Optimizing Couple-Oriented Interventions for Chronic Illness

优化以夫妻为导向的慢性病干预措施

• 批准号: 8451318
• 负责人: LYNN M. MARTIRE
• 金额: $ 12.24万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-04-01 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8451318
• 关键词: Accounting; Address; Adult; Advanced Development; Affect; Area; Arthritis; Award; Behavior; Behavior Control; Behavior Therapy; Behavioral; Blood Glucose; Cardiovascular Diseases; Caregivers; Cessation of life; Characteristics; Chronic; Chronic Disease; Couples; Data; Data Set; Development; Diabetes Mellitus; Dietary Practices; Disease; Eating; Elderly; Exhibits; Family; Female; Future; Gender; Genetic Polymorphism; Genetic Predisposition to Disease; Health; Health Care Costs; Health behavior; Home environment; Hydrocortisone; Independent Scientist Award; Individual; Intervention; Intervention Studies; Interview; Knee Osteoarthritis; Laboratories; Lead; Life; Link; Literature; Malignant Neoplasms; Marital Relationships; Marriage; Measurement; Measures; Medical Care Costs; Methods; Modeling; Moods; Non-Insulin-Dependent Diabetes Mellitus; Pain; Patient Self-Report; Patients; Personal Satisfaction; Persuasive Communication; Physical activity; Physiological; Process; Research; Research Activity; Research Personnel; Rest; Self Efficacy; Severities; Site; Spouses; Symptoms; Taste Perception; Testing; Time; Training; Training Activity; United States; Variant; career development; caregiving; design; diaries; heart rate variability; in vivo; intervention effect; male; member; middle age; negative mood; next generation; pressure; programs; research study; response; success; therapy development; trait; working group

DESCRIPTION (provided by applicant): Most adults who suffer from a chronic illness are married or in an intimate relationship, yet the vast majority of behavioral interventions fail to address this relationship's impact or the effects of illness on the partner. Therefore, such interventions are not likely to be fully effective for many patients, and may even backfire. The purpose of this proposed K02 Independent Scientist Award (ISA) to Dr. Lynn Martire is to advance the development of couple-oriented interventions (CIs) for chronic illness that benefit both patients and spouses and also inform models of marriage and health. The focus of this award will be three chronic conditions that are the most deadly and costly of all health problems in the United States: cardiovascular disease, cancer, and diabetes. Dr. Martire's career development activities will address design, measurement, and analysis issues that are critical for the success of future CI research. The research activities of this ISA will add critical information to the literature on marriage and health, and inform the next generation of CIs, by focusing on how short-term processes that occur in the home environment affect health. Aims #1 and 2 will examine daily processes in couples living with chronic illness, as well as individual and couple-level characteristics that moderate these processes, using dyadic diary data collected in studies of knee osteoarthritis and Type 2 diabetes. Aim #3 is to collect pilot observational data on couples' health-related interactions in the home. Aim #4 will apply findings from these and other projects to the development of an adaptive, cross-disease intervention for couples. The Candidate is uniquely poised to make significant advances in this area due to her research expertise in late-life chronic illness, family caregiving, and the effects of intervention on both patient and caregiver. Research and training activities will be facilitated by a team of Consultants who are leading experts in the areas of intimate relationships, health, longitudinal measurement and analysis, intervention development, and ecological momentary intervention. In addition, the Candidate has assembled a National Working Group of established researchers testing CIs for the three focal conditions of this ISA.

描述（由申请人提供）：大多数患有慢性病的成年人已婚或处于亲密关系中，但绝大多数行为干预措施未能解决这种关系的影响或疾病对伴侣的影响。因此，此类干预措施对于许多患者来说不太可能完全有效，甚至可能适得其反。向 Lynn Martire 博士提议颁发 K02 独立科学家奖 (ISA) 的目的是推动针对慢性疾病的以夫妇为导向的干预措施 (CI) 的发展，使患者和配偶都受益，并为婚姻和健康模式提供信息。该奖项的重点将是美国所有健康问题中最致命和代价最高的三种慢性病：心血管疾病、癌症和糖尿病。 Martire 博士的职业发展活动将解决对未来 CI 研究成功至关重要的设计、测量和分析问题。该 ISA 的研究活动将为婚姻与健康文献添加重要信息，并通过关注家庭环境中发生的短期过程如何影响健康来为下一代 CI 提供信息。目标#1和2将利用在膝骨关节炎和2型糖尿病研究中收集的二元日记数据，检查患有慢性疾病的夫妇的日常过程，以及调节这些过程的个人和夫妇层面的特征。目标#3 是收集夫妻在家中与健康相关的互动的试点观察数据。目标#4 将应用这些项目和其他项目的研究结果来为夫妇制定适应性的跨疾病干预措施。由于她在晚年慢性疾病、家庭护理以及干预对患者和护理人员的影响方面的研究专业知识，该候选人有望在这一领域取得重大进展。研究和培训活动将由亲密关系、健康、纵向测量和分析、干预开发和生态瞬时干预领域的领先专家顾问团队负责推动。此外，候选人还组建了一个由知名研究人员组成的国家工作组，针对本 ISA 的三个重点条件测试 CI。