Comparative Effectiveness of Dementia Caregiver Interventions:Towards Person-Cent

描述（由申请人提供）：拟议的K18的职业发展目标有两个方面：1）在痴呆症患者的家庭护理背景下，获得以人为本的成果研究（PCOR）和比较有效性研究（CER）的各个方面的培训，指导和专业知识;以及2）达到必要的准备水平，以便在变革和组织振兴方案和核证的排减量的基础上开展综合性多研究者研究工作并建立以大学为基础的基础设施。拟议的职业发展计划将强调变革和组织振兴方案和核证的排减量方面的辅导和培训活动，包括每年到研究所上课、经审计的课程、实地访问以及通过明尼苏达大学AHRQ循证实践中心参与变革和组织振兴方案/核证的排减量分析和传播。拟议的K18及其将提供的资源将促进变革和组织振兴方案纳入明尼苏达大学的各种跨学科研究和教育举措。不同类型的支持策略可能对一些痴呆症照顾者比其他人更有帮助。为此，K18研究计划的主要目标是根据结果确定某些干预方法是否能最好地满足痴呆症家庭照顾者的需求（例如，减少照顾者的压力，让痴呆症患者呆在家里，改善痴呆症患者的健康状况），个人特征和痴呆症的严重程度。K18研究计划的具体目标1将包括对现有干预措施的比较有效性分析，以确定这些方法对痴呆症照顾者的有效性，这些照顾者根据结果，家庭照顾者和痴呆症患者的关键特征以及干预类型进行区分。K18研究计划的具体目标2涉及创建一个社区咨询委员会，以审查和传播具体目标1 CER程序的结果，并概述痴呆症患者后续护理规划工具的问题、设计、评估和传播。社区咨询委员会的参与将使计划的护理规划工具与关键利益攸关方（特别是痴呆症患者的家庭护理人员）的需求保持一致，并导致真正以人为本的方法来帮助有需要的家庭。

DESCRIPTION (provided by applicant): The career development goals of the proposed K18 are twofold: 1) to obtain training, mentorship, and expertise in various facets of person-centered outcome research (PCOR) and comparative effectiveness research (CER) in the context of family care for persons with dementia; and 2) to achieve the necessary level of preparation to create integrated, multi-investigator research efforts and university-based infrastructure based on PCOR and CER. The proposed Career Development Plan will emphasize mentorship and training activities in PCOR and CER including annual attendance at institutes, audited coursework, site visits, and participation in PCOR/CER analysis and dissemination via the University of Minnesota AHRQ Evidence-Based Practice Center. The proposed K18 and the resources it would provide will facilitate the integration of PCOR in various interdisciplinary research and educational initiatives at the University of Minnesota. It is likely different types o support strategies are more helpful for some dementia caregivers than others. To this end, the primary goal of the K18 Research Plan is to determine whether certain intervention approaches can best meet the needs of dementia family caregivers based on outcome (e.g., reduction of caregiver stress, keeping the person with dementia at home, improving the person with dementia's well-being), personal characteristics, and dementia severity. Specific Aim 1 of the K18 Research Plan will include a comparative effectiveness analysis of available interventions to ascertain the efficacy of these approaches for dementia caregivers differentiated by outcome, key characteristics of the family caregiver and person with dementia, and intervention type. Specific Aim 2 of the K18 research plan involves the creation of a Community Advisory Board to review and disseminate the results of the Specific Aim 1 CER procedures as well as outline the questions, design, evaluation, and dissemination of a subsequent care planning tool for persons with dementia. Engaging the Community Advisory Board will align a planned care planning tool with the needs of key stakeholders (particularly family caregivers of persons with dementia) and result in a truly person-centered approach to assisting families in need.