Comprehensive Support for Alzheimer's Disease Caregivers

为阿尔茨海默病护理人员提供全面支持

• 批准号: 6730899
• 负责人: JOSEPH E. GAUGLER
• 金额: $ 25.73万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2005-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6730899
• 关键词: Alzheimer' s disease; aging; behavioral /social science research tag; caregivers; clinical research; counseling; data collection; human subject; human therapy evaluation; longitudinal human study; psychotherapy; stress management

DESCRIPTION (provided by applicant): Family care for AIzheimer's patients has received significant attention in the gerontological literature. Considerable research has demonstrated who caregivers are, what caregivers do, and the potential emotional, psychological, physical, social, and financial burdens caregivers experience. However, psychosociat interventions designed to alleviate negative caregiving outcomes generally report mixed results. One particular intervention that has proved successful in reducing caregiver depression and delaying care recipient institutionalization is the Enhanced Counseling and Support Intervention (ECS) implemented by Mittelman and her associates at the New York University AIzheimer's Disease Research Center (NYU-ADRC; see Mittelman et al., 1993; 1995). While the ECS was one of the few psychosocial interventions that have reported positive results, findings were limited to one experimental site and spouses of AIzheimer's patients. The proposed analysis will expand on prior research by: 1) testing the benefits of the ECS for Alzheimer's caregivers at a non-urban experimental site, the University of Kentucky Alzheimer's Disease Research Center (UK-ADRC); and 2) expanding the scope of the ECS by focusing on adult child Alzheimer's caregivers and comparing the benefits of the ECS intervention at both the UK-ADRC and NYU-ADRC sites. This 5-year study will use a randomized experimental design and will include 440 adult child caregivers across the two experimental sites (220 adult child caregivers at UK-ADRC; 220 adult child caregivers at NYU-ADRC). The experimental design (which will include the ECS treatment condition and a usual contact control group), up to 5-years of data collection, and a large sample size will allow for more valid and generalizable results than other psychosocial interventions. Moreover, the prospective longitudinal design with assessments beginning prior to enrollment, every 4 months during the first year of the intervention, and every 6 months thereafter will allow for use of sophisticated longitudinal analyses (i.e., growth curve models) to determine the effectiveness of the ECS. The proposed evaluation will provide detailed information on the potential of the ECS to serve as a model intervention for various family caregivers of Alzheimer's patients in diverse geographic contexts.

描述（由申请人提供）：艾兹海默患者的家庭护理在老年学文献中受到了极大的关注。大量的研究表明，看护人是谁，看护人的工作以及潜在的情感，心理，身体，社会和经济负担的照顾者经验。但是，旨在减轻负面照顾结果的心理社会干预措施通常报告结果不同。事实证明，一项特殊的干预措施在减少护理人员抑郁症和延迟护理人员制度化方面是由Mittelman及其同事在纽约Aizheimer疾病研究中心（NYU-ADRC；参见Mittelman等人，1993; 1995; 1995）实施的加强咨询和支持干预（ECS）。虽然ECS是报道阳性结果的少数社会心理干预措施之一，但发现仅限于一个实验部位和Aizheimer患者的配偶。 提出的分析将通过以下方面的研究扩展：1）在非城市实验地点，肯塔基州阿尔茨海默氏病研究中心（UK-ADRC）测试EC对阿尔茨海默氏症护理人员的好处；和2）通过关注成年儿童老年痴呆症护理人员的范围，并比较在UK-ADRC和NYU-ADRC网站上的ECS干预措施的好处。这项为期5年的研究将使用随机的实验设计，并将包括两个实验场所的440名成年儿童护理人员（UK-ADRC的220名成人儿童护理人员；纽约大学220名成人儿童护理人员）。实验设计（其中包括ECS治疗条件和通常的接触对照组），最多5年的数据收集以及大型样本量将允许比其他社会心理干预措施更有效，可概括。此外，前瞻性纵向设计，从入学前开始，在干预的第一年开始每4个月，此后每6个月每4个月都将允许使用复杂的纵向分析（即增长曲线模型）来确定EC的有效性。拟议的评估将提供有关EC在各种地理环境下对阿尔茨海默氏症患者的各种家庭护理人员提供模型干预潜力的详细信息。