Training for Providers of an Evidence-Based AD Family Caregiver Intervention

为循证 AD 家庭护理人员干预提供者提供培训

• 批准号: 8474676
• 负责人: John V Hobday
• 金额: $ 42.58万
• 依托单位: HEALTHCARE INTERACTIVE, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-01 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8474676
• 关键词: Agreement; Alzheimer' s Disease; Behavior; Caregivers; Caring; Certification; Chronic Disease; Clinical; Communities; Continuing Education; Counseling; Country; Cultural Diversity; Data; Data Analyses; Dementia; Development; Disease; Education; Educational Intervention; Elderly; Emotional; Family; Family Caregiver; Family member; Feedback; Future; Health system; Healthcare Systems; Home environment; Hour; Human Resources; Incidence; Individual; Internet; Intervention; Knowledge; Learning; Letters; Licensing; Life; Literature; Mental Depression; Modeling; Multimedia; New York; Nursing Homes; Online Systems; Outcome; Persons; Phase; Photography; Play; Price; Private Practice; Process; Production; Protocols documentation; Provider; Public Health; Publishing; Qualitative Evaluations; Randomized; Randomized Controlled Trials; Reaction; Reporting; Research; Research Personnel; Role; Self Efficacy; Severities; Site; Social Work; Social Workers; Societies; Solutions; Spouse Caregiver; Staging; Stress; Supervision; Testing; Time; TimeLine; Training; Training Programs; Universities; Videotape; Vision; aging population; base; caregiving; combat; commercial application; commercialization; cost effective; depressive symptoms; design; evidence base; experience; improved; innovation; meetings; member; patient home care; physical conditioning; programs; psychologic; psychosocial; research and development; response; satisfaction; sound; tool; treatment as usual; usability

DESCRIPTION (provided by applicant): Alzheimer's disease and related disorders (ADRD) constitute urgent challenges to U.S. healthcare systems as well as enormous burdens on society as a whole. Nearly 75 percent of the care for persons with ADRD is delivered at home, and family caregivers need ongoing support to manage the daunting physical and psychological demands of care. A 20+ year randomized controlled trial tested a psychosocial intervention for spouse caregivers, called the NYU Caregiver Intervention (NYUCI), and demonstrated long-term positive outcomes for people with ADRD and their family members. Most notably, the RCT showed that the NYUCI substantially reduced caregiver's depressive symptoms and the severity of their reaction to the behaviors caused by the illness, improved their physical health, and extended the time persons with ADRD were able to remain at home-an average of 1.5 years longer than those whose caregivers received usual care (Mittelman et al., AG14634, formerly MH42216; See www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=122). This Phase II effort proposes to complete and evaluate an innovative Internet-Based Multimedia Education (IBME) training program for providers in community agencies and private practice seeking to learn how to implement the NYUCI or become more proficient in counseling family caregivers of people with dementia. Certification and continuing education credits will be part of the product. Requests for training have become too numerous to satisfy in a timely manner in person. We hypothesize the proposed effort can provide effective training with the aid of the Internet so that fidelity to the NYUCI content, protocols, and outcomes can be achieved efficiently. We will test this hypothesis in YR2 with a randomized controlled trial that will inclue both quantitative analyses and qualitative evaluations, comparing the results of in person training and on-line training using the completed product. Because NYUCI assures support to family caregivers for the life of those with ADRD, the proposed IBME has the potential to transform ADRD home care but also U.S. healthcare systems as it disseminates access to the evidence-based NYUCI model to many more agencies than would be possible without an IBME format. The project's innovation derives from a unique vision, multilevel intervention, and creative combination of the NYUCI itself, the professional experience of the Investigators and other key personnel in the fields of family care, ADRD, and IBME development. In addition to its strong present commercial potential, this IBME may be also useful as a template for future training of providers of caregiving support to persons with chronic diseases other than ADRD.

描述(申请人提供)：阿尔茨海默病及相关疾病(ADRD)是美国医疗体系面临的紧迫挑战，也是整个社会的巨大负担。近75%的ADRD患者的护理是在家里提供的，家庭照顾者需要持续的支持，以管理令人望而生畏的身体和心理护理需求。一项20多年的随机对照试验测试了一种针对配偶照顾者的心理社会干预，称为纽约大学照顾者干预(NYUCI)，并证明了ADRD患者及其家庭成员的长期积极结果。最值得注意的是，随机对照试验显示，NYUCI显著减少了照顾者的抑郁症状和他们对疾病引起的行为的严重反应，改善了他们的身体健康，并延长了患有ADRD的人能够留在家里的时间--比那些接受普通护理的人平均多1.5年(Mittelman等人，AG14634，前身为MH42216；参见www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=122).这项第二阶段的工作建议完成和评估一项创新的基于互联网的多媒体教育(IBME)培训计划，该计划面向社区机构和私人诊所的提供者，寻求学习如何实施NYUCI或变得更熟练地咨询痴呆症患者的家庭照顾者。认证和继续教育学分将是该产品的一部分。对培训的要求太多，无法及时亲自满足。我们假设拟议的努力可以在互联网的帮助下提供有效的培训，以便有效地实现对NYUCI内容、协议和结果的忠诚度。我们将在YR2中通过一项随机对照试验来检验这一假设，该试验将包括定量分析和定性评估，比较面对面培训和使用完成产品的在线培训的结果。由于NYUCI保证为ADRD患者的家庭照顾者提供生活支持，拟议的IBME有可能改变ADRD的家庭护理，但也有可能改变美国的医疗体系，因为它向更多的机构传播了基于证据的NYUCI模式，而不是IBME格式。该项目的创新源于NYUCI本身、调查人员和其他关键人员在家庭护理、ADRD和IBME发展领域的专业经验的独特愿景、多层次干预和创造性组合。除了目前强大的商业潜力外，这一IBME还可用作未来培训ADRD以外的慢性病患者护理支助提供者的模板。