Technology Enhanced Self-Management Interventions for Fatigue and Pain: The Symptoms Self Management Center

技术增强疲劳和疼痛的自我管理干预措施：症状自我管理中心

• 批准号: 10115249
• 负责人: Teresa J Kelechi
• 金额: $ 20.01万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-27 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10115249
• 关键词: Address; Adherence; Administrative Supplement; Adopted; Adult; Affect; Age-Years; Aging; Agreement; Alzheimer' s Disease; Alzheimer' s disease care; Alzheimer' s disease caregiver; Alzheimer' s disease related dementia; Anxiety; Award; Biological Assay; Biological Markers; Breathing; Caregiver Burden; Caregivers; Caring; Cellular Phone; Chronic; Clinical Trials; Communities; Consultations; Data; Dementia; Dementia caregivers; Discipline of Nursing; Elderly; Enhancement Technology; Ensure; Faculty; Family Caregiver; Fatigue; Feedback; Female; Focus Groups; Frequencies; Funding; Future; Goals; Health; Health Care Costs; Health Insurance Portability and Accountability Act; Health Personnel; Health Technology; Home environment; Hydrocortisone; Impairment; Individual; Infrastructure; Institution; Intervention; Intervention Studies; Interview; Investigation; Leadership; Life; Loneliness; Measures; Medical; Mental Depression; Methods; Mood Disorders; Nutritional; Outcome; Parents; Persons; Physical Function; Physical activity; Pilot Projects; Population; Positioning Attribute; Principal Investigator; Quality of life; Questionnaires; Request for Proposals; Research; Resources; Salivary; Self Care; Self Efficacy; Self Management; Sleep disturbances; Social isolation; South Carolina; Stress; Surveys; Sustainable Development; Symptoms; Tablets; Telephone; Testing; Training; Training Programs; Training and Infrastructure; Universities; Work; Yoga; associated symptom; base; care recipients; caregiving; college; comorbidity; dementia care; density; design; diaries; digital; dosage; eHealth; efficacy testing; efficacy trial; experience; follow-up; improved; intervention effect; mHealth; male; mood symptom; neuropsychiatric symptom; pain symptom; physical inactivity; post intervention; programs; psychosocial; ranpirnase; recruit; reduce symptoms; respite care; satisfaction; social; stress management; stress symptom; study population; symptom self management; training opportunity

PROJECT SUMMARY/ABSTRACT The goal of this study within the supplement is to test the feasibility of a self-managed (SM), electronic/mobile Health (e/mHealth) yoga intervention for reducing stress symptoms (burden) in older caregivers (CG) of people with Alzheimer’s Disease and related dementia’s (PWD). CG burden can exacerbate a myriad of physical and psychosocial comorbidities in CGs as well as PWD neuropsychiatric symptoms. These effects may be further amplified in older CG with underlying health concerns or those who are not able to access programs for effective management of their own medical or self-care needs. Low-impact physical activities such as gentle Yoga (GY) have shown positive effects on mood and symptoms of pain and fatigue in older community dwellers, and digital e/mHealth platforms have a great deal of potential to overcome financial and medical barriers for the delivery SM stress interventions across demographic boundaries. In this study, we will examine the feasibility of a 12-week e/mHealth gentle yoga+yogic breathing (GYYB) intervention for alleviating symptoms of burden in aging CG of PWD (Aim 1); measure initial changes in stress and QoL indicators in CG and PWD (post- vs. pre-intervention) to inform an adequately-powered, future efficacy trial (Aim 2), and; establish a Dyadic Analysis Training Program for MUSC faculty within the College of Nursing and P20 Symptom Self-Management Center (SSMC) to support future research evaluating the influence of care- recipient interactions on health outcomes (Aim 3). Feasibility will be assessed using the RE-AIM framework, and will include measures such as recruitment, adherence, treatment satisfaction, attrition, and feedback for intervention refinement. Data related to CG physical function, fatigue, depression, social isolation, loneliness, relationship quality, burden, and stress biomarkers, as well as PWD and CG QoL, will be collected via daily electronic practice logs and interviews at study beginning and end. Older (> 55 yrs. old) male and female CG (N=20) of PWD regularly attending respite care (RCC) programs will be recruited from an existing study population (R01 NR016466) participating in CG-RCC mealtime partnerships for improved PWD nutritional outcomes. The HIPAA-compliant GYYB intervention will employ ‘tablets’ that allow CG to practice GYYB at home by following along with recorded lessons. CG will initially be trained on the use of the tablet and proper GYYB practices by the study coordinator (in-home), with weekly follow up (Skype/phone) for the duration of the study. This investigation is ideally aligned with the aims of the parent SSMC (P20 NR016575) that are focused on providing infrastructure and community-based resources for design and ecologically-valid testing of SM interventions for individuals with chronic conditions.

项目总结/文摘

项目成果

Addressing Physical, Functional, and Physiological Outcomes in Older Adults using an Integrated mHealth Intervention "Active for Life": A Pilot Randomized Controlled Trial.

使用“Active for Life”综合移动医疗干预措施解决老年人的身体、功能和生理结果：一项试点随机对照试验。

• DOI: 10.29011/2688-9501.101285
• 发表时间: 2022
• 期刊: International journal of nursing and health care research
• 作者: Kelechi,TeresaJ;Hernandez-Tejada,MelbaA;Balasubramanian,Sundaravadivel;Bian,John;Madisetti,Moby;Nagel,Alexis
• 通讯作者: Nagel,Alexis

Feasibility of RESP-FIT: Technology-Enhanced Self-Management Intervention for Adults with COPD.

• DOI: 10.2147/copd.s326675
• 发表时间: 2021
• 期刊: International journal of chronic obstructive pulmonary disease
• 影响因子: 2.8
• 作者: Miller S;Teufel R 2nd;Nichols M;Davenport P;Mueller M;Silverman E;Madisetti M;Pittman M;Kelechi T;Strange C
• 通讯作者: Strange C