Mobile app delivered Mentalizing Imagery Therapy to augment remote family dementia caregiver skills training: a pilot randomized, controlled trial with outcomes assessment using digital phenotyping

移动应用程序提供心理意象疗法，以增强远程家庭痴呆症护理人员技能培训：一项随机对照试验，使用数字表型进行结果评估

• 批准号: 10643652
• 负责人: Felipe A. Jain
• 金额: $ 25.13万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-15 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10643652
• 关键词: Administrative Supplement; Adoption; Aggressive behavior; Aging; Algorithms; Alzheimer' s Disease; Alzheimer' s disease related dementia; American; Area; Award; Behavior; Caregiver Burden; Caregiver support; Caregivers; Dangerousness; Data; Dementia; Dementia caregivers; Drops; Ecological momentary assessment; Education; Elder Abuse; Elderly; Ensure; Exercise; Family; Family Caregiver; Family health status; Focus Groups; Frequencies; Funding; Future; General Population; Habits; Infrastructure; Institutionalization; Intervention; Interview; K-Series Research Career Programs; Learning; Machine Learning; Manuals; Mental Health; Methods; Mindfulness Training; Misinformation; Modeling; Monitor; Motivation; National Institute on Aging; Natural Language Processing; Outcome Assessment; Parents; Participant; Pattern; Persons; Phase; Phenotype; Psychiatrist; Psychosocial Assessment and Care; Psychotherapy; Publishing; Questionnaires; Randomized Controlled Trials; Reporting; Research; Research Support; Research Training; Risk; Role; Safety; Science; Self-Injurious Behavior; Social Interaction; Strategic Planning; Stress; Structure; Symptoms; Testing; Thinking; Time; Training; United States National Institutes of Health; associated symptom; base; behavior change; caregiver interventions; caregiver stress; caregiving; cost; digital; experience; family support; group intervention; improved; medical schools; mental imagery; mindfulness; mobile application; novel; novel strategies; peer; physical conditioning; psychological symptom; response; skills; skills training; social media; stress reduction; theories; tool; virtual

Project Summary / Abstract Over 15 million Americans serve as family caregivers of relatives with Alzheimer’s disease (AD) and AD- related dementias (ADRD). Family caregivers often experience high levels of stress and burden, resulting in poor mental health and increased risk of physical illness. The National Institute on Aging Strategic Plan identifies as a crucial priority area the need to develop better interventions to improve the mental and physical health of family ADRD caregivers. The purpose of this administrative supplement is to support the research training of Dr. Felipe Jain, a psychiatrist at Harvard Medical School. Dr. Jain is a recipient of the Paul B. Beeson K76 Emerging Leaders in Aging Research Career Development Award for his research to reduce family ADRD caregiver stress and burden using mobile application tools (mentalizing imagery therapy practices, mindfulness exercises and caregiver skills education). Usage of educational and psychotherapeutic mobile applications (Apps) by caregivers shows a significant drop-off in engagement over the course of weeks, a similar pattern to that of mobile psychotherapy App usage by the general population. The NIH Science of Behavior Change initiative aims to study mechanisms that promote long-term adoption of healthy behaviors, such as engagement with stress reduction and caregiver skills tools. A focus group study conducted by Dr. Jain with English and Spanish speaking caregivers found that caregivers believed that asynchronous chat groups with peers guided by an expert facilitator would substantially improve caregiver support and increase mobile App engagement. This supplement proposal will evaluate whether integration of a new facilitated chat room feature into a mobile App with caregiver tools improves family ADRD caregiver support and promotes long-term engagement. The study will characterize features that optimize usage of the mobile App chatroom. Based on habit formation and motivation theory, it is hypothesized that chatroom participation will increase long- engagement with other healthful mobile App tools. To improve efficiency and reduce time to facilitator response for urgent chat posts (such as those reflecting dangerous symptoms of aggression in the person living with dementia, or severe psychological symptoms in the caregiver such as thoughts of self-harm), a natural language processing algorithm will be developed that may ultimately send a rapid alert to the facilitator. The proposed research will test a novel strategy for behavior change that improves psychosocial support for family ADRD caregivers, provides opportunities for expert guidance, and promotes stress reduction and caregiver skills education.

项目摘要 /摘要 超过1500万美国人是阿尔茨海默氏病（AD）和AD-的亲戚的家庭护理人员 相关痴呆症（ADRD）。家庭护理人员经常经历高水平的压力和伯恩，导致 精神健康不良，身体疾病的风险增加。国家老化战略计划研究所 将其视为至关重要的优先领域，需要制定更好的干预措施以改善心理和身体 家庭的健康护理人员的健康。这种行政补充的目的是支持研究 哈佛医学院的精神科医生Felipe Jain博士的培训。 Jain博士是Paul B的接受者。 Beeson K76衰老研究职业发展奖的新兴领导者因其减少家庭的研究而获得 使用移动应用工具（心理图像疗法实践，ADRD护理人员的压力和燃烧， 正念练习和护理人员技能教育）。 护理人员使用教育和心理治疗移动应用程序（APP）表明 在几周的过程中，参与度的大量下降，类似于移动心理治疗的模式 一般人群的应用使用。 NIH行为改变倡议的旨在研究 促进长期采用健康行为的机制，例如减轻压力 和护理人员技能工具。 Jain博士对英语和西班牙语进行的焦点小组研究 看护人发现，看护人认为与专家指导的同行聊天小组 主持人将大大改善护理人员的支持并增加移动应用程序的参与度。 该补充提案将评估是否将新的最喜欢的聊天室功能集成到 带有护理人员工具的移动应用程序改善家庭ADRD护理人员的支持并促进长期 订婚。该研究将表征优化移动应用聊天室使用的功能。基于 习惯形成和动机理论，假设聊天室的参与将增加长期 与其他健康的移动应用工具互动。提高效率并减少促进者的时间 紧急聊天帖子的响应（例如反映危险症状的人 有痴呆症或护理人员中严重的心理症状，例如自我伤害的思想） 将开发语言处理算法，最终可能会向主持人发送快速警报。 拟议的研究将测试行为改变的新型策略，以改善对家庭的社会心理支持 ADRD护理人员，为专家指导提供机会，并促进减轻压力和护理人员 技能教育。