Recovering Together: Building resiliency in dyads of patients admitted to the Neuroscience Intensive Care Unit (NICU) and their caregivers

项目总结 拟议的研究将审查“康复”的可行性、可信度、满意度和概念证明。 “共同”复原力技能计划改善急性心绞痛患者的情绪困扰 神经疾病(ANI)及其家庭照顾者(CGS)，他们被筛查为慢性情绪高涨的风险 神经科学重症监护病房住院时的痛苦(例如，PTS、抑郁或焦虑的症状) (NICU)。《一起康复》在康复早期向双胞胎传授恢复能力和人际沟通技巧 当他们踏上恢复和重建的征程时，这一过程就会变得更加重要。我们还将探索与计划相关的更改 复原力(如应对、正念、自我效能、社会支持)和人际沟通(如人际沟通 邦德)。为了实现我们的目标，我们将进行一次共同康复计划的试点RCT(2次面对面会议，网址： 住院和4人出院后通过安全直播视频)与关注安慰剂教育对照组(2人) 会议和出院后的4个现场录像)。二人组的两名成员将参加所有会议。一起康复 目标和战略与理论上的应对框架相一致--适应、家庭力量脆弱性 模型、二元纵向模型、行为者伙伴相互依赖模型和复原力框架。我们的团队是 具备在医学人群干预开发方面的具体经验，能够进行这项研究； NICU已建立的基础设施，包括招募和留住参与者的能力；以及强大的初步数据。 这项R21研究的结果将被用来申请资金，以进行完全动力的多点疗效RCT，如果设置了 通过R01，达到了该可行性试验的基准。目标是传播和实施 共同康复计划，旨在优化康复和改善PTS和CGS的生活质量/福祉。

PROJECT SUMMARY The proposed study will examine the feasibility, credibility, satisfaction and proof of concept of the “Recovering Together” dyadic resiliency skills program in improving emotional distress in dyads of patients (pts) with acute neurological illness (ANI) and their family caregivers (cgs) who screen in as at risk for chronic heightened emotional distress (e.g., symptoms of PTS, depression or anxiety) at hospitalization in the Neuroscience Intensive Care Unit (NICU). “Recovering Together” teaches resiliency skills and interpersonal communication to dyads early in the recovery process, when they embark on their journey for recovery and renewal. We will also explore program related changes in resiliency (e.g., coping, mindfulness, self-efficacy, social support) and interpersonal communication (eg., interpersonal bond). To achieve our aims we will conduct a pilot RCT of the Recovering Together program (2 in person session at hospitalization and 4 via secure live video after discharge,) versus an attention placebo educational control (2 in person sessions and 4 live video after discharge). Both members of the dyad will participate in all sessions. Recovering Together targets and strategies align with the theoretical response-shift framework to adaptation, the family strength vulnerability model, the dyadic longitudinal model, the actor partner interdependence model, and the resiliency framework. Our team is well positioned to conduct this study with specific experience in intervention development with medical populations; established infrastructure in the NICU including ability to recruit and retain participants; and strong preliminary data. Results from this R21 study will be used to apply for funding to conduct a fully powered multi-sited efficacy RCT, if set benchmarks for this feasibility trial are met, through an R01. The goal is dissemination and implementation of the Recovering Together program aimed at optimizing recovery and improving quality of life/wellbeing for both pts and cgs.