COGNITIVE STIMULATION TRAINING IN ALZHEIMERS FAMILIES

阿尔茨海默症家庭的认知刺激训练

• 批准号: 3391833
• 负责人: MARY P. QUAYHAGEN
• 金额: $ 10.13万
• 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 1992-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3391833
• 关键词: Alzheimer's disease; behavior test; caregivers; cognition; coping; gender difference; home health care; human old age (65+); interpersonal relations; neuropsychological tests; 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.

尽管对阿尔茨海默氏症患者的护理有很大的难度 在家庭方面，日托通常在经济上是不可行的 选择。然而，之前的研究表明，一个家- 以日托为模式的项目可能会产生影响 阿尔茨海默病家庭单位的健康状况。因此，其目的是 这项拟议的研究是为了测试随着时间的推移家庭的影响- 以主动认知刺激为基础的干预 患者的功能状态，或患者的福祉 护理者，以及护理者与患者的互动状态。性 此外，还将考察不同之处。假设家庭单位 (护理者和患者)将从积极的认知中获益最多 刺激性训练与被动刺激或不刺激相比。一 配偶未满80岁的老年痴呆症患者的126个家庭单元 阿尔茨海默病轻至中度年龄 将从加州大学阿尔茨海默氏症大学招聘 疾病研究中心和老年人护理中心。病人 将被给予神经学、神经心理学和医学方面的 筛查，以及对认知、行为和 情绪化措施。照顾者将接受体检和 心理健康、生活满意度和婚姻互动 压力、应对、支持和喘息的时间。前测-后测 控制组设计将被用来检验组假设 在结果上的差异。家庭将按以下性别分层： 患者并随机分配到以下三组之一：1) 干预(主动认知刺激)，2)干预 (被动认知刺激)，或3)等待名单控制否 刺激)。干预组和安慰剂组将会面 每周连续12次会议。这三组人都将接受评估 最初，在训练期结束后，在六个月后。 将使用多变量方差分析程序进行检验 随着时间的推移，干预对两者结果的影响 照顾者的压力、应对方式和支持程度不同的群体 组。研究结果有可能提高老年人的生活质量 阿尔茨海默病家庭，并在医疗保健中通过护理来实施 实践和教育作为一种潜在的成本效益可行 干预。