Caregiver Telephone Assessment and Skill-Building Kit

护理人员电话评估和技能培养套件

• 批准号: 6703009
• 负责人: TAMILYN BAKAS
• 金额: $ 9.01万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6703009
• 关键词: aging; behavioral /social science research tag; caregivers; chronic disease /disorder; clinical research; coping; depression; family nursing; human subject; nursing intervention; nursing research; stress; stress management; stroke; telecommunications

Stroke is the number one cause of serious, long-term disability in the United States, with most stroke survivors under the care of family members. Family caregivers are at risk for depression, psychosocial impairments, and mortality as a result of providing care. The lack of necessary skills is hypothesized to play a key role in negative caregiver outcomes. The ultimate career goal of the applicant is to become an independent investigator developing and evaluating intervention programs aimed at improving outcomes of family caregivers in chronic illness. Through a structured training plan consisting of formal coursework, workshops, conferences, and close mentoring by seasoned nurse researchers, the K01 Mentored Research Scientist Award will provide the applicant with the opportunity to develop and pilot-test the Telephone Assessment and Skill-building Kit (TASK), an individualized 8-week intervention program geared toward reducing depression and improving general health in stroke caregivers. Specific aims of the research plan are to: (a) gather evidence of content validity (accuracy, clinical feasibility, and theoretical relevance) for the TASK program components from experts, (b) gather evidence of the accuracy, feasibility, and acceptability of the TASK intervention program and the attention control group content from 6 family caregivers, and (c) conduct a pilot study with 46 caregivers randomized either to the intervention or attention control group to explore the effectiveness of the TASK intervention in enhancing stroke caregiver outcomes. The intervention will be guided by a conceptual model derived from Lazarus' theory of stress and coping and Mishers theory of uncertainty in illness. Caregiver outcomes will be measured at baseline (1-2 weeks after the stroke survivor is discharged home), and again at 4, 8, and 12 weeks after baseline. Findings will serve as preliminary data for an RO1 application to test the effectiveness of the TASK program in a large randomized clinical trial.

中风是美国严重、长期残疾的头号原因，大多数中风幸存者都由家人照顾。家庭护理人员因提供护理而面临抑郁、社会心理障碍和死亡的风险。据推测，缺乏必要的技能是造成护理人员消极结果的关键因素。申请人的最终职业目标是成为一名独立调查员，开发和评估旨在改善慢性病家庭护理人员结果的干预计划。通过由经验丰富的护士研究人员组成的结构化培训计划，包括正式课程、研讨会、会议和密切指导，K01 指导研究科学家奖将为申请人提供开发和试点测试电话评估和技能建设套件 (TASK) 的机会，这是一个为期 8 周的个性化干预计划，旨在 减少中风护理人员的抑郁症并改善其总体健康状况。该研究计划的具体目标是：(a) 从专家那里收集 TASK 计划组成部分的内容有效性（准确性、临床可行性和理论相关性）证据，(b) 从 6 名家庭照顾者那里收集 TASK 干预计划和注意力对照组内容的准确性、可行性和可接受性的证据，以及 (c) 对随机分配到干预组或注意力对照组的 46 名照顾者进行试点研究，以探索 TASK 的有效性 干预以提高中风护理人员的结果。干预措施将以拉扎勒斯的压力和应对理论以及米舍尔的疾病不确定性理论衍生的概念模型为指导。将在基线（术后 1-2 周）测量护理人员的结果 中风幸存者出院回家），并在基线后 4、8 和 12 周再次进行。研究结果将作为 RO1 申请的初步数据，以测试 TASK 计划在大型随机临床试验中的有效性。