CHRONIC MEMORY LOSS--HOME VS COMMUNITY INTERVENTIONS

慢性记忆丧失——家庭干预与社区干预

• 批准号: 3392868
• 负责人: MARY P. QUAYHAGEN
• 金额: $ 26.24万
• 依托单位: UNIVERSITY OF SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-30 至 1995-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3392868
• 关键词: Alzheimer's disease; caregivers; chronic disease /disorder; cognition; community mental health services; coping; dementia; family; female; functional ability; gender difference; health economics; home health care; human subject; male; memory disorders; mental disorder prevention; mental health; mental health counseling; mental health services; nursing intervention; personality; racial /ethnic difference; self care; social support network

Recent research has focused on interventions to help stabilize the caregiving situation as families cope with chronic memory loss from dementia, but few studies have investigated dyadic or dual interventions targeted to both caregivers and care-receivers. This study will compare and contrast the efficacy of four such interventions (two home-based, two community-based) on family outcomes. The recently tested home-based cognitive stimulation intervention which continues to show promise, will be contrasted with in-home dyadic counseling, and with the community- based dual psycho-educational groups of the Alzheimer's Disease Research Center, and the Morning Out Club of the Alzheimer's Association (a modified day care approach). The aims of this research are: 1) to compare the effectiveness of the two home-based and the two community- based interventions on the physical and psychological well-being of the caregiver, the cognitive/behavioral functioning and well-being of the care-receiver, and the interaction status of the caregiver/care-receiver dyad in families coping with dementia; 2) to delineate characteristics of the caregivers and care-receivers who show improvement outcomes from each specific intervention, 3) to determine the cost-effectiveness of each intervention through analysis of money, time, and energy expenditure, and 4) to investigate ethnic and gender differences by intervention on the well-being and functional outcomes of the caregivers and care-receivers. Caregivers are expected to receive greater benefit from the more affectively-oriented interventions (having a support component), while care-receivers are hypothesized to benefit most from the more cognitively-oriented programs. In accord with previous research, condition differences are also expected in the person/environment factors (stress, personality, coping, support, income, and respite). Using an experimental design, over a three years period 140 participant dyads will be randomized into one of the four intervention conditions (35 dyads per condition; 20-60 per year), all participants, will be assessed in the home initially and after the 8- week intervention phase, with additional baseline assessment for the wait-listed controls. Multivariate techniques will be used to address the aims. Findings should provide valuable information for nursing, social work and other health disciplines on the personal, family, and financial feasibility of each intervention.

最近的研究重点是帮助稳定局势的干预措施 家庭应对慢性记忆丧失的护理情况 痴呆症，但很少有研究调查二元或双重干预措施 面向护理者和被护理者。本研究将比较 并对比四种此类干预措施的功效（两种以家庭为基础， 两个基于社区的）对家庭结果的影响。最近测试的家庭式 认知刺激干预继续显示出希望，将 与家庭二元咨询以及社区咨询形成对比—— 阿尔茨海默病研究的双重心理教育小组 中心和阿尔茨海默病协会晨出俱乐部（a 修改日托方法）。本研究的目的是：1） 比较两个家庭和两个社区的有效性 以身心健康为基础的干预措施 照顾者的认知/行为功能和福祉 被照顾者，以及照顾者/被照顾者的互动状态 应对痴呆症的家庭中的二人组； 2）描绘特征 的护理者和被护理者表现出改善的结果 每个具体干预措施，3) 确定成本效益 通过对金钱、时间和精力的分析来进行每次干预 支出，以及 4) 调查种族和性别差异 对护理人员的福祉和功能结果进行干预 和被照顾者。护理人员有望获得更大利益 来自更情感导向的干预措施（有支持 成分），而假设护理接受者从中受益最多 更以认知为导向的计划。按照之前的 研究表明，条件差异也预计在 人/环境因素（压力、个性、应对、支持、 收入和休息）。采用实验设计，历时三年 期间 140 名参与者将被随机分配到四组之一 干预条件（每个条件 35 个二元组；每年 20-60 个），全部 参与者将首先在家中接受评估，并在 8- 周干预阶段，并进行额外的基线评估 等待名单上的控制。将使用多元技术来解决 目标。研究结果应该为护理提供有价值的信息， 社会工作和其他有关个人、家庭和健康的学科 每项干预措施的财务可行性。