COGNITIVE STIMULATION TRAINING IN ALZHEIMERS FAMILIES

阿尔茨海默症家庭的认知刺激训练

• 批准号: 3391834
• 负责人: MARY P. QUAYHAGEN
• 金额: $ 10.31万
• 依托单位: UNIVERSITY OF SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-06-01 至 1992-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3391834
• 关键词: Alzheimer's disease; behavior test; caregivers; cognition; coping; gender difference; home health care; human old age (65+); interpersonal relations; neuropsychological tests; nurses; nursing; problem solving; psychological stressor; social support network; training

Although care of the Alzheimer patient places a substantial buren on families, day care frequently is not a financially feasible option. Previous research has indicated, however, that a home- based program, patterned on day care, has potential for impacting health of the Alzheimer family unit. Therefore, the purpose of this proposed study is to test over time the effect of a family- based intervention of active cognitive stimulation on the functional status of the patient, or the well-being of the caregiver, and on the caregiver-patient interactional status. Sex differences will also be examined. It is assumed that family units (caregiver and patient) will benefit most from active cognitive stimulation training as compared to passive or no stimulation. One hundred twenty-six family units with an Alzheimer spouse under 80 years of age in the mild to moderate stage of Alzheimer's disease will be recruited from the University of California Alzheimer's Disease Research Center and Seniors Only Care Center. Patients will be given neurological, neuropsychological, and medical screening, as well as assessed on cognitive, behavioral and affective measures. Caregivers will be assessed on physical and mental health, life satisfaction, and marital interaction, along with stress, coping, support, and respite time. A pretest-posttest control group design will be used to test the hypotheses of group differences on outcomes. Families will be stratified by sex of patient and randomly assigned to one of three groups: 1) intervention (active cognitive stimulation), 2) intervention (passive cognitive stimulation), or 3) wait-list control no stimulation). The intervention and placebo groups will meet for 12 consecutive weekly sessions. All three groups will be assessed initially, after the training period, and after six months. Multivariate analysis of variance procedures will be used to test the effect of the intervention over time on the outcomes for both groups, covarying for stress, coping, and supports in the caregiver groups. Findings have potential to enhance life quality in the Alzheimer family, and to be implemented by nursing in health care practice and education as a potentially cost-effective viable intervention.

尽管对老年痴呆症患者的护理 对家庭来说，日托在经济上往往是不可行的。 选项. 然而，之前的研究表明，一个家庭- 基于日托模式的计划，有可能影响 老年痴呆症家庭的健康 因此， 这项拟议的研究是为了测试随着时间的推移，一个家庭的影响- 基于主动认知刺激的干预 患者的功能状态或患者的健康状况 护理人员，以及患者与患者之间的关系。 性 也将审查差异。 假设家庭单位 （护理者和患者）将从积极认知中受益最多 刺激训练与被动或无刺激相比。 一 有80岁以下老年痴呆症配偶的126个家庭单位 年龄在轻度至中度阿尔茨海默病阶段 将从加州老年痴呆症大学招募 疾病研究中心和老年人护理中心。 患者 将被给予神经学，神经心理学，和医疗 筛查，以及评估认知，行为和 情感措施 护理人员将被评估的身体和 心理健康、生活满意度和婚姻互动，沿着 压力应对支持和喘息时间 前后测 将采用对照组设计来检验分组假设 结果的差异。 家庭将按性别分层， 患者随机分为三组：1） 干预（主动认知刺激），2）干预 （被动认知刺激），或3）等待名单控制没有 刺激）。 干预组和安慰剂组将开会， 连续12周的会议。 所有三组都将被评估 最初，在培训期之后，以及六个月之后。 将使用多变量方差分析程序进行检验 随着时间的推移，干预对两种结果的影响 团体，共变的压力，应对，并支持在照顾者 组 研究结果有可能提高生活质量， 老年痴呆症的家庭，并通过护理实施保健 实践和教育作为一个潜在的具有成本效益的可行的 干预

项目成果

A Dyadic Remediation Program for Care Recipients with Dementia

针对痴呆症护理接受者的二元治疗计划

• DOI: 10.1097/00006199-199505000-00005
• 发表时间: 1995
• 期刊: Nursing Research
• 影响因子: 2.5
• 作者: M. Quayhagen;M. Quayhagen;R. Corbeil;P. Roth;J. Rodgers
• 通讯作者: J. Rodgers