Supplement to: HealThySelf : Healthy Self-Care for Working Informal Caregivers

项目总结/摘要 超过3400万美国人为50岁或以上的成年人提供无偿护理。这些 在非正规护理人员中，约有60%至70%的人报告说，他们在提供护理的同时还在就业。照顾 在家庭以外工作时，亲属的健康可能会对照顾者的健康造成严重影响。工作照顾者有 健康状况比非护理人员差，通过感知健康措施和情绪低落的感觉来衡量， 通过压力激素、患病率和药物使用等客观指标来衡量。 照顾者健康状况较差的原因中最突出的是心理困扰和生活方式的改变。 健康习惯。关于健康促进做法的数据表明，照顾者在大多数衡量标准上得分较低， 健康促进行为的障碍较高。企业的需求 为照顾者自身健康所必需的健康促进活动的开展制造了许多障碍 比如安排看医生的时间，注意他们的饮食，参加体育活动。因此，有一个 需要为护理人员提供信息和技能，以更好地科普护理需求， 关注自己的健康和幸福。已经制定了干预措施，以协助照顾者;但是，没有 现有基于网络的方案，用于系统地解决在职护理人员的自我护理需求。 工作场所越来越意识到支持工作照顾者的重要性， 有兴趣为员工提供服务，以减少缺勤，医疗保健成本和员工流动率。 该项目的目的是开发一个基于网络的互动程序， 工作照顾者的身体和自我照顾需要。基于Web的服务具有灵活性的优势， 可访问性、范围的可扩展性和个性化需求的定制。该计划将侧重于自我护理技能 旨在改善心理健康，身体健康，促进积极的健康做法。伊萨 与专家顾问团队、雷德蒙集团和我们的工作场所合作伙伴合作， 将为非正式工作的护理人员开发和测试HealthThySelf计划。的主要目标 项目是（1）开发一种能够满足工作照顾者自我照顾需求的产品，（2） 推进技术和支持工作的照顾者，（3）进行分析和测试， 该计划旨在评估其在促进工作照顾者的健康和福祉方面的有效性。 为了实现这些目标，伊萨将利用其在发展与健康有关的 干预措施。在第一阶段，伊萨将进行开发前的重点小组，并在开发过程中与专家进行磋商。 创建一个科学驱动的相关项目。我们还将对该计划的吸引力进行可行性测试 与现有网站相比。将为进入第二阶段制定基准。在第二阶段， 该计划将得到全面开发，并与我们在Inova卫生系统的合作伙伴进行随机对照试验 和约翰霍普金斯大学工作生活和参与办公室，并为营销做准备。

Project Summary/Abstract More than 34 million Americans provide unpaid care for an adult 50 years of age or older. Of these informal caregivers, approximately 60 to 70 percent report being employed while providing care. Caring for a relative while working outside of the home can take a heavy toll on caregivers’ health. Working caregivers have poorer health than non-caregivers, as measured by perceived health measures and feelings of low mood and by objective measures such as stress hormones, disease rates and medication use. Most prominent among the causes of poorer caregiver health are psychological distress and alterations in health habits. Data on health promotion practices indicate that caregivers score lower on most measures of health promotion behaviors, and higher on barriers to health promoting actions. The demands of caregiving create many barriers to performing the health promoting activities necessary for caregivers’ own well-being such as scheduling doctor visits, attending to their diet, and engaging in physical activity. There is, therefore, a need to provide caregivers with the information and skills to better cope with the demands of caregiving and attend to their own health and wellbeing. Interventions have been developed to assist caregivers; however, no web-based programs exist for systematically addressing the self-care needs of working caregivers. Workplaces are becoming increasingly aware of the importance of supporting working caregivers and are interested in offering services to employees to reduce absenteeism, health care costs and employee turnover. The purpose of this project will be to develop an interactive web-based program addressing the emotional, physical and self-care needs of working caregivers. Web-based services have the advantage of flexibility in access, scalability in scope, and tailoring of individual needs. The program will focus on self-care skills designed to improve psychological well-being, physical health, and promote positive health practices. ISA Associates, in partnership with a team of expert consultants, the Redmon Group, and our workplace partners will develop and test the HealThySelf program for working informal caregivers. The primary objectives of the project are to (1) develop a product capable of addressing the self care needs of working caregivers, (2) advance the technology and supports available to working caregivers, and (3) conduct an analysis and test of the program to assess it’s effectiveness in promoting the health and well-being of working caregivers. To accomplish these objectives ISA will build on its’ extensive experience in developing health-related interventions. In Phase I ISA will conduct pre-development focus groups and consult with experts in caregiving to create a science-driven and relevant program. We will also conduct a feasibility test of the program’s appeal compared to an existing website. Benchmarks will be established for moving to Phase II. During Phase II the program will be fully developed, tested in a randomized control trial with our partners at Inova Health System and The Johns Hopkins University Office of Work Life and Engagement, and prepared for marketing.