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A Telephone Intervention for Dementia Caregivers

针对痴呆症护理人员的电话干预

基本信息

批准号：
6685178
负责人：
GEOFFREY N TREMONT
金额：
$ 19.25万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2001
资助国家：
美国
起止时间：
2001-12-01 至 2006-11-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by investigator): The current project is designed to develop a low-cost, telephone-based intervention to reduce anxiety, depression, and feelings of burden and stress in caregivers of patients with dementia, as well as to improve quality of life and family functioning. Secondary aims are to determine whether the intervention can reduce behavior problems in dementia patients and increase the time to institutionalization. The overall goal of the current project is to establish preliminary efficacy of the intervention to support an examination of the intervention in a subsequent large scale trial to be submitted as a future RO 1 application. The initial phase of the project will involve adapting an existing telephone-based intervention for stroke caregivers to use with caregivers of patients with dementia, as well as creating measures of treatment satisfaction and intervention compliance and adherence. The intervention will be pretested in fifteen dementia caregivers to collect feasibility and usability data to make further modifications of the intervention. A randomized, controlled pilot study will follow to compare the intervention to standard care for reducing caregiver distress. Seventy primary caregivers of patients formally diagnosed with dementia will be recruited. Caregivers in both groups will receive a resource packet containing information about caring for someone with dementia and a listing of local resources. Caregivers in the comparison group will not receive the intervention, but will not be restricted in their use of available, standard care interventions, The intervention group will receive a series of telephone calls over 12 months, during which emotional support and training in problem-solving skills will be provided by trained therapists. Caregivers in both groups will be assessed at pre-treatment, mid-treatment (6 months), post-treatment, and follow-up (3 months post-treatment) in their homes. It is hypothesized that the intervention will result in reduced caregiver burden and emotional distress, as well as improved quality of life and family functioning and increased use of community resources.

描述(由调查员提供)：当前项目旨在开发一种低成本、基于电话的干预措施，以减少焦虑、抑郁、痴呆症患者照顾者的负重感和压力感以及改善生活质量和家庭功能。次要目标是确定干预是否可以减少痴呆症患者的行为问题并增加患者住院的时间。该计划的总体目标目前的项目是建立干预的初步效果，以支持在随后的大规模试验中审查干预措施将作为未来的RO 1申请提交。该项目的初始阶段将涉及对现有的为中风护理人员提供的基于电话的干预措施痴呆症患者，以及创建治疗满意度的衡量标准以及干预措施的遵从性和坚守。干预措施将进行预先测试在15名痴呆症护理人员中收集可行性和可用性数据以对干预措施进行进一步修改。随机化的受控飞行员随后将进行研究，将干预与标准护理进行比较，以减少照顾者苦恼。正式确诊患者的70名主要照顾者患有痴呆症的人将被招募。两组的照顾者都将获得包含照顾痴呆症患者信息的资源包以及当地资源的清单。对照组中的照顾者不会接受干预，但不会受到其使用可用的限制，标准护理干预，干预组将接受一系列超过12个月的电话，在此期间，情感支持和培训解决问题的技能将由训练有素的治疗师提供。护理员在两组在治疗前、治疗中期(6个月)、治疗后，并在家中进行随访(治疗后3个月)。它是假设干预将导致照顾者负担减轻和情绪困扰，以及生活质量和家庭功能的改善并增加对社区资源的利用。