VIDEO-BASED COPING SKILLS TRAINING F0R CAREGIVERS

描述（由申请人提供）：广泛的研究表明，阿尔茨海默病（AD）或其他痴呆症患者的护理人员在心理和生物上比没有责任的同龄人更痛苦。行为干预教导照顾者技能，以更有效地科普他们作为照顾者所面临的特定类型的压力源，比信息/支持类型的干预更有效。然而，许多障碍阻碍了有效干预措施的成功实施，使护理人员无法获得这些措施。威廉姆斯生活技能公司(WLS)已经开发了一个应对技能培训计划，即威廉姆斯生活技能研讨会，该计划已被证明在减少心理和生物应激标志物方面有效，并改善了处于困境的健康群体和心血管疾病患者的心理社会健康状况。WLS开发了威廉姆斯生活技能视频，使其能够有效地提供这种培训，以大量的人在真实的世界设置。该拟议快速通道SBIR应用程序的目标是在第一阶段证明创建新视频产品的可行性，该产品通过加强电话辅导，培训护理人员使用WLS面对面培训和当前威廉姆斯生活技能视频中使用的10个应对技能模块。在第一阶段，我们将调整视频场景，使其与护理人员1的压力相关，制作一个新的视频模块，并对8名护理人员进行试点测试，以证明第二阶段的目标是制作完整的新护理人员视频的可行性，并在一个大型护理人员随机对照试验中评估其对心理社会风险因素和压力生物标志物的影响。我们的目标的实现将导致一个容易交付的计划，可以改善健康和降低医疗成本的数百万照顾者。由经验丰富的研究团队提供的经验支持将有助于将新产品推向越来越多的美国人，他们是AD或其他痴呆症亲属的护理人员。

DESCRIPTION (provided by applicant): Caregivers of patients with Alzheimer's Disease (AD) or other dementias have been shown in extensive research to be more psychologically and biologically distressed than peers without caregiving responsibilities. Behavioral interventions teaching Caregivers skills to cope more effectively with the particular sorts of stressors they confront as Caregivers are more effective than information/support sorts of interventions. Successful implementation even of effective interventions has been hampered, however, by many barriers that prevent Caregivers from accessing them. Williams LifeSkills, Inc. (WLS), has developed a coping skills training program, the Williams LifeSkills Workshop, that has been shown efficacious in reducing both psychological and biological markers of stress, as well as improving psychosocial well-being in both distressed healthy groups and patients with cardiovascular disease. WLS has developed the Williams LifeSkills Video to make it possible to deliver this training effectively to large numbers of people in real world settings. The goal of this proposed Fast-Track SBIR application is to demonstrate in Phase I the feasibility of creating a new video product that, with the enhancement of telephone coaching, trains Caregivers to use ten coping skills modules used in WLS face-to-face training and in the current Williams LifeSkills Video. During Phase I, we will adapt the Video scenarios to be relevant to Caregivers1 stresses, produce one new Video module, and do a pilot test with 8 Caregivers to demonstrate the feasibility of Phase ll's aims to produce the complete new Caregiver Video and evaluate its effects on psychosocial risk factors and biomarkers of stress in a randomized controlled trial with a large group of Caregivers. Achievement of our aims would lead to an easily deliverable program that can improve the health and reduce medical costs for millions of Caregivers. This empirical support, produced by an experienced research team, would help market the new product to the growing numbers of Americans who are Caregivers for relatives with AD or other dementias.