FAMILY HOME VISITATION PROGRAM--THE NURSE AS COACH

描述：(改编自申请者摘要)共有三个 本研究的目的：(1)测试家庭的有效性 为经历非转移性疾病的育儿家庭提供探视计划 母亲的乳腺癌；(2)检验护士的因果模型 干预背后的教练行为；以及(3)测试成本- 干预措施的有效性。治疗的目标是 干预是为了方便家庭对母亲的管理 并尽量减少对家庭成员及其家庭成员的干扰 心理社会功能。研究结果将揭示 家庭中的心理社会发病率可以通过一次访问来降低 在一对养育孩子的夫妇的家中与对照组进行比较。一个 实验设计将采用随机分配：实验 小组将每隔一个月接受三次家访；控制 这组人将得到医生和诊所的“照常治疗” 护士。两组都将在四个标准测量中进行测量 场合：在前测、研究三个月后和三个月时 并进行6个月的随访。据推测，这些母亲和他们的母亲 与控制组相比，试验组的合作伙伴将 经历更少的疾病需求，更低的抑郁水平，更高的 婚姻适应水平，更高的情感和身体水平 对孩子的可及性，更多地使用内省应对 行为，并将报告更高水平的家庭功能。儿童 在试验组中将经历更低的焦虑和更高的水平 在社会适应和行为适应方面，对照组儿童明显高于对照组。 结果将最终使护士科学家能够开发出指导 与经历其他类型生命威胁的家庭一起的节目， 母亲的慢性疾病，如胰岛素依赖型糖尿病、多发性 硬化症和肾脏疾病。

DESCRIPTION: (Adapted from applicants abstract)There are three purposes to the current study: (1) to test the effectiveness of a home visitation program for child-rearing families experiencing non-metastatic breast cancer in the mother; (2) to test a causal model of nurses' coaching behavior underlying the intervention;and (3) to test the cost- effectiveness of the intervention. The therapeutic goal of the intervention is to facilitate the family's management of the mother's illness and to minimize disruption to household members and their psychosocial functioning. Results from the study will reveal whether psychosocial morbidity in the household can be lowered by a visitation program in the homes of a child-rearing couple compared to controls. An experimental design will be used with random assignment:the Experimental Group will receive three home visits at one-month intervals; the Control Group will receive "treatment as usual" from their physicians and clinic nurses. Both groups will be measured on the criterion measures at four occasions: at pretest, after three months into the study, and at three and six months follow-up. It is hypothesized that the mothers and their partners in the Experimental Group compared to the Control Group will experience fewer illness demands, lower levels of depression, higher levels of marital adjustment, higher levels of emotional and physical accessibility to their children, more frequently use introspective coping behavior, and will report higher levels of family functioning. Children in the Experimental Group will experience lower anxiety, and higher levels of social and behavioral adjustment than children in the Control Group. Results will ultimately enable nurse scientists to develop coaching programs with families experiencing other types of life threatening, chronic illness in the mother, e.g., insulin dependent diabetes, multiple sclerosis, and kidney disease.