Psychosocial Telephone Intervention for Dementia Caregivers

痴呆症护理人员的心理社会电话干预

• 批准号: 7849081
• 负责人: GEOFFREY N TREMONT
• 金额: $ 38.54万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-28 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7849081
• 关键词: Accounting; Address; Alzheimer' s Disease; Area; Caregiver Burden; Caregivers; Caring; Characteristics; Communities; Competence; Data; Dementia; Development; Disease; Distress; Educational process of instructing; Emotional; Ensure; Family; Feeling; Female; Future; Gender; Gender Identity; Goals; Grant; Habits; Health; Human Resources; Intervention; Life; Living Arrangement; Manuals; Measures; Mediating; Memory; Mental Depression; Moods; Morbidity - disease rate; Outcome; Patients; Perception; Persons; Pilot Projects; Problem behavior; Quality of life; Randomized; Reaction; Reporting; Research; Resources; Risk; Social support; Source; Spouses; Stroke; Telephone; Testing; Training Programs; base; blind; brief intervention; coping; cost effectiveness; design; effective intervention; efficacy trial; executive function; male; meetings; mortality; psychosocial; response; social; treatment adherence; treatment strategy

DESCRIPTION (provided by applicant): Caring for a patient with dementia is associated with increased feelings of burden and depression. The proposed study will examine the efficacy of Family Intervention: Telephone Tracking - Dementia (FITT- Dementia), a multi-component, family-based, telephone intervention. Treatment strategies are based on assessment of key areas (e.g., mood, family functioning, social support, health) during each contact to ensure individualized application of interventions. This approach, initially designed for stroke caregivers, has been successfully modified for use with dementia caregivers by the PI and his research team as part of a development grant. The current project is designed to be an efficacy trial in which 274 dementia caregivers will be randomly assigned to receive either 6 months of FITT-Dementia or minimal telephone support. The intervention involves a fixed number of telephone contacts distributed over 6 months that focus on providing emotional support, directing caregivers to appropriate resources, encouraging caregivers to attend to their own physical, emotional, and social needs, and teaching caregivers strategies to cope with ongoing problems. Minimal telephone support will involve the same number of telephone contacts as the FITT-Dementia, although therapists will provide only reflective/empathic listening. Caregivers will undergo telephone assessments of their level of burden and depression conducted by an examiner blind to group membership. Assessments will be performed at baseline and at 2, 4, 6, and 9 months. The study will address the following aims: 1) To examine the efficacy of the FITT-Dementia for reducing burden and depression; 2) To examine whether change in caregiver burden mediates the relationship between treatment and depression outcome; and 3) To identify caregiver and situational factors predicting the best response to FITT-Dementia treatment. A secondary aim of the proposed project is to determine preliminary cost effectiveness data for the FITT intervention compared to minimal telephone support. It is anticipated that results will support application of FITT-Dementia in the general community. There is continued need to identify interventions for dementia caregivers that can reduce burden and distress, yet still be accessible and easy to implement. The proposed study will test whether Family Intervention: Telephone Tracking-Dementia (FITT-D), a psychosocial intervention that is entirely delivered by telephone, can reduce distress in a large group of dementia caregivers. It is expected that study results will support application of FITT-D in the community.

描述（由申请人提供）：护理痴呆症患者会增加负担感和抑郁感。拟议的研究将检验家庭干预：电话追踪 - 痴呆症（FITT-痴呆症）的功效，这是一种多成分、基于家庭的电话干预措施。治疗策略基于每次接触期间对关键领域（例如情绪、家庭功能、社会支持、健康）的评估，以确保干预措施的个性化应用。这种方法最初是为中风护理人员设计的，作为开发补助金的一部分，PI 及其研究团队已成功修改为用于痴呆症护理人员。当前的项目旨在进行一项功效试验，其中 274 名痴呆症护理人员将被随机分配接受 6 个月的 FITT-痴呆症治疗或最低限度的电话支持。干预措施包括在 6 个月内分配固定数量的电话联系，重点是提供情感支持、指导护理人员获得适当的资源、鼓励护理人员关注自己的身体、情感和社交需求，并教授护理人员应对持续问题的策略。最低限度的电话支持将涉及与 FITT-痴呆症相同数量的电话联系，尽管治疗师只会提供反思/共情的倾听。护理人员将接受电话评估，评估他们的负担和抑郁程度，由不知道团体成员身份的检查员进行。评估将在基线以及第 2、4、6 和 9 个月时进行。该研究将实现以下目标：1）检查 FITT-Dementia 对于减轻负担和抑郁症的功效； 2）检查照顾者负担的变化是否介导治疗与抑郁结果之间的关系； 3) 确定护理人员和情境因素，预测 FITT-痴呆治疗的最佳反应。拟议项目的第二个目标是确定 FITT 干预与最低限度电话支持相比的初步成本效益数据。预计结果将支持 FITT-Dementia 在普通社区的应用。仍然需要为痴呆症护理人员找到可以减轻负担和痛苦的干预措施，但仍然易于实施。拟议的研究将测试家庭干预：电话跟踪痴呆症（FITT-D）（一种完全通过电话提供的心理社会干预措施）是否可以减轻大量痴呆症护理人员的痛苦。预计研究结果将支持 FITT-D 在社区中的应用。