TEACHING RESOURCEFULNESS TO CHRONICALLY ILL OLDER ELDERS

向患有慢性病的年长老人传授足智多谋的知识

• 批准号: 6293335
• 负责人: JACLENE A ZAUSZNIEWSKI
• 金额: $ 1.95万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-10 至 2002-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6293335
• 关键词: aging; behavioral /social science research tag; chronic disease /disorder; clinical research; clinical trials; emotional adjustment; functional ability; geriatric nursing; health behavior; human old age (65+); human subject; interview; person with disability; psychological adaptation; self help; teaching

DESCRIPTION (Adapted from the Investigator's Abstract): Aging gradually increases vulnerability to chronic illness, and approximately 80% of the aged population have at least one chronic condition. Older adults whose health and functioning are compromised by chronic illness are at great risk for anxiety, depression, and further declines in physical functioning. Thus, there is a growing need to promote their resourcefulness in achieving optimal physical and psychological health. Resourcefulness involves both the ability to use internal resources to perform daily tasks independently (learned resourcefulness) and to use external resources by seeking help from others when unable to function independently (help-seeking behavior). Research shows that elders who are resourceful in both of these ways have better physical and psychological health than those who use either internal or external resources alone. In addition, when taught resourcefulness, community- dwelling elders with greater numbers of chronic illness symptoms showed the most improvement in physical and psychological health. Hence, teaching learned resourcefulness and help-seeking behavior to chronically ill elderly residents of assisted living facilities has great potential for improving or sustaining their physical and psychological health. A clinical trial will test the effects of two interventions to 200 randomly selected elders in assisted living facilities: learned resourcefulness training (LRT) and help-seeking behavior training (HSBT). The study will also examine the additive effects of combining the two (LRT + HSBT). Since all three interventions use reminiscence, a reminiscence-only group (REM) will separate effects due to reminiscence and to determine content specificity of the interventions, a diversional activity group (DIV) will be used. Subjects will be randomly assigned to one of five treatment groups (LRT, HSBT, LRT + HSBT, REM or DIV) and will participate in one pre- intervention and three post-intervention face-to-face interviews. A priori planned comparisons will be used to compare: 1) LRT, HSBT, and LRT + HSBT to DIV; 2) LRT, HSBT, and LRT + HSBT to REM; 3) (LRT + HSBT) to LRT (combined) to LRT and HSBT alone; and 4) LRT to HSBT. The comparisons will be repeated while controlling for demographics and chronic and episodic conditions to determine if the effects still hold. The effects of the treatments will be examined for immediate and 6 week lagged, and 3 month extended effects. This study is unique in comparing the separate and additive effects over time of two interventions, LRT and HSBT, on physical and psychological health in functionally impaired elders.

描述（改编自调查员的摘要）：逐渐衰老 增加了慢性病的脆弱性，约有80％ 老年人口至少有一种慢性病。老年人 慢性疾病损害健康和功能很大 焦虑，抑郁和身体进一步下降的风险 功能。因此，越来越需要促进他们的 能够实现最佳的身体和心理健康方面的机智。 机智既涉及使用内部资源的能力 独立执行日常任务（学会的机智）并使用 无法运作时向他人寻求帮助，外部资源 独立（寻求帮助的行为）。研究表明长者 这两种方式都足智多谋，具有更好的身体和 心理健康比使用内部或外部的人 仅资源。此外，当教导机智，社区 - 患有更多慢性疾病症状的长老显示 身体和心理健康方面的最大进步。因此， 教学学会的机智和寻求帮助的行为 辅助生活设施的长期病重的老年居民 改善或维持其身体和维持的巨大潜力 心理健康。临床试验将测试两个 干预200名随机选择的长老在辅助生活中 设施：学会的足智培训（LRT）和寻求帮助 行为训练（HSBT）。该研究还将检查添加剂 组合两个（LRT + HSBT）的影响。由于这三个干预措施 使用回忆，仅回忆组（REM）将分开效果 由于回忆并确定的内容特异性 干预措施，将使用一个分流活动组（DIV）。 受试者将随机分配到五个治疗组之一（LRT， HSBT，LRT + HSBT，REM或DIV），将参与一个前 干预和三次干预后面对面访谈。 一个 先验计划的比较将用于比较：1）LRT，HSBT和 lrt + hsbt to div; 2）LRT，HSBT和LRT + HSBT至REM； 3）（LRT + HSBT） 单独使用LRT（合并）到LRT和HSBT； 4）LRT到HSBT。这 在控制人口统计和控制时将重复比较 慢性和情节条件以确定效果是否仍然存在。 治疗的影响将立即检查和6周 滞后和3个月的扩展效果。这项研究在比较时是独一无二的 两种干预措施随时间效果的单独和加性效果，LRT 和HSBT，关于功能受损的身体和心理健康 长者。