FAMILY HOME VISITATION PROGRAM: THE NURSE AS COACH

描述：（改编自申请人摘要）有三个 本研究的目的：（1）测试家庭的有效性 针对非转移性乳腺癌儿童抚养家庭的探视计划 乳腺癌的母亲;（2）测试护士的因果模型， 指导行为的干预;和（3）测试成本- 干预的有效性。 的治疗目标 干预是为了方便家庭管理母亲的 疾病，并尽量减少对家庭成员及其 心理社会功能 研究结果将揭示， 家庭中的心理社会发病率可以通过探视来降低 计划在一个养育孩子的夫妇的家庭相比，控制。 一个 将使用随机分配的实验设计： 组将接受三次家访，间隔一个月;对照组将接受三次家访，间隔一个月。 小组将接受他们的医生和诊所的“照常治疗” 护士 两组都将在四个标准测量值上进行测量 场合：在预测试时，在研究三个月后，在三个月后， 以及六个月的随访。 据推测，母亲和他们的 与对照组相比，实验组的合作伙伴将 经历更少的疾病需求，更低的抑郁水平，更高的 婚姻适应水平，更高水平的情感和身体 更频繁地使用内省应对 行为，并将报告更高水平的家庭功能。 儿童 实验组的人会经历更低的焦虑， 在社会和行为适应方面比对照组的孩子要好。 结果将最终使护士科学家开发教练 与经历其他类型的生命威胁的家庭的计划， 母亲的慢性疾病，例如，胰岛素依赖型糖尿病，多发性 硬化症和肾病。

DESCRIPTION: (Adapted from applicants abstract)There are three purposes to the current study: (1) to test the effectiveness of a home visitation program for child-rearing families experiencing non-metastatic breast cancer in the mother; (2) to test a causal model of nurses' coaching behavior underlying the intervention;and (3) to test the cost- effectiveness of the intervention. The therapeutic goal of the intervention is to facilitate the family's management of the mother's illness and to minimize disruption to household members and their psychosocial functioning. Results from the study will reveal whether psychosocial morbidity in the household can be lowered by a visitation program in the homes of a child-rearing couple compared to controls. An experimental design will be used with random assignment:the Experimental Group will receive three home visits at one-month intervals; the Control Group will receive "treatment as usual" from their physicians and clinic nurses. Both groups will be measured on the criterion measures at four occasions: at pretest, after three months into the study, and at three and six months follow-up. It is hypothesized that the mothers and their partners in the Experimental Group compared to the Control Group will experience fewer illness demands, lower levels of depression, higher levels of marital adjustment, higher levels of emotional and physical accessibility to their children, more frequently use introspective coping behavior, and will report higher levels of family functioning. Children in the Experimental Group will experience lower anxiety, and higher levels of social and behavioral adjustment than children in the Control Group. Results will ultimately enable nurse scientists to develop coaching programs with families experiencing other types of life threatening, chronic illness in the mother, e.g., insulin dependent diabetes, multiple sclerosis, and kidney disease.