Communication and Coping Behaviors in Person with AD

超出提供的空间。本提案是对PAR-03-056，主题#8--行为医学基础研究的重新提交。沟通问题是艾兹海默症(AD)患者及其照顾者面临的最困难的问题之一。它增加了AD照顾者和照顾者的压力，增加了死亡率，降低了生活质量。尽管有大量关于照顾者负担和应对的文献，但关于阿尔茨海默病患者一般如何应对，特别是他们如何应对沟通问题的研究很少。文献表明，随着认知障碍的进展，阿尔茨海默病患者对应对策略的需求增加。目前的认知测试既不寻找也不归功于应对行为，因此可能会遗漏功能性行为的重要迹象。因此，我们建议通过开发一种名为交往应对行为检查表(CCBC)的新工具来检查AD患者的这些行为。拟议的清单将衡量由正常或AD患者及其照顾者组成的70个二元组对沟通应对行为的频率和有效性进行评估。在这项研究中，照顾者或见多识广的告密者将观察和评估沟通应对行为，间隔两周，两年两次。使用多元分析，我们将优化设计，并验证CCBC与其他现有的生活质量，认知和功能沟通的测量。该项目的目标是：1.在重点小组和专家小组的参与下，最后确定CCBC的形式和内容。2.描述当前版本的CCBC的统计特性。A.制定评分规则。B.确定CCBC检查表中的各个条目是否有临床意义的分值。3.了解中国儿童行为量表总分(S)与其他心理、认知、机能测量工具(S)的相关关系。4.了解中国痴呆评定量表(S)评分(S)随痴呆严重程度和病情进展的变化情况。这项研究的长期目标是识别和强调AD的沟通应对行为，并最终通过意识和康复来改善AD照顾者和照顾者的沟通和生活质量。表演网站========================================Section End===========================================

EXCEED THE SPACE PROVIDED. This proposal is a resubmission responding to PAR-03-056, topic #8 - Basic Research in Behavioral Medicine. Communication problems are one of the most difficult issues faced by people with AIzheimer's Disease (AD) and their caregivers. It contributes to increased stress, mortality, and decreased quality of life for both AD caregivers and care- receivers. Despite a large literature on caregiver burden and coping, little research has been done on how people with AD cope in general and in particular how they cope with communication problems. The literature suggests that as cognitive impairment progresses, the need for coping strategies by the person with AD increases. Current cognitive tests neither look for nor give credit to coping behaviors and thus may miss important signs of functional behavior. Thus we propose to examine these behaviors of persons with AD by developing a new instrument called the Communicative Coping Behavior Checklist (CCBC). The proposed checklist will measure the frequency and effectiveness of communicative coping behaviors as rated by 70 dyads comprised of normal or persons with AD and their caregivers. For this study, the caregivers or knowledgeable informants will observe and rate communicative coping behaviors for a two week interval, twice in two years. Using multivariate analysis, we will optimize the design and to validate the CCBC with other existing measures of quality of life, cognition and functional communication. The aims of this project are: 1. To finalize the form and content of the CCBC with focus groups and an expert panel. 2. To describe the statistical properties of the current version of the CCBC. a. To develop scoring rules. b. To determine if there are clinically meaningful subscores from the individual items in the CCBC checklist. 3. To understand how the CCBC score(s) correlate(s) with other psychological, cognitive, and functional measures. 4. To understand how the CCBC score(s) change(s) based on dementia severity and progression of the disease over time. The long-term goal of this research program is to identify and highlight AD communicative coping behaviors and ultimately to improve communication and the quality of life of AD caregivers and care-receivers through awareness and rehabilitation. PERFORMANCE SITE ========================================Section End===========================================