IMPROVING EVERYDAY MEMORY IN AT RISK ELDERLY

改善高危老年人的日常记忆力

• 批准号: 6697256
• 负责人: GRAHAM Joseph McDougall
• 金额: $ 45.75万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-03-01 至 2006-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6697256
• 关键词: anxiety; clinical research; clinical trials; cognition; cognitive behavior therapy; depression; functional ability; human old age (65+); human subject; human therapy evaluation; interview; memory; outcomes research; self help

Older adults want to live independently in the community for as long as possible. Factors which place older adults at a high risk for institutionalization include loss of memory performance, and the need for assistance with instrumental activities of daily living. Education and cognitively demanding environments are considered important means of remaining mentally fit. Older adults are capable of improving their memory but whether a psychosocial intervention may assist them to improve or maintain their instrumental activities of daily living is not known. The aims of the study are to determine (1) the effects of the Cognitive Behavioral Model of Everyday Memory (CBMEM)-based memory training intervention with booster sessions on memory self-efficacy, metamemory, anxiety, depression, memory performance, and instrumental activities of daily living; (2) whether the CBMEM based memory intervention will affect the distal functional outcome through its effect on the mediator variables (anxiety, depression, memory self-efficacy and metamemory) and the proximal outcome of memory performance; and (3) to examine the participants' views of the most and least helpful aspects of the CBMEM intervention. The intervention is an 8-session, 1 1/2 hour classroom course designed to teach older adults the use of strategies to improve everyday memory. Strategically placed booster sessions will be provided to subjects within 3 months following the last class session. Bandura's self-efficacy theory guides this study. A sample of 240 adults, aged 65 and older and living independently in the community will be recruited from Austin Travis County, from high rise apartments and retirement facilities. Individuals scoring <23 on the Mini-Mental Status Exam will be excluded from the study. All participants will complete the MMSE, Rivermead Behavioral Memory Test, the CES-D Depression Scale, Spielberger State-Trait Anxiety Inventory, the Medical Outcome Study-36, the Direct Assessment of Functional Status, and the Metamemory and Memory Self-Efficacy scales. In this randomized clinical trial subjects will be randomly assigned to experimental and comparison groups. Data collections will occur over 27 months on five occasions with face-to-face interviews. Data analysis will include descriptive statistics, correlations, 2X5 MANOVA and hierarchical regressions.

老年人希望尽可能长时间地在社区独立生活。 使老年人处于机构化高风险的因素包括记忆力丧失，以及需要协助日常生活的工具性活动。 教育和认知要求高的环境被认为是保持心理健康的重要手段。 老年人有能力改善他们的记忆力，但心理社会干预是否可以帮助他们改善或维持日常生活的工具性活动尚不清楚。 本研究的目的是：（1）以日常记忆认知行为模型（CBMEM）为基础的记忆训练干预对记忆自我效能、元记忆、焦虑、抑郁、记忆成绩和工具性日常生活活动的影响;（2）基于CBMEM的记忆干预是否会通过对中介变量的影响而影响远端功能结果（焦虑，抑郁，记忆自我效能和元记忆）和记忆表现的近端结果;（3）检查参与者对CBMEM干预最有帮助和最没有帮助的方面的看法。 干预是一个8节，1 1/2小时的课堂课程，旨在教老年人使用策略来改善日常记忆。 在最后一堂课结束后的3个月内，将为受试者提供战略性的强化课程。 班杜拉的自我效能理论指导了本研究。 将从奥斯汀特拉维斯县、高层公寓和退休机构招募240名65岁及以上、在社区独立生活的成年人作为样本。 在简易精神状态检查中得分<23的个体将被排除在研究之外。 所有参与者将完成MMSE、Rivermead行为记忆测试、CES-D抑郁量表、Spielberger状态-特质焦虑量表、医疗结局研究-36、功能状态直接评估以及元记忆和记忆自我效能量表。 在本随机临床试验中，受试者将被随机分配至实验组和对照组。 数据收集将在27个月内进行五次面对面访谈。 数据分析将包括描述性统计、相关性、2X 5 MANOVA和分层回归。