Self-Directed Online Training Intervention for Chinese Dementia Caregivers

中国痴呆症护理人员自主在线培训干预

• 批准号: 8905894
• 负责人: Hongtu Chen
• 金额: $ 59.79万
• 依托单位: ENVIRONMENT AND HEALTH GROUP, INC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-30 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8905894
• 关键词: Active Learning; Address; Adherence; Algorithms; Area; Behavioral; Caregivers; Caring; Chinese People; Chronic; Chronic Disease; Clip; Communication; Communities; Compulsive Behavior; Cultural Backgrounds; Data; Dementia; Development; Education; Educational Curriculum; Educational Intervention; Effectiveness; Effectiveness of Interventions; Elderly; Emotions; Ensure; Evaluation; Exposure to; Expressed Emotion; Face; Family; Family Caregiver; Funding; Hallucinations; Health; Individual; Internet; Intervention; Intervention Studies; Knowledge; Lead; Learning; Length; Linguistics; Mediating; Mental Depression; Mental Health; Minority Groups; Outcome; Penetration; Personal Satisfaction; Phase; Population; Prevalence; Public Health; Randomized Controlled Trials; Recommendation; Reporting; Research; Self Care; Self Efficacy; Sleeplessness; Small Business Innovation Research Grant; Social support; Stress; Technology; Training; Training Programs; arm; base; behavioral economics; burden of illness; caregiving; commercialization; depressive symptoms; design; ethnic minority population; flexibility; handheld mobile device; health disparity; improved; innovation; insight; intervention effect; intervention program; phase 1 study; phase 2 study; physical conditioning; primary outcome; programs; prototype; public health relevance; skills; skills training; social; software development; therapy design

 DESCRIPTION (provided by applicant): The objective of this Phase II application is to develop an online self-directed learning (SDL) intervention program that seeks to improve caregiving and self-care skills among ethnic Chinese dementia caregivers. The benefits of such a product may include improved psychological health in caregivers and a reduction in behavioral disturbances among elderly care recipients with dementia. While online dementia caregiver interventions are advantageous in reaching broad audiences, they face significant challenges in engaging the target audience and keeping them engaged throughout the intervention program. The proposed online SDL skill training intervention addresses these challenges with a comprehensive engagement design to ensure retention and effective learning in the training program. All Phase I Study Aims have been successfully completed. The prototype provides preliminary evidence that an SDL training intervention is able to successfully engage ethnic Chinese caregivers of elders with dementia, improving perceived self-efficacy to manage caregiving tasks, while reducing negative emotions in the caregiver. Phase II Specific Aims: The Phase II study will further develop the prototype into a fully functioning online SDL skill training intervention for ethnic Chinese dementia caregivers, and evaluate it in a randomized control trial. In Specific Aim 1, we will develop additional multi-lingual training video clips to complete the training program, and make them available for Cantonese-, Mandarin-, and/or English-speaking caregivers from different Chinese cultural backgrounds. In Specific Aim 2, we will develop software that enables and integrates all engagement design functionalities. In Specific Aim 3, we will conduct a randomized controlled trial to evaluate the effectiveness of the SDL training intervention based on a comprehensive engagement design (intervention arm) compared to one that does not rely on a comprehensive engagement design (control arm). Primary Hypotheses: The intervention arm will result in significantly better caregiver health outcomes (reduced perceived stress and depressive symptoms) and care recipient outcomes (reduced behavioral disturbances) compared to the control arm. Secondary Hypotheses: The effects of the intervention on the primary outcomes are mediated through increased adherence (e.g., amount of total exposure) to the intervention program, increased self-efficacy in handling caregiving tasks, and reduced expressed emotion. Evidence of the effectiveness of the SDL intervention will contribute to the larger information and communication technology field, increasing our understanding and basic knowledge of effective engagement in the rapidly growing field of online health interventions. The comprehensive engagement approach developed through this SBIR could be transferred to other ethnic minority groups facing dementia caregiving challenges, as well as other populations facing challenges related to the management of other chronic conditions.

 描述（由申请人提供）：此第二阶段申请的目标是开发一个在线自我导向学习（SDL）干预计划，旨在提高华裔痴呆症护理人员的自我护理和自我护理技能。这种产品的好处可能包括改善照顾者的心理健康，减少老年痴呆症患者的行为障碍。 虽然在线痴呆症护理人员干预在接触广泛受众方面具有优势，但他们在吸引目标受众并使他们在整个干预计划中保持参与方面面临重大挑战。建议的在线SDL技能培训干预措施通过全面的参与设计来应对这些挑战，以确保在培训计划中保持和有效学习。 所有I期研究目标均已成功完成。该原型提供了初步证据，SDL培训干预能够成功地吸引中国老年痴呆症患者的照顾者，提高自我效能感，以管理工作任务，同时减少照顾者的负面情绪。第二阶段具体目标：II期研究将进一步将原型开发为针对华裔痴呆症护理人员的功能齐全的在线SDL技能培训干预，并在随机对照试验中对其进行评估。在具体目标1中，我们将开发更多的多语言培训视频剪辑，以完成培训计划，并将其提供给来自不同中国文化背景的粤语、普通话和/或英语护理人员。在具体目标2中，我们将开发能够实现和集成所有交战设计功能的软件。在具体目标3中，我们将进行一项随机对照试验，以评估基于全面参与设计（干预组）的SDL培训干预与不依赖全面参与设计（对照组）的SDL培训干预的有效性。主要假设：与对照组相比，干预组将显著改善护理人员的健康结果（减少感知的压力和抑郁症状）和护理接受者的结果（减少行为障碍）。次要假设：干预对主要结果的影响是通过增加依从性（例如，总暴露量）的干预计划，增加了自我效能感在处理任务，并减少表达的情绪。 SDL干预措施有效性的证据将有助于更大的信息和通信技术领域，增加我们对有效参与快速增长的在线健康干预领域的理解和基本知识。通过SBIR开发的全面参与方法可以转移到面临痴呆症治疗挑战的其他少数民族群体，以及面临与其他慢性病管理相关挑战的其他人群。