Developing and Testing the Enhancing Active Caregiver Training (EnACT) Intervention for Dementia Family Caregivers

开发和测试针对痴呆症家庭护理人员的增强主动护理人员培训 (EnACT) 干预措施

• 批准号: 10552013
• 负责人: Jacqueline Eaton
• 金额: $ 13.25万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-01-15 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10552013
• 关键词: Address; Advisory Committees; Affect; Agitation; Alzheimer' s disease related dementia; American; Area; Behavior; Behavior Therapy; Behavioral Symptoms; Caregiver Burden; Caregiver well-being; Caregivers; Clinical Trials; Cognitive; Complex; Dementia; Dementia caregivers; Discipline; Distal; Educational Intervention; Elderly; Ensure; Evidence based intervention; Family Caregiver; Focus Groups; Fostering; Funding; Goals; Growth; Health; Individual; Individual Differences; Intervention; Intervention Studies; Intervention Trial; Knowledge; Leadership; Mental Depression; Mentored Research Scientist Development Award; Mentors; Modeling; Outcome; Participant; Personal Satisfaction; Persons; Pilot Projects; Play; Positioning Attribute; Preparation; Psychologist; Quality of life; Randomized; Research; Research Personnel; Resources; Role; Series; Stress; Symptoms; Techniques; Testing; Time; Training; United States National Institutes of Health; Waiting Lists; acceptability and feasibility; aging population; associated symptom; career; career development; caregiver education; caregiver interventions; caregiver stress; caregiving; clinical research site; coping; dementia care; dementia caregiving; effective intervention; experience; group intervention; improved; improved outcome; innovation; multisensory; negative affect; perceived stress; rate of change; skills; skills training; stress symptom; symptom management

This is a K01 award application for Dr. Jacqueline Eaton, a gerontologist and young investigator pursuing transdisciplinary research on enhancing the quality of life of older adults and their caregivers through arts- based interventions. A K01 award will provide her with the means to acquire critical skills in four key career development areas: 1) behavioral intervention research using the NIH Stage Model; 2) Alzheimer’s Disease and related dementias (ADRD); 3) applied multilevel growth modeling; and 4) interdisciplinary team leadership and management skills for intervention research. By gaining these skills, Dr. Eaton will fulfill her career goal of becoming an independent academic investigator and national leader in arts-based intervention research focused on ADRD caregivers. Supporting this goal, Dr. Eaton has assembled the mentoring team of Drs. Lee Ellington (Primary Mentor), a research psychologist who leads complex, multi-site clinical caregiver studies, and Julene Johnson (Co-Mentor), a cognitive neuroscientist with expertise in developing arts-based interventions for older adults. She has also assembled a three person Advisory Committee with expertise in the NIH Stage Model, ADRD caregiving, and multilevel growth modeling. It is estimated that by 2050, 13.8 million Americans will be living with dementia and up to 90% will experience behavioral symptoms, such as agitation, combativeness, and depression. Behavioral symptoms are associated with greater stress for caregivers, which leads to poor health, decreased quality of life, and increased burden. There is a need to find effective interventions to address the negative effects of behavioral symptoms. This proposal focuses on developing and testing the Enhancing Active Caregiver Training (EnACT) to help caregivers better manage the common behavioral symptoms associated with ADRD. Using the NIH Stage Model, we will create (Stage 1a) and conduct preliminary testing (Stage 1b) of these techniques in a group intervention. By pursuing the following specific aims, Dr. Eaton will develop and test EnACT to prepare for a stage 3 clinical trial (to be proposed in an R01 application during the K01 award period). Specific Aim 1 will develop and iteratively refine the EnACT intervention for ADRD caregivers. Specific Aim 2 will evaluate the feasibility and acceptability of the EnACT intervention. Specific Aim 3 will examine potential mechanisms of change over time and their subsequent impact on proximal and distal outcomes. There is a rise in the number of caregivers required to give optimal support to an aging population that will have a greater need for, and impact on, local and national resources. Dr. Eaton’s proposed research is significant because effective evidence-based interventions require systematic approaches to enhance active caregiver training which has been shown to improve outcomes for ADRD caregivers. The proposed research is innovative because it combines techniques from a variety of disciplines to increase engagement and enhance our understanding of mechanisms of action within caregiver interventions.

这是杰奎琳·伊顿博士的K01奖项申请，她是一位老年学家，也是一名年轻的研究人员，致力于 通过艺术提高老年人及其照顾者的生活质量的跨学科研究- 以干预为基础。K01奖将为她提供在四个关键职业生涯中获得关键技能的手段 发展领域：1)使用NIH阶段模型的行为干预研究；2)阿尔茨海默病 和相关痴呆症(ADRD)；3)应用多层次增长模型；4)跨学科团队领导 以及干预研究的管理技能。通过获得这些技能，伊顿博士将实现她的职业目标 成为以艺术为基础的干预研究的独立学术调查者和国家领导者 重点关注ADRD的照顾者。为了支持这一目标，伊顿博士组建了李博士的指导团队 艾灵顿(首席导师)，一位研究心理学家，领导着复杂的、多地点的临床护理人员研究， 和朱琳·约翰逊(共同导师)，她是一位认知神经学家，擅长开发基于艺术的 针对老年人的干预措施。她还组建了一个三人咨询委员会，具有以下专业知识 NIH阶段模型、ADRD照看和多层次成长模型。 据估计，到2050年，1380万美国人将患有痴呆症，高达90%的人将患有痴呆症 出现行为症状，如烦躁、好斗和抑郁。行为症状 与照顾者更大的压力有关，这会导致健康状况不佳，生活质量下降，以及 增加了负担。有必要找到有效的干预措施来解决行为的负面影响 症状。该提案侧重于开发和测试增强主动护理者培训(ACT) 以帮助照顾者更好地管理与ADRD相关的常见行为症状。使用美国国家卫生研究院 阶段模型，我们将创建(阶段1a)并进行这些技术的初步测试(阶段1b) 团体干预。通过追求以下具体目标，伊顿博士将制定和测试颁布准备 第三阶段临床试验(将在K01获奖期内在R01申请中提出)。具体目标1 将制定并反复完善针对ADRD照顾者的ACT干预措施。《特定目标2》将评估 制定干预措施的可行性和可接受性。具体目标3将审查潜在的机制 随着时间的推移的变化及其对近端和远端结果的影响。 为老龄化人口提供最佳支持所需的照顾者数量增加，这将 对地方和国家资源有更大的需求和影响。伊顿博士提议的研究是 意义重大，因为有效的循证干预需要系统化的方法来增强积极性 护理员培训已被证明可以改善ADRD护理员的结果。拟议的研究是 创新，因为它结合了各种学科的技术，以提高参与度和增强 我们对照顾者干预中的行动机制的理解。