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《调查者摘要》)：逐渐老化 增加了对慢性病的易感性，大约80%的 老年人口至少有一种慢性病。年龄较大的成年人 健康和功能因慢性病而受损 焦虑、抑郁和身体状况进一步下降的风险 功能正常。因此，越来越有必要宣传他们的 足智多谋，以达到最佳的身心健康。 足智多谋包括利用内部资源 独立完成日常任务(习得的足智多谋)并使用 无法运作时通过向他人寻求帮助来获得外部资源 独立(求助行为)。研究表明，老年人 在这两个方面都是足智多谋的，有更好的身体和 心理健康比那些使用内服或外服的人 仅有资源。此外，当学会足智多谋时，社区- 有较多慢性病症状的居住老年人表现出 身心健康改善最多。因此， 教授所学的足智多谋和求助行为 生活辅助设施中患有慢性病的老年居民 极大的潜力来改善或维持他们的身体和 心理健康。一项临床试验将测试两种药物的效果 随机抽取200名老年人辅助生活的干预措施 设施：学习的足智多谋培训(LRT)和寻求帮助 行为训练(HSBT)。这项研究还将检查添加剂 两者结合的效果(LRT+HSBT)。因为所有三种干预措施 使用回忆，只有回忆的小组(REM)将分开效果 由于怀旧和确定内容的特殊性 作为干预措施，将使用转移活动组(DIV)。 受试者将被随机分配到五个处理组之一(LRT， HSBT、LRT+HSBT、REM或DIV)，并将参加一次Pre 干预和干预后的三次面对面访谈。一个 将使用先验计划的比较来比较：1)LRT、HSBT和 LRT+HSBT到DIV；2)LRT、HSBT和LRT+HSBT到REM；3)(LRT+HSBT) LRT(合并)到LRT和HSBT；4)LRT到HSBT。这个 将重复比较，同时控制人口统计和 慢性和间歇性条件，以确定影响是否仍然有效。 治疗后即刻和6周内观察疗效。 滞后，并延长3个月的影响。这项研究在比较中是独一无二的 两种干预措施在一段时间内的单独和相加效应 和HSBT，对功能受损人群身心健康的影响 长辈们。