Dementia Care in Thailand: Infrastructure and Research Development

描述(由申请人提供)：标题：泰国的痴呆症护理：基础设施和研究发展计划公告(PAR-08-113)：NIH Fogarty国际中心-发展中国家的大脑疾病：跨寿命研究(R21)。摘要：本申请中提出的研究规划和开发活动旨在建立合作研究能力，以制定改善泰国痴呆症老年人护理的策略。泰国老年人口的快速增长导致阿尔茨海默病和相关痴呆症(ADRD)患者的数量不可避免地增加。泰国保健界和研究界都认识到迫切需要确定战略和资源，为患有ADRD的老年人家庭提供适当的照顾者支持。在为期两年的研究中，我们提出了以下具体目标：(1)建立泰国痴呆症护理研究中心(TCDCR)；(2)通过培训泰国研究人员进行定性研究方法来建设研究能力；(3)对泰国痴呆症护理人员进行深入的定性访谈和参与者观察，以记录他们的护理经验并确定文化上可接受的干预策略；(4)与护理人员以及其他利益相关者，包括社区老年护理提供者和政策制定者开展焦点小组，以检查实施Aim3建议的干预模式的可行性；以及(5)根据R21研究结果开发并提交R01申请，以测试针对泰国痴呆症护理人员的文化上适当的干预措施的成本效益。拟议的项目将由一个跨学科小组与来自公共卫生机构(泰国老年学研究与发展研究所基金会)、临床服务组织(泰国两家大型地区医院)和学术机构(泰国卫生系统研究所)的泰国研究人员合作进行，并得到来自布里格姆和妇女医院/哈佛医学院(精神病学系)和斯坦福大学医学院(斯坦福老年教育中心)的美国研究人员的支持。 公共卫生相关性：本R21建议美国和泰国研究人员继续开展独特的合作，致力于提高痴呆症护理研究的能力，并确定最佳战略，为泰国痴呆症患者的家庭照顾者实施基于证据的、文化上合适的干预措施。

DESCRIPTION (provided by applicant): Title: Dementia Care in Thailand: Infrastructure and Research Development Program Announcement (PAR-08-113): NIH Fogarty International Center - Brain Disorders in the Developing World: Research Across the Lifespan (R21). Abstract: The research planning and development activities proposed in this application are intended to build collaborative research capacity to develop strategies for improving care for elders with dementia in Thailand. Rapid growth of the elderly population in Thailand has resulted in inevitable increases in the number of people with Alzheimer's disease and related dementia (ADRD). Both the Thai health care and research communities recognize the urgent need for identifying strategies and resources to provide appropriate caregiver support to families of elders with ADRD. During the 2-year study, we propose the following specific aims: (1) Establishing the Thai Center for Dementia Caregiving Research (TCDCR); (2) building research capacity by training Thai researchers in qualitative research methods; (3) conducting in-depth qualitative interviews and participant observation with Thai dementia caregivers to document their caregiving experiences and to identify culturally acceptable intervention strategies; (4) conducting focus groups with caregivers as well as other stakeholders, including community-based eldercare providers, and policy makers to examine the feasibility of implementing intervention models proposed in Aim3; and (5) developing and submit an R01 application based on R21 study findings to test the cost-effectiveness of a culturally appropriate intervention for Thai dementia caregivers. The proposed project will be carried out by an interdisciplinary team through collaboration with Thai investigators from public health agencies (Foundation of Thai Gerontology Research and Development Institute), clinical service organizations (two large Thai district hospitals), and academic institutions (Health System Research Institute of Thailand), with the support of the US investigators from the Brigham and Women's Hospital/Harvard Medical School (Department of Psychiatry) and Stanford University School of Medicine (Stanford Geriatric Education Center). PUBLIC HEALTH RELEVANCE: This R21 proposes the continuation of a unique collaboration between U.S. and Thai investigators dedicated to enhancing the capacity for dementia care-giving research and identifying best strategies for implementing an evidence-based, culturally appropriate intervention for family caregivers of elders with dementia in Thai.