CHRONIC MEMORY LOSS--HOME VS COMMUNITY INTERVEN TIONS

慢性记忆丧失——家庭干预与社区干预

• 批准号: 3392867
• 负责人: MARY P. QUAYHAGEN
• 金额: $ 19.47万
• 依托单位: UNIVERSITY OF SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-30 至 1995-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3392867
• 关键词: Alzheimer's disease; caregivers; chronic disease /disorder; cognition; community mental health services; coping; dementia; family; female; functional ability; gender difference; health economics; home health care; human subject; male; memory disorders; mental disorder prevention; mental health; mental health counseling; mental health services; nursing intervention; personality; racial /ethnic difference; self care; social support network

Recent research has focused on interventions to help stabilize the caregiving situation as families cope with chronic memory loss from dementia, but few studies have investigated dyadic or dual interventions targeted to both caregivers and care-receivers. This study will compare and contrast the efficacy of four such interventions (two home-based, two community-based) on family outcomes. The recently tested home-based cognitive stimulation intervention which continues to show promise, will be contrasted with in-home dyadic counseling, and with the community- based dual psycho-educational groups of the Alzheimer's Disease Research Center, and the Morning Out Club of the Alzheimer's Association (a modified day care approach). The aims of this research are: 1) to compare the effectiveness of the two home-based and the two community- based interventions on the physical and psychological well-being of the caregiver, the cognitive/behavioral functioning and well-being of the care-receiver, and the interaction status of the caregiver/care-receiver dyad in families coping with dementia; 2) to delineate characteristics of the caregivers and care-receivers who show improvement outcomes from each specific intervention, 3) to determine the cost-effectiveness of each intervention through analysis of money, time, and energy expenditure, and 4) to investigate ethnic and gender differences by intervention on the well-being and functional outcomes of the caregivers and care-receivers. Caregivers are expected to receive greater benefit from the more affectively-oriented interventions (having a support component), while care-receivers are hypothesized to benefit most from the more cognitively-oriented programs. In accord with previous research, condition differences are also expected in the person/environment factors (stress, personality, coping, support, income, and respite). Using an experimental design, over a three years period 140 participant dyads will be randomized into one of the four intervention conditions (35 dyads per condition; 20-60 per year), all participants, will be assessed in the home initially and after the 8- week intervention phase, with additional baseline assessment for the wait-listed controls. Multivariate techniques will be used to address the aims. Findings should provide valuable information for nursing, social work and other health disciplines on the personal, family, and financial feasibility of each intervention.

最近的研究集中在干预措施，以帮助稳定 随着家庭科普慢性记忆丧失， 痴呆症，但很少有研究调查了二元或双重干预措施 以照顾者和被照顾者为目标。本研究将比较 并对比四种干预措施的效果（两种以家庭为基础， 两个基于社区）的家庭成果。最近测试的基于家庭的 认知刺激干预继续显示出希望，将 与家庭辅导和社区辅导相比， 基于双重心理教育团体的阿尔茨海默病研究 中心和阿尔茨海默氏症协会的早晨俱乐部（a 修改后的日间护理方法）。本研究的目的是：（1） 比较两个家庭和两个社区的有效性- 对残疾人身心健康的干预措施 照顾者，认知/行为功能和福祉的 护理者/护理接受者的交互状态 2）描述痴呆症家庭的特征 的照顾者和照顾者谁显示改善结果， （3）确定每项具体干预措施的成本效益; 通过分析金钱、时间和精力， （4）调查种族和性别差异， 对照顾者的福祉和功能结果的干预 和照顾者。护理人员预计将获得更大的好处 从更有效的干预（有一个支持 （一）被认定为最能受益于 更注重认知的项目与先前的雅阁 研究，条件差异也预计在 人/环境因素（压力、个性、应对、支持， 收入和喘息）。使用一个实验设计，在三年的时间里， 阶段140名受试者将被随机分配到四个 干预条件（每种条件35对;每年20-60），所有 参与者，将在家中进行评估，最初和之后的8- 周干预阶段，并对 等待列表控件。多变量技术将用于解决 目标。研究结果应为护理提供有价值的信息， 社会工作和其他健康学科对个人，家庭， 每项措施的财务可行性。