Translating a Dementia Caregiver Intervention into a Mobile Application

将痴呆症护理人员干预转化为移动应用程序

• 批准号: 9808735
• 负责人: GEOFFREY N TREMONT
• 金额: $ 24.39万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2021-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9808735
• 关键词: Address; Adherence; Adult; Aging; Alzheimer' s Disease; Alzheimer' s disease related dementia; Biomedical Engineering; Caregiver Burden; Caregiver research; Caregiver support; Caregivers; Caring; Clinical Trials; Communities; Complex; Computers; Control Groups; Data; Dementia; Dementia caregivers; Development; Disease; Distress; Education; Elements; Engineering; Evidence based intervention; Family; Family Caregiver; Family member; Feedback; Future; Goals; Health Technology; Health education; Healthcare; Home environment; Individual; Internet; Intervention; Intervention Studies; Interview; Link; Meditation; Memory; Mental Depression; Mental Health; Methods; Mind-Body Intervention; Mobile Health Application; Modification; Nursing Homes; Outcome Measure; Participant; Patients; Persons; Population; Population Heterogeneity; Problem Solving; Problem behavior; Procedures; Randomized; Reaction; Reporting; Research; Resources; Risk; Stress; Tablet Computer; Tablets; Technology; Telephone; Testing; Translating; United States National Institutes of Health; Yoga; base; body-mind; caregiver depression; caregiver interventions; caregiving; depressive symptoms; design; efficacy study; efficacy trial; evidence base; family caregiving; feasibility trial; follow-up; health care service utilization; health related quality of life; informal caregiver; mHealth; mobile application; multi-component intervention; novel; physical conditioning; programs; psychoeducation; psychosocial; randomized trial; recruit; satisfaction; secondary analysis; stress management; symposium; translational study

Project Summary/Abstract Caring for a person with dementia is a highly stressful activity and is associated with negative physical and mental health consequences, including increased risk of depression and worse reported health-related quality of life. Many psychosocial interventions for dementia caregivers have been developed and shown to be efficacious for reducing burden and depression, but few have been translated for community use, mainly due to poor accessibility. The goal of this development project (NIH stage IA & IB) is to create a mobile health (mHealth) application (App) for distressed family caregivers that combines the strengths of evidence-based telephone- delivered caregiver and mind-body interventions. The project has two aims. In Aim 1, the caregiver research team will collaborate with computer engineers to translate the interventions into a mHealth App and conduct month-long open trial (beta testing) with 10 dementia caregivers. We will carry out qualitative interviews with participants regarding technical and content aspects of the App that will inform intervention modifications. In Aim 2, we will complete a 3-month feasibility clinical trial, in which 40 dementia caregivers will be randomized to a treatment condition that will receive computer tablets containing the newly developed App or a control group that receives dementia caregiver-related internet links. Outcome measures include caregiver depression, burden, reactions to behavior problems, desire to institutionalize, and healthcare resource utilization. The primary goal of the study is to address feasibility and accessibility of the intervention and control condition as well as collect data on recruitment and retention, adherence, and satisfaction. At the completion of this project, we will have developed a tailored, multicomponent, mHealth App to address caregiver burden, depression, and healthcare utilization in a full-scale efficacy trial.

项目概要/摘要 照顾痴呆症患者是一项压力很大的活动，并且与负面情绪有关 身心健康后果，包括增加患抑郁症和更严重疾病的风险 报告了与健康相关的生活质量。针对痴呆症护理人员的许多心理社会干预措施 已经被开发出来并被证明可以有效减轻负担和抑郁，但很少有 已被翻译供社区使用，主要是由于可访问性较差。此举的目标 开发项目（NIH IA & IB 阶段）是创建一个移动健康（mHealth）应用程序（App） 对于陷入困境的家庭护理人员来说，结合了基于证据的电话的优势 提供护理人员和身心干预。该项目有两个目标。在目标 1 中， 护理人员研究团队将与计算机工程师合作翻译干预措施 进入 mHealth 应用程序并对 10 名痴呆症患者进行为期一个月的公开试验（beta 测试） 照顾者。我们将对参与者进行有关技术和问题的定性访谈 应用程序的内容方面将通知干预修改。在目标 2 中，我们将完成 一项为期 3 个月的可行性临床试验，其中 40 名痴呆症护理人员将被随机分配到 治疗条件将收到包含新开发的应用程序或 接收痴呆症护理人员相关互联网链接的对照组。结果衡量 包括照顾者抑郁、负担、对行为问题的反应、入院的愿望、 和医疗资源利用。该研究的主要目标是解决可行性和 干预和控制条件的可及性以及收集有关招募和控制的数据 保留、坚持和满意度。该项目完成后，我们将开发 一款量身定制的多组件移动医疗应用程序，可解决护理人员的负担、抑郁症和 全面疗效试验中的医疗保健利用。