A Dyadic Telehealth Program to Support Alzheimer’s Disease Patients and Their Caregivers During COVID-19

在 COVID-19 期间为阿尔茨海默病患者及其护理人员提供支持的二元远程医疗计划

• 批准号: 10287329
• 负责人: Yeonsu Song
• 金额: $ 4.82万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-05-15 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10287329
• 关键词: Address; Adherence; Administrative Supplement; Affect; Age; Alzheimer' s Disease; Alzheimer' s disease patient; Anxiety; Appointment; Area; Behavior; Behavior Therapy; Behavioral; Businesses; COVID-19; COVID-19 mortality; COVID-19 pandemic; Caregiver Burden; Caregivers; Chronic; Clinical Trials; Data; Doctor of Philosophy; Education; Elderly; Family Caregiver; Feedback; Focus Groups; Future; Geriatrics; Gerontology; Health; Healthcare Systems; Home; Hospitalization; Immune; Intervention; Joints; K-Series Research Career Programs; Knowledge; Life; Los Angeles; Measures; Medicine; Mental Depression; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentors; Outcome; Participant; Patients; Persons; Phase; Physical Exercise; Pittsburgh Sleep Quality Index; Preparation; Quality of Care; Quality of life; Reporting; Research; Research Personnel; Research Project Grants; Resources; Risk; School Nursing; Sleep; Sleep Disorders; Sleep disturbances; Social Distance; Structure; Suspensions; Symptoms; Techniques; Technology; Testing; Time; Training; Training Activity; Vulnerable Populations; Work; actigraphy; base; care giving burden; career development; clinical center; community setting; comorbidity; compare effectiveness; depressive symptoms; design; evidence base; experience; frailty; health care availability; high risk; improved; informal support; intervention program; medical schools; member; pandemic disease; poor sleep; post intervention; primary outcome; professor; programs; psychological symptom; reduce symptoms; secondary outcome; skills; sleep difficulty; sleep health; sleep quality; social; social engagement; symptomatic improvement; telehealth; training opportunity; usability

Project Summary/Abstract Yeonsu Song, PhD, RN, FNP is an Assistant Professor at the School of Nursing at UCLA with joint appointment as an Adjunct Assistant Professor at the David Geffen School of Medicine and an Affiliated Investigator at the VA Greater Los Angeles Healthcare System. Currently she is leading a pilot clinical trial of a face-to-face intervention program which primarily focuses on improving sleep among AD patients and their caregivers as a part of her K award. This proposed administrative supplement focuses on addressing mental health and sleep issues using telehealth among this vulnerable group during the COVID-19 pandemic. It will also address issues related to adherence to social distancing and safer-at-home orders that may exacerbate sleep and mental health symptoms during this pandemic. This supplement will provide her with additional training opportunities and preliminary data necessary for her to prepare an independent research grant. Career development and training plan: New training areas include telehealth and mental health. Mentors in her current K award will continue to provide Dr. Song with their expertise for this supplement: Drs. Jennifer Martin (behavioral telehealth medicine), Cathy Alessi (sleep medicine), Michael Irwin (depression and sleep), and Edmond Teng (assessment of AD). A new consultant (Dr. Mary Cadogan) in this supplement will also guide Dr. Song to refine the mental health-related intervention components including depression and anxiety in a telehealth platform. Dr. Song will draw on resources available through UCLA’s School of Nursing, CTSI, UCLA’s Multicampus Program in Geriatric Medicine and Gerontology, and the VA Geriatric Research, Education, and Clinical Center. She will also complete additional training activities. Research plan: The current proposal aims to evaluate the feasibility of a dyadic telehealth program addressing sleep and psychological symptoms (depression and anxiety) related to the COVID-19. In the first phase of the project, we will refine the telehealth intervention with input and feedback from three dyads. In the second phase of the study, we will pilot test the program in a one-group, pretest-posttest design with 12 dyads. Participants will be assessed at baseline and post-intervention on sleep, depression, and anxiety. The telehealth intervention program will involve 6 sessions and include new strategies addressing psychological symptoms as well as behavioral sleep strategies used for her current K award project. A unique aspect of the proposed work is that it targets the most common health issues of both members of the group arisen during the COVID-19 pandemic in a telehealth format. It will generate feasibility data on delivering dyadic behavioral strategies (e.g., techniques of behavioral activation and social engagement) tailored to telehealth and increase adaptability in multiple community settings.

项目摘要/摘要 宋延秀，博士，RN，FNP，加州大学洛杉矶分校护理学院助理教授 被任命为大卫·格芬医学院兼职助理教授及其附属机构 退伍军人事务部大洛杉矶医疗系统的调查员。目前，她正在领导一项试点临床试验 面对面干预计划，主要侧重于改善AD患者和他们的睡眠 护理员作为她K奖的一部分。这份拟议的行政补充文件侧重于解决心理问题 在新冠肺炎大流行期间，利用远程保健在这一弱势群体中解决健康和睡眠问题。会的 还应解决与遵守社交疏远和在家更安全的订单有关的问题，这些问题可能会加剧 在这场大流行期间出现的睡眠和精神健康症状。这份增刊将为她提供更多 培训机会和她准备独立研究补助金所需的初步数据。 职业发展和培训计划：新的培训领域包括远程保健和心理健康。她的良师益友 目前的K奖将继续为宋博士提供本补充材料的专业知识：Jennifer Martin博士 (行为远程健康医学)，Cathy Alessi(安眠药)，Michael Irwin(抑郁症和睡眠)，以及 邓丽君(AD的评估)。本附录中的一位新顾问(Mary Cadogan博士)也将指导Dr。 宋将提炼心理健康相关干预成分，包括抑郁和焦虑 远程医疗平台。宋医生将利用加州大学洛杉矶分校护理学院CTSI提供的资源， 加州大学洛杉矶分校的老年医学和老年学多校区计划，以及退伍军人事务部老年研究， 教育和临床中心。她还将完成额外的培训活动。 研究计划：目前的提案旨在评估二元远程保健计划的可行性 与新冠肺炎相关的睡眠和心理症状(抑郁和焦虑)。在第一阶段， 项目中，我们将利用三个二元体的输入和反馈来改进远程健康干预。在第二个 在研究阶段，我们将在12个二元组的前测-后测设计中对该程序进行试点测试。 参与者将在基线和干预后接受睡眠、抑郁和焦虑方面的评估。这个 远程健康干预计划将包括6次会议，并包括解决心理问题的新战略 症状和行为睡眠策略在她目前的K奖项目中使用。这是一个独特的方面 拟议的工作是，它针对该小组两个成员在 新冠肺炎以远程医疗的形式流行。它将生成有关交付二元行为的可行性数据 为远程保健量身定做的策略(例如，行为激活和社交参与技术) 适应多种社区环境。