Peer-Led Problem-Solving Intervention for Family Caregivers

针对家庭护理人员的同伴主导的问题解决干预

• 批准号: 9054071
• 负责人: PATRICIA A. PARMELEE
• 金额: $ 21.1万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-01 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9054071
• 关键词: Address; Age; American; Caregiver well-being; Caregivers; Caring; Cessation of life; Data Collection; Development; Effectiveness; Elderly; Emotional; Family; Family Caregiver; Family member; Feedback; Feeling; Foundations; Frail Elderly; Frail Older Adults; Goals; Health; Healthcare Systems; Home environment; Hour; Household; Improve Access; In Vitro; Intervention; Knowledge; Left; Long-Term Care for Elderly; Longevity; Maintenance; Malignant Neoplasms; Mental Depression; Modeling; Personal Satisfaction; Persons; Physically Handicapped; Plague; Population; Probability; Problem Solving; Process; Professional counselor; Psyche structure; Public Health; Quality of Care; Randomized Controlled Trials; Research; Research Support; Resources; Risk; Role; Sampling; Schedule; Self Efficacy; Services; Solid; Staging; Stress; Stroke; Structure; System; Techniques; Testing; Time; Training; Training Programs; Traumatic Brain Injury; Work; Workplace; base; care burden; care recipients; caregiver interventions; caregiving; coping; cost; design; emotional distress; evidence base; experience; family caregiving; field study; improved; in vivo; informal care; innovation; intervention program; meetings; mortality; peer; peer support; physical conditioning; problem solving therapy; programs; prototype; psychoeducational; psychoeducational intervention; randomized trial; success; therapy design; therapy development; volunteer

DESCRIPTION (provided by applicant): This project will develop and pilot an accessible, feasible and sustainable one-on-one, peer-led problem-solving intervention for family caregivers (CGs) of frail older adults. Negative effects of care provision on CGs' mental and physical well-being, and even longevity, are well documented. Despite a growing number of supportive programs for CGs, few meet "real world" needs and limitations. This exploratory/developmental research addresses this gap by developing and testing an intervention designed specifically to circumvent known barriers to implementing supportive programs for family CGs. Specifically, we shall develop and pilot an evidence-based, peer support intervention that capitalizes on the expertise of persons who best know the demands of family caregiving-former CGs themselves. "Caregivers Help in Problem Solving" (CHIPS) will train persons who previously cared for an elder relative but have transitioned out of that role to deliver a semi-structured intervention to persons currently caring for an impaired elder relative. The intervention, based in concepts of problem-solving therapy and peer support, will be designed expressly to address problems of accessibility, feasibility and sustainability that have plagued previous interventions for family CGs. Importantly, we proposed to examine the beneficial impact of CHIPS upon well- being not just of current CGs receiving the intervention, but also of the former CGs who will serve as lay interventionists. The proposed work sets the stage for full-scale intervention by delineating CHIPS program content, identifying and resolving barriers to effective implementation, and testing feasibility of the program. Specific aims are: (1) to develop a comprehensive, problem-solving intervention for family CGs, including intervention materials based on stakeholder input and a manualized training program to prepare former CGs to be- come peer counselors for current CGs; (2) to establish feasibility of the prototype intervention in a small field pilot, and(3) to estimate its positive impact on CGs and PCs. These aims will be pursued in a 2-year project culminating in an evidence-based psychoeducational intervention that will train former CGs to implement a semi-structured, individualized problem-solving intervention for persons currently caring for an impaired elder relative. This research, a first step toward a full-scale randomized trial (RCT), comprises two primary activities: (1) intervention development based on existing knowledge, new data collection with CGs and practitioners, and input from a panel of experts in the field, and (2) a field test to document feasibility and recruitment process, and establish sampling and staffing pa- rameters for the RCT.

描述（由申请人提供）：该项目将为体弱老年人的家庭照顾者（CG）开发和试点一种易于获得、可行和可持续的一对一、同伴主导的问题解决干预措施。护理服务对 CG 的精神和身体健康，甚至寿命的负面影响都有据可查。尽管针对 CG 的支持计划越来越多，但很少能满足“现实世界”的需求和限制。这项探索性/发展性研究通过开发和测试专门为规避实施家庭 CG 支持计划的已知障碍而设计的干预措施来解决这一差距。具体来说，我们将开发和试点一种基于证据的同伴支持干预措施，利用最了解家庭护理人员（前CG）本身需求的人的专业知识。 “照顾者帮助解决问题”(CHIPS) 将培训以前照顾年长亲属但已不再担任该角色的人员，为目前照顾受损年长亲属的人提供半结构化干预。该干预措施以问题解决疗法和同伴支持的概念为基础，旨在解决困扰家庭 CG 先前干预措施的可及性、可行性和可持续性问题。重要的是，我们建议不仅要研究 CHIPS 对接受干预的现任 CG 的福祉的有益影响，还要研究将担任非专业干预专家的前 CG 的福祉。拟议的工作通过描述 CHIPS 计划内容、识别和解决有效实施的障碍以及测试该计划的可行性，为全面干预奠定了基础。具体目标是：（1）为家庭CG制定全面的、解决问题的干预措施，包括基于利益相关者意见的干预材料和帮助前CG成为现任CG的同伴辅导员的手动培训计划； (2) 确定原型干预在小型现场试点中的可行性，以及 (3) 评估其对 CG 和 PC 的积极影响。这些目标将在一个为期 2 年的项目中实现，最终形成基于证据的心理教育干预措施，该干预措施将培训前 CG 为目前照顾受损老年亲属的人员实施半结构化、个性化的问题解决干预措施。这项研究是全面随机试验 (RCT) 的第一步，包括两项主要活动：(1) 根据现有知识、CG 和从业人员收集的新数据以及该领域专家小组的意见制定干预措施(2) 现场测试，记录可行性和招聘流程，并为 RCT 建立抽样和人员配置参数。