A Novel Technology to Disseminate WOOP (Wish, Outcome, Obstacle, Plan) to Dementia Caregivers

向痴呆症护理人员传播 WOOP（愿望、结果、障碍、计划）的新技术

• 批准号: 10760438
• 负责人: Donna B Fedus
• 金额: $ 19.19万
• 依托单位: BORROW MY GLASSES, LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10760438
• 关键词: Achievement; Address; Adult; Age; Alzheimer' s Disease; Alzheimer' s disease related dementia; American; Articulation; Behavior; Books; Businesses; Caregiver Burden; Caregivers; Caring; Communities; Complex; Country; Dementia; Dementia caregivers; Development; E-learning; Education; Educational process of instructing; Effectiveness; Emotional; Evidence based treatment; Family Caregiver; Gender; General Population; Gerontology; Glass; Goals; Health; Health Professional; Healthcare Systems; Individual; Informal Social Control; Institution; Interpersonal Relations; Intervention; Language; Learning; Left; Life; Literature; Long-Term Care for Elderly; Managed Care; Medical; Methods; Modification; Online Systems; Outcome; Personal Satisfaction; Persons; Phase; Population; Positioning Attribute; Psyche structure; Psychologist; Public Health; Public Health Schools; Quality of life; Race; Randomized, Controlled Trials; Readiness; Research; Research Design; Research Institute; Research Personnel; Role; Site; Small Business Technology Transfer Research; Social Workers; Specific qualifier value; Spouse Caregiver; Technology; Testing; Time; Translating; Universities; Woman; Work; care recipients; career; caregiving; commercialization; depressive symptoms; design; effectiveness testing; empowerment; experience; human centered design; human old age (65+); implementation barriers; implementation science; improved; innovation; new technology; perceived stress; phase 1 study; positive emotional state; prototype; social; stress reduction; teacher; telephone coaching; trend; usability; web site

1 Approximately 6.5 million Americans aged 65 and older live with dementia, supported by more than 11 million 2 unpaid family caregivers. These numbers are projected to rise exponentially in the coming decades fueling the 3 need to develop scalable ways to support dementia caregivers. The need to empower dementia caregivers to 4 continue providing care while maintaining their own health and well-being is recognized in public health 5 literature and in Strategy 3.B of the National Plan to Address Alzheimer's Disease. While effective caregiver 6 interventions exist, significant implementation barriers also exist. Many interventions have not been translated 7 for widespread use. Most require delivery by time-strapped healthcare professionals, which is problematic 8 given eldercare workforce shortages and medical delegation trends. The upshot is family caregivers are 9 typically left unsupported to determine ways to manage complex care while maintaining their own well-being. 10 One way to improve the capacity of dementia caregivers to manage caregiving responsibilities and bolster their 11 well-being is by pinpointing where they have control and where to focus efforts to attain their wishes or goals. A 12 brief, easy to learn 4-step intervention called Wish, Outcome, Obstacle, Plan (WOOP) does just that. WOOP is 13 a strategy that helps individuals set challenging but attainable goals and focus on internal obstacles over which 14 they have control. This helps them persist in goal-directed behavior, improving the likelihood they will attain the 15 wish or goal. WOOP, known scientifically as Mental Contrasting with Implementation Intentions (MCII), has 16 been rigorously developed over 20 years, translated into multiple languages, and used effectively in more than 17 100 countries worldwide across multiple domains such as career achievement, health, and interpersonal 18 relations. Recent preliminary work demonstrated WOOP to be effective for dementia caregivers. In a 19 randomized controlled trial, dementia caregivers taught to use WOOP via in-person one-on-one sessions and 20 phone coaching experienced reduced stress, reduced depressive symptoms, and increased positive emotions 21 and quality of life. What remains unknown is whether tailoring WOOP for dementia caregivers and delivering it 22 to groups via novel technology is feasible and effective. In this effort, Borrow My Glasses, a gerontology 23 education company and woman owned small business teams with research institute Yale University and 24 consultants including the developer of WOOP, healthcare professionals, and others with lived experience as 25 dementia caregivers. SPECIFIC AIMS: This STTR Phase I proposal uses human centered design to AIM 1: 26 translate WOOP into a novel technology prototype tailored to the needs of dementia caregivers and test it for 27 usability. AIM 2: conduct iterative proof-of-concept testing to evaluate the appropriateness, acceptability, 28 feasibility, and perceived benefit of disseminating WOOP to groups of dementia caregivers via web-based e- 29 learning technology. Overall feasibility in Phase 1 will inform a randomized controlled trial in Phase 2 to further 30 tailor the design, strategy, and readiness to scale WOOP for Dementia Caregivers commercially.

1大约650万65岁及以上的美国人患有痴呆症，超过1100万人支持 2无报酬的家庭照顾者。这些数字预计将在未来几十年内呈指数级增长， 3需要开发可扩展的方法来支持痴呆症护理人员。需要赋予痴呆症护理人员权力， 4继续提供护理，同时保持自己的健康和福祉是公认的公共卫生 5文献和战略3.B的国家计划，以解决阿尔茨海默病。虽然有效的照顾者 虽然存在6项干预措施，但也存在重大的实施障碍。许多发言尚未翻译 7、广泛使用。大多数需要由时间紧迫的医疗保健专业人员提供，这是有问题的 8鉴于老年人护理工作人员短缺和医疗代表团的趋势。结果是家庭照顾者 9人通常无法确定如何管理复杂的护理，同时维持自己的健康。 10提高痴呆症照顾者管理责任和支持他们的能力的一种方法 11幸福是通过精确地确定他们可以控制的地方，以及在哪里集中努力来实现他们的愿望或目标。一 12个简单易学的四步干预，即愿望、结果、障碍、计划（WOOP）。WOOP是 13一种策略，帮助个人设定具有挑战性但可以实现的目标，并专注于内部障碍， 14、你有控制权这有助于他们坚持目标导向的行为，提高他们实现目标的可能性。 15个愿望或目标WOOP，在科学上被称为心理对比与实施意图（MCII）， 16经过20多年的严格开发，被翻译成多种语言，并在多个国家有效使用。 全球17 100个国家，涉及职业成就、健康和人际关系等多个领域 18关系最近的初步工作表明WOOP对痴呆症照顾者有效。中 19项随机对照试验，痴呆症护理人员通过面对面的一对一会议教授使用WOOP， 20个电话辅导经历了减少压力，减少抑郁症状，增加积极情绪 21、生活质量目前尚不清楚的是，是否为痴呆症护理人员量身定制WOOP并将其提供给他们， 通过新技术对22个群体进行干预是可行和有效的。在这项努力中，一个老年学组织“借我的眼镜”（Borrow My Glasses） 23家教育公司和女性拥有的小企业团队与研究机构耶鲁大学和 24名顾问，包括WOOP的开发人员，医疗保健专业人员和其他有生活经验的人， 25名痴呆症护理人员。具体目标：本STTR第I阶段提案采用以人为本的设计，以实现目标1： 26将WOOP转化为一种针对痴呆症护理人员需求的新型技术原型，并对其进行测试， 27可用性。目标2：进行迭代概念验证测试，以评价适当性、可接受性， 28通过基于网络的电子邮件向痴呆症护理人员群体传播WOOP的可行性和感知效益 29学习技术第1阶段的总体可行性将为第2阶段的随机对照试验提供信息，以进一步 30定制设计，策略和准备规模WOOP痴呆症护理人员商业化。