WANDERING-- BACKROUND AND PROXIMAL FACTORS

徘徊——背景和近期因素

• 批准号: 6186874
• 负责人: Donna L. Algase
• 金额: $ 46.15万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-15 至 2004-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6186874
• 关键词: behavior prediction; behavioral /social science research tag; clinical research; dementia; environmental stressor; human subject; memory; memory disorders; model design /development; physiologic stressor; psychological models; psychological stressor

This application is one in a trio of interactive projects. Together they have the long-term goal of developing theoretically-based, empirically-tested interventions for a range of behaviors commonly termed "disruptive or agitated" that occur among persons with dementia. This project focuses on wandering and non-aggressive physical behaviors (NAPB) with the aim of building explanatory models of these behaviors. With other projects in this interactive set, additional aims are to build an explanatory model applicable to the range of "disruptive, agitated" behaviors (herein termed need-driven, dementia-compromised behaviors (NDBs)), and to conduct further testing of the preliminary models developed for wandering, NAPB, and NDBs addressed in accompanying proposals. A descriptive survey design is proposed using a cluster sample of 288 residents with dementia from an estimated 15 randomly-chosen nursing homes. Direct observation, neuropsychological and personality measures, and indicators of physiological need states, along with light, sound, and temperature readings of the physical environment and selected aspects of the social environment will be used to capture background and proximal factors thought to operate in producing wandering, NAPB, and other NDBs. Multilevel regression modeling techniques will be used to identify background and proximal variables affecting wandering and NAPB. The resulting preliminary models of wandering and NAPB will be further tested in an independent sample obtained from the accompanying projects in this set. Further, data from a core set of background and proximal factors common across interactive projects will be combined to develop a model of factors operative in producing NDBs in general, again using Multilevel regression modeling techniques.

这个应用程序是三个交互式项目中的一个。他们共同的长期目标是为痴呆症患者中发生的一系列通常被称为“破坏性或激动性”的行为开发基于理论的、经过实验测试的干预措施。 本项目的重点是流浪和非攻击性的身体行为（NAPB），目的是建立这些行为的解释模型。 与其他项目在这个互动的集合中，其他的目标是建立一个解释性的模型适用于范围内的“破坏性，激动”的行为（这里称为需求驱动，痴呆症妥协的行为（NDB）），并进行进一步的测试初步模型开发的流浪，NAPB，和NDB在附带的建议。 一个描述性的调查设计，提出了一个集群样本的288名居民与痴呆症从估计15个随机选择的养老院。直接观察、神经心理学和人格测量、生理需求状态的指标、沿着物理环境的光、声和温度读数以及社会环境的选定方面，将用于捕获被认为在产生游荡、NAPB和其他NDB中起作用的背景和近端因素。 将使用多水平回归建模技术来识别影响游荡和NAPB的背景和近端变量。 由此产生的初步模型的徘徊和NAPB将进一步测试在一个独立的样本中获得的配套项目在这一套。 此外，来自一组核心的背景数据和交互式项目中常见的邻近因素将被结合起来，以开发一个在一般情况下产生NDB的因素模型，再次使用多级回归建模技术。