VIDEO-BASED COPING SKILLS TRAINING F0R CAREGIVERS

描述（由申请人提供）：广泛的研究表明，照顾阿尔茨海默病（AD）或其他痴呆症患者的人比没有照顾责任的同龄人在心理和生理上更痛苦。行为干预教照顾者更有效地应对他们所面临的特定类型的压力源的技能，因为照顾者比信息/支持类型的干预更有效。然而，有效干预措施的成功实施受到许多障碍的阻碍，使护理人员无法获得这些干预措施。Williams LifeSkills, Inc. （WLS）开发了一项应对技能培训计划，即Williams LifeSkills Workshop，该计划已被证明在减少心理和生物压力标志方面有效，并改善了痛苦的健康群体和心血管疾病患者的心理社会健康状况。WLS开发了威廉姆斯生活技能视频，以便在现实世界中有效地向大量的人提供这种培训。这个快速通道SBIR申请的目标是在第一阶段证明创建一个新的视频产品的可行性，通过电话指导的增强，培训护理人员使用WLS面对面培训和当前Williams LifeSkills视频中使用的十个应对技能模块。在第一阶段，我们将调整视频场景，使其与护理人员1的压力相关，制作一个新的视频模块，并与8名护理人员进行试点测试，以证明第二阶段目标的可行性，即制作完整的新护理人员视频，并在一组护理人员的随机对照试验中评估其对心理社会风险因素和压力生物标志物的影响。实现我们的目标将导致一个易于实施的项目，可以改善数百万护理人员的健康状况并降低医疗成本。这种由经验丰富的研究团队提供的实证支持，将有助于向越来越多的照顾患有阿尔茨海默病或其他痴呆症的亲属的美国人推销这种新产品。

DESCRIPTION (provided by applicant): Caregivers of patients with Alzheimer's Disease (AD) or other dementias have been shown in extensive research to be more psychologically and biologically distressed than peers without caregiving responsibilities. Behavioral interventions teaching Caregivers skills to cope more effectively with the particular sorts of stressors they confront as Caregivers are more effective than information/support sorts of interventions. Successful implementation even of effective interventions has been hampered, however, by many barriers that prevent Caregivers from accessing them. Williams LifeSkills, Inc. (WLS), has developed a coping skills training program, the Williams LifeSkills Workshop, that has been shown efficacious in reducing both psychological and biological markers of stress, as well as improving psychosocial well-being in both distressed healthy groups and patients with cardiovascular disease. WLS has developed the Williams LifeSkills Video to make it possible to deliver this training effectively to large numbers of people in real world settings. The goal of this proposed Fast-Track SBIR application is to demonstrate in Phase I the feasibility of creating a new video product that, with the enhancement of telephone coaching, trains Caregivers to use ten coping skills modules used in WLS face-to-face training and in the current Williams LifeSkills Video. During Phase I, we will adapt the Video scenarios to be relevant to Caregivers1 stresses, produce one new Video module, and do a pilot test with 8 Caregivers to demonstrate the feasibility of Phase ll's aims to produce the complete new Caregiver Video and evaluate its effects on psychosocial risk factors and biomarkers of stress in a randomized controlled trial with a large group of Caregivers. Achievement of our aims would lead to an easily deliverable program that can improve the health and reduce medical costs for millions of Caregivers. This empirical support, produced by an experienced research team, would help market the new product to the growing numbers of Americans who are Caregivers for relatives with AD or other dementias.