Comparative Effectiveness of Dementia Caregiver Interventions:Towards Person-Cent

描述（由申请人提供）：拟议的K18的职业发展目标是双重的：1)在痴呆症患者家庭护理的背景下，获得以人为本的结果研究（PCOR）和比较有效性研究（CER）的各个方面的培训，指导和专业知识；2)为建立基于PCOR和CER的综合、多研究者的研究工作和基于大学的基础设施做好必要的准备。拟议的职业发展计划将强调PCOR和CER的指导和培训活动，包括每年参加研究所，审核课程，实地考察，以及通过明尼苏达大学AHRQ循证实践中心参与PCOR/CER分析和传播。拟议的K18及其提供的资源将有助于将PCOR纳入明尼苏达大学的各种跨学科研究和教育倡议。不同类型的支持策略可能对一些痴呆症护理人员比其他人更有帮助。为此，K18研究计划的主要目标是确定某些干预方法是否可以根据结果（例如，减少照顾者压力，使痴呆症患者留在家中，改善痴呆症患者的福祉），个人特征和痴呆症严重程度来最好地满足痴呆症家庭照顾者的需求。K18研究计划的具体目标1将包括对现有干预措施的比较有效性分析，以确定这些方法对根据结果、家庭照顾者和痴呆症患者的关键特征以及干预类型区分的痴呆症照顾者的有效性。K18研究计划的具体目标2涉及建立一个社区咨询委员会，以审查和传播具体目标1 CER程序的结果，并概述痴呆患者后续护理计划工具的问题、设计、评估和传播。社区咨询委员会的参与将使有计划的护理规划工具与主要利益攸关方（特别是痴呆症患者的家庭照护者）的需求保持一致，并产生一种真正以人为本的方法来帮助有需要的家庭。

DESCRIPTION (provided by applicant): The career development goals of the proposed K18 are twofold: 1) to obtain training, mentorship, and expertise in various facets of person-centered outcome research (PCOR) and comparative effectiveness research (CER) in the context of family care for persons with dementia; and 2) to achieve the necessary level of preparation to create integrated, multi-investigator research efforts and university-based infrastructure based on PCOR and CER. The proposed Career Development Plan will emphasize mentorship and training activities in PCOR and CER including annual attendance at institutes, audited coursework, site visits, and participation in PCOR/CER analysis and dissemination via the University of Minnesota AHRQ Evidence-Based Practice Center. The proposed K18 and the resources it would provide will facilitate the integration of PCOR in various interdisciplinary research and educational initiatives at the University of Minnesota. It is likely different types o support strategies are more helpful for some dementia caregivers than others. To this end, the primary goal of the K18 Research Plan is to determine whether certain intervention approaches can best meet the needs of dementia family caregivers based on outcome (e.g., reduction of caregiver stress, keeping the person with dementia at home, improving the person with dementia's well-being), personal characteristics, and dementia severity. Specific Aim 1 of the K18 Research Plan will include a comparative effectiveness analysis of available interventions to ascertain the efficacy of these approaches for dementia caregivers differentiated by outcome, key characteristics of the family caregiver and person with dementia, and intervention type. Specific Aim 2 of the K18 research plan involves the creation of a Community Advisory Board to review and disseminate the results of the Specific Aim 1 CER procedures as well as outline the questions, design, evaluation, and dissemination of a subsequent care planning tool for persons with dementia. Engaging the Community Advisory Board will align a planned care planning tool with the needs of key stakeholders (particularly family caregivers of persons with dementia) and result in a truly person-centered approach to assisting families in need.