); two co-mentors: Dr. Joy Taylor (a cognitive psychologist and expert in the trajectory of cognitive decline) and Dr. Lisa Kinoshita (a clinical neuropsychologist with expertis in the assessment and treatment of cognitive and behavioral symptoms in dementia); and three consultants: [[Dr. Mary Mittelman (an internationally renowned expert in dementia caregiver intervention)]], Dr. Booil Jo (a biostatistician with expertise in design/analysis of clinical trias, longitudinal data analysis, and missing data analysis), and Ms. Betty Wexler (a clinical nurse specialist with expertise in dementia and family caregiving). The proposed project studies the effects of an education and skill-building rehabilitation intervention, designed to be low-cost and clinically translatable through video telehealth, on family caregivers of Veterans with dementia. Intervention effects will be examined longitudinally at six, 12, and 24 months post-intervention. Dr. Scanlon will use advanced statistical techniques to determine the impact of the intervention on: quality of life in caregivers of Veterans with dementia (Primary Aim 1), depressive symptoms in caregivers (Secondary Aim 2), and community tenure, time to long-term care placement, and survival (Secondary Aim 3). The proposed study will utilize the infrastructure of the MIRECC to investigate this innovative method of caregiver intervention. This award would create an ideal environment where Dr. Scanlon could wholly focus his time on Veteran- and family-centered clinical research and would enable him to pursue his long-term career objective: developing a fully independent research program investigating low-cost, pragmatic and clinically translatable methods for improving rehabilitation and management of neurodegenerative disease and dementia.

描述： 这是 Blake Scanlon 博士的 CDA-2 奖项申请，他是 VA Palo Alto 医疗保健系统 Sierra-Pacific 精神疾病研究、教育和临床中心 (MIRECC) 的老年/痴呆研究员。斯坎伦博士正在将自己打造成一名临床医生科学家，从事以退伍军人和家庭为中心的痴呆症和神经退行性疾病临床研究。该 CDA-2 奖项将为 Scanlon 博士提供实现以下目标所需的支持和指导： 1) 培养 Scanlon 博士在康复干预方面的技能； 2）加强临床试验和转化科学方面的培训； 3）通过更先进的方法培训增强纵向数据分析的基本技能； 4) 扩大他的专业知识，包括通过视频远程医疗等先进技术提供教育和技能建设； 5) 为 Scanlon 博士提供必要的培训机会和指导，使其成为 VA 的独立临床研究者。为了实现这些目标，斯坎伦博士组建了一个指导团队，其中包括一位主要导师：Jerome Yesavage 博士（一位老年精神病学家，一生中认知和精神功能方面的著名专家）；两位共同导师：Joy Taylor 博士（认知心理学家、认知衰退轨迹专家）和 Lisa Kinoshita 博士（临床神经心理学家，擅长评估和治疗痴呆症认知和行为症状）；和三名顾问：[[Dr. Mary Mittelman（国际知名的痴呆症照护者干预专家）]]、Booil Jo 博士（生物统计学家，擅长临床试验设计/分析、纵向数据分析和缺失数据分析）和 Betty Wexler 女士（临床试验）具有痴呆症和家庭护理专业知识的护士专家）。拟议的项目研究教育和技能建设康复干预措施的影响，旨在低成本和 可通过视频远程医疗对患有痴呆症的退伍军人的家庭护理人员进行临床转化。干预效果将在干预后 6、12 和 24 个月进行纵向检查。 Scanlon 博士将使用先进的统计技术来确定干预措施对以下方面的影响：患有痴呆症的退伍军人的护理人员的生活质量（主要目标 1）、护理人员的抑郁症状（次要目标 2）以及社区保有权、长期护理时间。长期护理安置和生存（次要目标 3）。拟议的研究将利用 MIRECC 的基础设施来研究这种护理人员干预的创新方法。该奖项将创造一个理想的环境，使斯坎伦博士可以将他的时间完全集中在以退伍军人和家庭为中心的临床研究上，并使他能够追求他的长期职业目标：开发一个完全独立的研究项目，调查低成本、务实的研究以及用于改善神经退行性疾病和痴呆症康复和管理的临床可转化方法。