Improving Quality of Life for Veterans with Stroke and Psychological Distress

改善患有中风和心理困扰的退伍军人的生活质量

• 批准号: 10290298
• 负责人: Gina L. Evans
• 金额: --
• 依托单位: MICHAEL E DEBAKEY VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-12-01 至 2021-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10290298
• 关键词: Activities of Daily Living; Address; Anxiety; Bathing; Behavior; Behavioral; Client; Clinical; Cognitive Therapy; Communities; Data; Disease; Education; Effectiveness; Employee; Family; Family member; Feedback; Friends; Goals; Grooming; Health; Health behavior; Healthy Eating; Impairment; Intervention; Interview; Life Style; Manuals; Mental Depression; Meta-Analysis; Neurologic; Nurse Practitioners; Outcome; Patients; Physical Function; Physical activity; Psychologist; Quality of life; Randomized; Randomized Controlled Trials; Recovery; Risk Behaviors; Risk Factors; Risk Reduction; Role; Self Management; Social Interaction; Social Network; Social Values; Social isolation; Stroke; Stroke prevention; Students; Testing; Veterans; anxiety symptoms; base; comorbid depression; comorbidity; coping; depressive symptoms; disability; exercise physiologist; experience; feasibility testing; improved; improved outcome; member; multidisciplinary; post stroke; primary outcome; programs; psychological distress; satisfaction; secondary outcome; self-management program; social; stroke outcome; stroke risk; stroke symptom; systematic review; treatment as usual

Stroke self-management treatment can improve disability, confidence in recovery, and quality of life. However, Veterans with comorbid stroke and psychological distress (anxiety and depression) have suboptimal mobility, little engagement in meaningful social interactions and poor quality of life. Effective management of psychological distress in patients with stroke is associated with positive physical functioning, social role functioning and quality of life. Current self-management treatments for Veterans with stroke inadequately address comorbid psychological distress. We propose to develop, refine, and pilot the Improving outcomes with comprehensive stroke self- management (I’m Whole) treatment. First, we will combine the Self-management TO Prevent Stroke using Video teleconferencing (VSTOP-II) and Enhancing Psychological Distress Coping (EPiC) cognitive-behavioral treatment to develop a single, group-based, behavioral stroke self- management treatment that addresses stroke risk reduction and psychological distress. Secondly, we will pilot test and refine the treatment. Lastly, we will test the feasibility and preliminary effectiveness of I’m Whole. We believe this proposal will provide a promising integrated treatment approach that will aid Veterans with comorbid psychological distress in living a functioning and fulfilling lifestyle.

卒中自我管理治疗可改善残疾，增强康复信心，提高生活质量