Couples Managing Early-Stage Dementia: Mutual Influences on Daily Stress, Self-Care, and Well-Being

项目总结 阿尔茨海默病和相关痴呆症(ADRD)目前是一个日益严重的公共卫生问题 影响到500多万美国成年人和大约300万配偶照顾者。家长K01助学金 (NIA K01 AG059829)的中心是了解早期患者夫妇之间的相互影响 ADRD在他们的日常压力、自我照顾和幸福感方面。响应NOT-AG-20-022：NIA的可用性 《2019年冠状病毒病行政补充和修订补充》(新冠肺炎)， 拟议的行政补充将解决与同居的夫妇的即时和时间敏感的需求 母公司拨款没有预料到的早期ADRD。符合美国国家航空航天局在 NOT-AG-20-022，该项目将评估社会距离如何影响人们的关怀和福祉 和ADRD住在一起。该项目将进行基线电话采访和7天的日常电话采访 40对与早期ADRD一起生活的社区夫妇确定：1)大流行如何影响 日常经历及其与护理二人组日常应对的联系；2)社交距离如何影响 在大流行期间，配偶护理关系及其与护理二人组日常应对的联系；以及3)如何 心理社会资源(自我效能、个人和两难应对、整体社会支持和紧张，以及 孤独感)缓和这些联系。本行政副刊将建立在第三个K01培训目标的基础上 开发密集重复测量设计方面的专业知识，以检查日常护理中的压力和幸福感 双子星。拟议的补编还将建立在K01研究目标的两个基础上：目标1，以审查联系 在自己和伴侣关于日常压力源、自我照顾和幸福的报告中；以及目标3，确定哪一种 通过评估心理社会资源如何调节这些因素，个人和夫妇或多或少具有弹性 联想。该项目将促进对主要慢性应激源，如 由于新冠肺炎疫情可能会影响配偶照顾关系。当这个国家准备迎接第二个 新冠肺炎在2020秋冬的潜在激增，研究结果也将为有针对性的公共卫生提供信息 改善和维持老年人这一特别弱势群体的长期福祉的战略。

PROJECT SUMMARY Alzheimer’s disease and related dementias (ADRD) are an increasing public health concern, currently affecting more than 5 million US adults and about 3 million of their spousal caregivers. The parent K01 grant (NIA K01 AG059829) is centered on understanding mutual influences among couples living with early-stage ADRD in their daily stress, self-care, and well-being. In response to NOT-AG-20-022: NIA Availability of Administrative Supplements and Revision Supplements on Coronavirus Disease 2019 (COVID-19), the proposed administrative supplement will address the immediate and time-sensitive needs of couples living with early-stage ADRD that were unanticipated by the parent grant. In line with the NIA research interests stated in NOT-AG-20-022, this project will evaluate how social distancing impacts the care and well-being of persons living with ADRD. This project will conduct baseline phone interviews and 7 days of daily phone interviews with 40 community-dwelling couples living with early-stage ADRD to determine: 1) how the pandemic has affected daily experiences and their links to daily coping within care dyads; 2) how social distancing has impacted the spousal care relationship and its links to daily coping within care dyads during the pandemic; and 3) how psychosocial resources (self-efficacy, individual and dyadic coping, overall social support and strain, and loneliness) moderate these associations. This administrative supplement will build on the third K01 training aim to develop expertise in intensive repeated measures designs to examine daily stress and well-being within care dyads. The proposed supplement will also build on two of the K01 research aims: Aim 1 to examine the links among own and partner reports of daily stressors, self-care, and well-being dyads; and Aim 3 to identify which individuals and couples are more or less resilient by evaluating how psychosocial resources moderate these associations. This project will advance knowledge of the multifaceted ways that major chronic stressors such as the COVID-19 pandemic may affect the spousal care relationship. As the nation prepares for a second potential surge of COVID-19 in the Fall/Winter of 2020, the findings will also inform targeted public health strategies to improve and sustain the long-term well-being of an especially vulnerable subgroup of older adults.