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Enhancing resourceful skills in family caregivers

提高家庭护理人员的足智多谋的技能

基本信息

批准号：
7127515
负责人：
ELIZABETH W GONZALEZ
金额：
$ 22.5万
依托单位：
DREXEL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-08-01 至 2010-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7127515
关键词：
caregivers clinical research family role

项目摘要

DESCRIPTION (provided by applicant): The importance of families as a health resource is predicted to significantly increase in the next decade. Family caregivers take on the responsibilities of caring for their loved ones at home with no or minimal preparation and knowledge about caregiving, their role and the health problems of their loved ones. The negative consequences on family caregivers of persons with Alzheimer's disease are well-documented. African Americans are underserved in dementia care, often receiving services later in the course of the disease than Whites, or not at all. Therefore, interventions are needed to decrease the negative consequences on family caregivers and increase their preparedness in caring for their loved ones at home. The purpose of this study is to evaluate the effects of enhancing resourceful skill to decrease emotional distress and improve role outcomes in family caregivers of persons with Alzheimer's disease. Enhancing resourceful skill is an intervention postulated to improve family caregiver and recipient outcomes. The specific aims of this study are to determine: 1) the effect of resourceful skill intervention on family caregivers' resourcefulness; 2) the mediating effects of resourcefulness on family caregivers' emotional outcomes (depression and anxiety), role outcomes (role reward, preparedness), and quality of relationship with care recipient (mutuality); 3) the effect of enhancing resourceful skills on family caregiver emotional outcomes, role outcomes, and mutuality; 4)the effect of enhancing resourceful skills on family caregivers appraisals of memory and behavior problems in care recipient. The intervention is a 2-hour, 6 week program. All outcome measures will be collected at baseline, 6 weeks, and 3 months post intervention. The researchers hypothesize that family caregivers who receive the intervention will be more resourceful and that greater resourcefulness is linked to lower caregiver depression and anxiety, and more reward, preparedness, and mutuality. Given the negative consequences in family caregivers, a low cost intervention that has impact on improving health outcomes is significant. The unique contribution of this study include: a) a randomized control design, b) inclusion of African American caregivers; c) integration of role, self-regulatory theories and stress and coping model. The long-term objectives of this project are to improve caregivers' and care- recipients' quality of life.

描述（由申请人提供）：预计在未来十年，家庭作为健康资源的重要性将显著增加。家庭照护者承担了在家照护其亲人的责任，但对照护、其作用和其亲人的健康问题没有或只有很少的准备和知识。对阿尔茨海默病患者的家庭照顾者的负面影响有充分的记录。非裔美国人在痴呆症护理方面的服务不足，通常在疾病过程中比白人晚得到服务，或者根本没有得到服务。因此，需要采取干预措施，以减少对家庭照顾者的负面影响，并增加他们在家照顾亲人的准备。本研究的目的是评估提高资源技能对减少阿尔茨海默病患者家庭照顾者的情绪困扰和改善角色结局的影响。提高资源技能是一种干预假设，以改善家庭照顾者和接受者的结果。本研究的具体目的是确定：1)足智多谋技能干预对家庭照顾者足智多谋的影响；2)足智多谋对家庭照顾者情绪结局（抑郁和焦虑）、角色结局（角色奖励、准备）和与照顾者关系质量（互惠性）的中介作用；3)提高资源技能对家庭照顾者情绪结局、角色结局和相互关系的影响；4)提高应变能力对家庭照顾者评价被照顾者记忆和行为问题的影响。干预是一个2小时，6周的项目。所有结果测量将在基线、干预后6周和3个月收集。研究人员假设，接受干预的家庭照顾者会更加足智多谋，而足智多谋与照顾者的抑郁和焦虑程度较低有关，并且更多的奖励、准备和相互关系。鉴于对家庭照顾者的负面影响，对改善健康结果产生影响的低成本干预措施意义重大。本研究的独特贡献包括：a)随机对照设计；b)纳入非裔美国护理人员；C)角色、自我调节理论与压力应对模式的整合。该项目的长期目标是改善照顾者和受照顾者的生活质量。