Video-Based Coping Skills Training for Caregivers

描述（由申请人提供）：在刚刚完成的第一阶段，以及我们在第一阶段最终报告（附录I）中详细说明，我们已经证明，创建一个视频模块是可行的，该模块包含与护理人员面临的问题更相关的场景。我们还表明，招募患有阿尔茨海默氏症和其他痴呆症的亲属的看护人是可行的，他们可以使用量身定制的看护人视频（带有电话指导）来提高他们将视频中教授的技能应用于他们作为看护人所面临的情况的能力。此外，我们修改了我们的社会心理测试系列，使其更容易理解，而不是繁重的填写。我们现在准备制作完整的护理人员视频，进行一项足够有力的随机临床试验，以测试其在减少（或防止恶化）心理社会风险因素和压力生物标志物以及增加护理人员心理社会健康方面的有效性，并记录这些益处在相对较长的六个月随访期内保持不变。如果这项研究成功地证明了电话辅导的护理视频的好处，它将为美国越来越多的照顾阿尔茨海默氏症或其他痴呆症的人减少痛苦和改善健康状况带来重要的社会效益。除了改善照顾者健康方面的这些好处外，先前对行为干预的研究表明，照顾者群体的医疗成本有可能显著降低，如果照顾者应对压力的能力得到提高，他们所照顾的人的制度化率就会降低，那么成本节约的潜力就会进一步增加。毋庸置疑，通过电话指导的护理员视频的有效性的成功演示，也将为向数百万正在或即将进入护理员角色的人推销该产品带来更多的商业机会。

DESCRIPTION (provided by applicant): In the just-completed Phase I, and as detailed in our Phase I Final Report (Appendix I), we have shown it is feasible to create a module of a Video that includes scenarios that are more relevant to the problems faced by Caregivers. We also have shown that it is feasible to recruit Caregivers of relatives with AD and other dementias who can use the tailored Caregiver Video (with Telephone Coaching) to enhance their ability to apply the skills taught on the Video to the situations they confront as Caregivers. In addition, we have modified our psychosocial test battery so as to make it more easily comprehensible and not burdensome to fill out. We are now ready to produce the complete Caregiver Video, to conduct an adequately powered randomized clinical trial to test its effectiveness in reducing (or preventing deterioration in) psychosocial risk factors and biomarkers of stress and increasing psychosocial well-being in Caregivers, and to document that these benefits are maintained over a relatively long follow-up period of six months. If this research is successful in demonstrating such benefits of the Caregiver Video with Telephone Coaching, it would lead to important societal benefits of reduced distress and improved health among the growing numbers of people in the U.S. who are Caregivers for relations with AD or other dementias. In addition to these benefits in terms of improved health among Caregivers, the prior research on behavioral interventions suggests the potential for significant medical costs reductions in the Caregiver population, with the even further potential of cost savings that could accrue if Caregivers' improved abilities to cope with the stresses they face resulted in reduced institutionalization rates among those they care for. Needless to say, successful demonstration of the effectiveness of the Caregiver Video with Telephone Coaching would also lead to enhanced commercial opportunities for marketing this product to the millions of people who are in, or about to enter the caregiving role.