STrAtegies for RelaTives (START) ARC Accelerator

相关策略 (START) ARC 加速器

• 批准号: ES/Y011139/1
• 负责人: Sarah Amador
• 金额: $ 6.53万
• 依托单位: University College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FY011139%2F1
• 关键词: STrAtegies; RelaTives; START; ARC; Accelerator

Families provide most of the care to people with dementia living at home. They are more likely to be anxious or have depression than non-carers. The psychological morbidity of carers predicts breakdowns in care and therefore the need for placement in a care home as well as elder abuse. STrAtegies for RelaTives (START) is an eight-session manualised therapy for family carers of people living with dementia, which has been tested in short- and long-term randomised controlled trials (RCT). In the original RCT, family carers receiving START reported lower scores on the hospital anxiety and depression scale than those receiving treatment as usual, where lower scores indicate better mental health. Those in the intervention group were less likely to have case level depression, and reported higher quality-of-life compared to the control group. The intervention group also showed a non-significant trend towards reduced case level anxiety and less abusive behaviour towards the care recipient. Family carers who received START were five times less likely to have clinically significant depression six years later compared to the control group. START has since been adapted for UK-based South Asian and Black families. The culturally adapted version was acceptable and feasible within these groups, and changes in mental health were in line with those in the original RCT. The adapted version is now used with people from any background as the adaptations e.g. making names culturally neutral and pictures ethnically diverse can benefit people from different backgrounds. START has also been adapted for family carers of people with Lewy Body Dementia and was acceptable and feasible for this group.No intervention for family carers of people living with dementia is uniformly offered in England. Support for family carers is offered ad-hoc and sometimes not at all. START has a strong evidence base for its efficacy and cost effectiveness and is the only intervention for family carers mentioned in clinical practice guidelines for dementia, but it is not widely available. We want to commercialise START as a social enterprise to widen access and increase its adoption. We envision this to be a Business to Government (B2G) enterprise with the potential customers being government entities such as individual NHS trusts and NHS commissioners, providing an accredited training programme to train up START practitioners for the NHS, social care services and/or local authorities. Revenue will be generated through the purchase of our training package by health and care services. The training package will include hybrid training from a START trainer, access to our training platform and materials, and accreditation and certification. As part of this work, we will explore additional sources of revenue for START such as a Business to Customer (B2C) model with the provision of START directly to family carers. We will also investigate whether there is demand for ongoing clinical supervision of those who deliver START as an additional source of income.

家庭为生活在家里的痴呆症患者提供大部分护理。他们比非车手更有可能焦虑或沮丧。护理人员的心理发病率预测了护理中的细分，因此需要在养老院和虐待老人中安置。亲戚策略（Start）是对痴呆症患者的家庭护理人员进行的八项经验疗法，该疗法已在短期和长期随机对照试验（RCT）中进行了测试。在最初的RCT中，接受起步的家庭护理人员报告说，医院焦虑和抑郁量表的分数低于像往常一样接受治疗的人，而得分较低的人表明心理健康。与对照组相比，干预组中的患者不太可能患有病例抑郁症，并且报告了更高的生活质量。干预组还显示出降低病例水平焦虑和对护理接受者的虐待行为的趋势。与对照组相比，六年后六年后临床抑郁症的临床抑郁症的可能性降低了五倍。此后，开始适用于英国的南亚和黑人家庭。在这些群体中，具有文化适应的版本是可以接受的且可行的，心理健康的变化与原始RCT中的变化一致。现在，适用于任何背景的人使用改编版，例如改编版。在文化上制作名字中立和各种各样的图片可以使来自不同背景的人们受益。开始也适用于Lewy身体痴呆症患者的家庭护理人员，并且可以接受和可行。这组的干预措施在英格兰统一提供了对痴呆症患者的护理人员的干预。对家庭护理人员的支持是临时的，有时根本没有提供。 Start具有强有力的证据基础，证明其功效和成本效益是对痴呆症临床实践指南中提到的家庭护理人员的唯一干预措施，但并未广泛使用。我们希望成为社会企业的商业化，以扩大访问权限并增加其采用。我们设想这是政府（B2G）企业的一家企业，潜在客户是个人NHS Trusts和NHS专员等政府实体，提供了一项经认可的培训计划，以培训NHS，社会护理服务和/或地方当局的启动从业人员。通过健康和护理服务购买我们的培训套餐，将产生收入。培训计划将包括开始培训师的混合培训，访问我们的培训平台和材料以及认证和认证。作为这项工作的一部分，我们将探索其他开业的收入来源，例如向客户（B2C）模型，直接向家庭护理人员提供开始。我们还将调查是否需要对那些作为额外收入来源开始的临床监督进行持续的临床监督。