The Residential Care Transition Module

母研究摘要 关于家庭的重新安置和制度化的新研究发现，家庭并不脱离家庭， 在亲属入住长期护理机构后，应承担护理责任。家庭代替 继续参与各种护理活动，从日常生活的工具性活动到情感活动， 支持.也许是因为这些原因，一些研究指出，减轻压力，抑郁，或 其他关键结果保持稳定，有时在进入长期护理（RLTC）后增加， 某些类型的照顾者。一些干预措施试图增加家庭参与， 机构化，但没有严格的研究表明，这些干预措施是有效的， 族导航到RLTC环境的过渡。 住宿照顾过渡模块（RCTM）提供6个正式的咨询会议（一对一， 家庭会议），为期4个月，以那些家庭照顾者谁承认相对RLTC 设置.在这项随机对照试验中，接受认知障碍亲属的家庭成员， RLTC设置将随机分配给RCTM [（n = 120）]或常规护理对照条件[（n = 120）]。 混合方法分析将用于追求以下目标：具体目标1）评估 RCTM在统计学上显著降低了家庭成员的主要主观压力和消极影响。 心理健康结果;具体目标2）确定接受RCTM的家庭成员是否会 表明在12个月期间，与 常规护理对照;具体目标3）确定RCT家族成员是否报告统计学显著性 与日常护理对照组的家庭成员相比，住宿护理压力有所减少;以及 具体目标4）通过以下方式描述RCTM在高成功率和低成功率条件下的作用机制： 在12个月结束时“嵌入”定性成分（30次半结构化访谈） 评价拟议的项目将填补一个重要的临床和研究空白，通过评估心理社会 为RLTC安置后的家庭设计的干预措施，确定RCTM是否以及如何能够 帮助家庭更好地应对认知受损亲属的住宿护理过渡。

Parent Study Abstract Emerging research on family caregiving and institutionalization has found that families do not disengage from care responsibilities following relatives’ admissions to residential long-term care settings. Families instead remain involved in a spectrum of care activities ranging from instrumental activities of daily living to emotional support. Perhaps for these reasons, a number of studies have noted that caregiving stress, depression, or other key outcomes remain stable or sometimes increase following residential long-term care (RLTC) entry for certain types of caregivers. A few interventions have attempted to increase family involvement after institutionalization, but no rigorous studies have demonstrated that these interventions are effective in helping families navigate transitions to RLTC environments. The Residential Care Transition Module (RCTM) provides 6 formal sessions of consultation (one-to-one and family sessions) over a 4-month period to those family caregivers who have admitted a relative to a RLTC setting. In this randomized controlled trial, family members who have admitted a cognitively impaired relative to a RLTC setting will be randomly assigned to the RCTM [(n = 120)] or a usual care control condition [(n = 120)]. A mixed methods analysis will be used to pursue the following aims: Specific Aim 1) Assess whether the RCTM yields statistically significant reductions in family members’ primary subjective stress and negative mental health outcomes; Specific Aim 2) Determine whether family members who receive the RCTM will indicate statistically significant decreases in secondary role strains over a 12-month period when compared to usual care controls; Specific Aim 3) Determine whether RCTM family members report statistically significant decreases in residential care stress when compared to family members in the usual care control group; and Specific Aim 4) Delineate the mechanism of action of RCTM under conditions of high and low success by “embedding” qualitative components (30 semi-structured interviews) at the conclusion of the 12-month evaluation. The proposed project will fill an important clinical and research gap by evaluating a psychosocial intervention designed for families following RLTC placement that determines whether and how the RCTM can help families better navigate the residential care transitions of cognitively impaired relatives.