COVID-19 administrative supplement to K23 "The potential for music to improve quality of life for dementia caregiving dyads"

项目总结/摘要 2020年3月，旧金山弗朗西斯科湾区在美国实施了第一批就地避难命令。 2019冠状病毒病（COVID-19）大流行。结合联邦政府推荐的社交距离 要求（即保持六英尺的距离，避免拥挤的空间和群体聚集），就地掩蔽 对阿尔茨海默病和相关痴呆症患者及其 照顾者（痴呆症患者二人组）。社交距离增加了家庭内的压力源， 长期服务和支持（LTSS）对于让痴呆症患者安全地留在家中至关重要。的 研究议程的总体目标是通过以下方式改善痴呆症患者的生活质量： 家庭社会干预，包括音乐和其他有意义的活动。这项建议的目的是 双重：了解COVID-19社交距离要求对以下方面的影响和创造性应对措施： 老年痴呆症患者的二人组;并让LTSS专业人员参与确定干预目标， 改善阿尔茨海默病和相关痴呆症患者的社会隔离和福祉， 他们的照顾者。使用社区参与的研究方法，这项研究涉及痴呆症患者的二人组， 在半结构化访谈中，标准化评估和验证痴呆严重程度的措施， 照顾者的负担，以确定未满足的需求和对社会距离的创造性反应，包括 音乐和有意义的活动。通过同时进行专题分析，我们将确定可能的目标， 干预这些将被带到LTSS专业人员进行COVID-19社交距离范围内的检查- 服务和服务提供方面的相关变化。从本研究中获得的知识将用于识别 制定家庭内多层次社会干预措施的目标，以减少社会隔离， 痴呆症患者的幸福感，可以通过R21探索性或R61/R22阶段进行测试 创新将向痴呆症患者宣传目标，以便在创造性的痴呆症活动中使用 以及LTSS组织，以告知正在进行的服务创新。

Project Summary/Abstract In March, 2020, the San Francisco Bay area imposed the first shelter-in-place orders in the U.S. during the Coronavirus Disease 2019 (COVID-19) pandemic. Combined with federally recommended social distancing requirements (i.e. remaining six feet apart, avoiding crowded spaces and group gatherings), shelter-in-place had profound, isolating impacts on people living with Alzheimer’s Disease and Related Dementias and their caregivers (dementia caregiving dyads). Social distancing increased stressors within the home and shuttered Long-Term Services and Supports (LTSS) critical to keeping people with dementia safely in their homes. The overarching goal of the research agenda is to improve quality of life for dementia caregiving dyads through in- home social interventions, including music and other meaningful activities. The objectives of this proposal are twofold: to understand the impact of COVID-19 social distancing requirements upon and creative responses of dementia caregiving dyads; and to engage LTSS professionals in identifying targets for interventions to improve social isolation and well-being for people living with Alzheimer’s Disease and Related Dementias and their caregivers. Using community-engaged research methods, this study engages dementia caregiving dyads in semi-structured interviews, standardized assessments and validated measures of dementia severity and caregiver burden in order to identify both unmet needs and creative responses to social distancing, including music and meaningful activities. Using concurrent thematic analysis, we will identify possible targets for intervention. These will be brought to LTSS professionals for examination within COVID-19 social distancing- related changes in services and service delivery. The knowledge gained from this study will be used to identify targets for the development of in-home multilevel social interventions to reduce social isolation and improve well-being for dementia caregiving dyads, that can be tested through R21 exploratory or R61/R22 phased innovation. Targets will be disseminated to dementia caregiving dyads for use in creative caregiving activities and to LTSS organizations to inform ongoing service innovations.