Web-Based Interactive Multimedia CBT Bereavement Support Program

基于网络的交互式多媒体 CBT 丧亲支持计划

基本信息

批准号：
7840422
负责人：
Ann E Glang
金额：
$ 71.25万
依托单位：
OREGON CENTER FOR APPLIED SCIENCE, INC.
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-21 至 2012-10-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7840422
关键词：
Absenteeism Accidents Address Adult Affective Alcohol consumption American American Psychiatric Association Arts Behavioral Bereavement Businesses Cessation of life Characteristics Child Clinical Trials Design Cognitive Cognitive Therapy Collection Coping Behavior Coping Skills Data Development Disabled Persons Distress Drug usage Education Educational Materials Educational process of instructing Employee Exercise Family member Flowcharts Frequencies Friends Goals Grief reaction Health Health Insurance Hearing Human Resources Incidence Individual Injury Internet Intervention Intranet Learning Left Licensure Mental Depression Methods Morale Multimedia Nature Occupational Online Systems Pain Parents Participant Pharmaceutical Preparations Phase Post-Traumatic Stress Disorders Process Productivity Professional counselor Provider Public Health Reaction Relative (related person)Reporting Self Assessment Self Care Services Siblings Spouses Substance abuse problem Symptoms System Teaching Method Testing Text Theft Time Training Programs Universities Visual Work addiction alcohol and other drug animation base behavior change cost cost effective depressive symptoms design experience interactive multimedia knowledge base loved ones model design prevent primary outcome productivity loss programs prototype public health relevance randomized trial reconstruction response single episode major depressive disorder skills training social theories tool usability

项目摘要

DESCRIPTION (provided by applicant): Reactions to bereavement can be personally painful and typically interfere with social and occupational functioning. While most individuals eventually adapt to their loss, 10-20% of the bereaved experience significant reactions including major depressive symptoms similar to post traumatic stress disorder. Moreover, bereavement can precipitate other health problems. With 4 million employees experiencing the loss of a loved one each year, the cost of bereavement to American business is over $44.5 billion in increased health utilization, absenteeism, reduced productivity (presenteeism), and errors/accidents due to poor concentration. The teaching of cognitive-behavioral coping skills shows promise as a method to decrease distress and promote social/occupational functioning. The proposed Web-based CBT intervention will integrate and operationalize prevailing grief theories in a cost-effective, multimedia bereavement support program. It will incorporate proven adult education and e-Learning instructional design principles with behavioral change theory to support employees following the death of a loved one. Access will be delivered over the Internet as an adjunct service of Employee Assistance Providers (EAP) and EAP Call Centers. It will tailor the presented materials according to the user's grief context: expectedness of the death, the nature of the death (traumatic vs. natural), and whether the relationship to the deceased was that of parent or older relative, spouse, adult child, sibling, friend, or coworker. Learning and personal support will be enhanced with tailored video testimonials/stories, as well as multimedia presentation of content and self-assessment tracking tools. The finished program will offer interactive exercises and activities to teach cognitive-behavioral coping skills that focus on: (a) personal grieving styles; (b) normal reactions to grief; (c) physical self-care; (d) cognitive-behavior coping strategies; (e) rumination; (f) reconstruction of meaning; and (g) reconstruction of identity without the deceased. In addition, the program will include modules to address specific needs and support of: (a) Human Resources Managers; (b) supervisors of bereaved employees; and (c) EAP and Call Center Counselors. The Phase I prototype program showed significant effects in a randomized trial on the Internet. The Phase II product will be developed for Internet or Intranet application accessible via standard web browsers and will be evaluated with a large randomized trial. PUBLIC HEALTH RELEVANCE: Reactions to bereavement can be personally painful and typically interfere with social and occupational functioning. While most individuals eventually adapt to their loss, 10-20% of the bereaved experience significant reactions including major depressive symptoms similar to post traumatic stress disorder. Moreover, bereavement can precipitate other health problems. With 4 million employees experiencing the loss of a loved one each year, the cost of bereavement to American business is over $44.5 billion in increased health utilization, absenteeism, reduced productivity (presenteeism) and errors/accidents due to poor concentration.

描述（由申请人提供）：对丧亲的反应可能是个人痛苦的，通常会干扰社会和职业功能。虽然大多数人最终适应了损失，但丧亲中有10-20％的人经历了重大反应，包括类似于创伤后应激障碍的重度抑郁症状。此外，丧亲会导致其他健康问题。每年有400万员工遭受亲人的损失，丧亲的成本超过445亿美元，在健康利用，旷工，旷工，生产力降低（出席者）以及由于集中度较差而导致的错误/事故中，丧亲的成本超过445亿美元。认知行为应对技巧的教学表明，有希望是减少困扰和促进社会/职业功能的一种方法。拟议的基于Web的CBT干预措施将在具有成本效益的多媒体丧亲支持计划中整合和运营主要的悲伤理论。它将与行为改变理论结合成熟的成人教育和电子学习教学设计原则，以支持亲人去世后支持员工。访问将通过互联网作为员工援助提供商（EAP）和EAP呼叫中心的辅助服务提供。它将根据用户的悲伤背景来量身定制介绍的材料：死亡的期望，死亡的性质（创伤性与自然），以及与死者的关系是父母还是年龄较大的，配偶，成人孩子，兄弟姐妹，朋友，朋友或同事的关系。通过量身定制的视频推荐/故事以及内容和自我评估跟踪工具的多媒体介绍，学习和个人支持将得到增强。完成的计划将提供互动练习和活动，以教授认知行为的应对技巧：（a）个人悲伤风格；（b）对悲伤的正常反应；（c）身体自我保健；（d）认知行为应对策略；（e）反省；（f）重建意义；（g）没有死者的身份重建。此外，该计划将包括满足特定需求和支持的模块：（a）人力资源经理；（b）失去雇员的主管；（c）EAP和致电中心顾问。 I期原型计划在Internet的一项随机试验中显示出显着影响。第二阶段产品将用于可通过标准Web浏览器访问的Internet或Intranet应用程序开发，并将通过大型随机试验进行评估。公共卫生相关性：对丧亲的反应可能是个人痛苦的，通常会干扰社会和职业功能。虽然大多数人最终适应了损失，但丧亲中有10-20％的人经历了重大反应，包括类似于创伤后应激障碍的重度抑郁症状。此外，丧亲会导致其他健康问题。每年有400万员工遭受亲人的损失，丧亲的成本超过445亿美元，其健康利用率，旷工，生产力降低（出席者）以及由于集中度较差而导致的错误/事故。