A Novel Technology to Disseminate WOOP (Wish, Outcome, Obstacle, Plan) to Dementia Caregivers

1大约有650万65岁及以上的美国人患有痴呆症，由1100多万人支持 2名无偿家庭照顾者。这些数字预计将在未来几十年呈指数级增长，从而推动 3需要开发可扩展的方式来支持痴呆症照顾者。有必要授权痴呆症照顾者 4继续提供护理，同时保持自己的健康和福祉在公共卫生中得到认可 5文献和应对阿尔茨海默病国家计划的战略3.B。虽然是有效的照顾者 6存在干预措施，也存在重大的执行障碍。许多干预措施还没有翻译出来 7广泛使用。大多数需要时间紧张的医疗保健专业人员接生，这是有问题的 8考虑到老年护理劳动力短缺和医疗委派趋势。结果是，家庭照顾者 9通常不受支持，无法确定在维持自身福祉的同时管理复杂护理的方法。 10提高痴呆症照顾者管理照看责任和加强他们的能力的一个方法 幸福是通过找出他们在哪里有控制权，把精力集中在哪里来实现他们的愿望或目标。一个 12简单、易学的4步干预，称为愿望、结果、障碍、计划(Woop)。Woop是 13帮助个人设定具有挑战性但可实现的目标并专注于内部障碍的战略 14他们有控制权。这有助于他们坚持目标导向的行为，提高他们实现 15个愿望或目标。Woop，科学上被称为心理对比与实施意图(MCII)，有 16经过20多年的严格开发，被翻译成多种语言，并在超过20种语言中得到有效使用 全球17个100个国家/地区，涉及职业成就、健康和人际关系等多个领域 18个关系。最近的初步研究表明，Woop对痴呆症照顾者有效。在一个 19项随机对照试验，痴呆症照顾者通过面对面的一对一会议和 20次电话辅导减轻了压力，减少了抑郁症状，增加了积极情绪 21和生活质量。目前尚不清楚的是，是否为痴呆症护理人员量身定做Woop并交付它 22通过新技术对群体进行改造是可行和有效的。在这一努力中，借用我的眼镜，一本老年学 23家教育公司和一名妇女与耶鲁大学和研究机构拥有小企业团队 24名顾问，包括Woop的开发者、医疗保健专业人员和其他具有以下生活经验的人 25名痴呆症护理员。具体目标：STTR第一阶段提案使用以人为本的设计来实现目标1： 26将Woop转换为适合痴呆症照顾者需求的新技术原型，并对其进行测试 27可用性。目标2：进行迭代概念验证测试以评估适当性、可接受性、 28通过基于网络的电子邮件向痴呆症照顾者群体传播Woop的可行性和预期的好处 29学习技术。第一阶段的总体可行性将为第二阶段的随机对照试验提供信息，以进一步 30为痴呆症照顾者量身定做设计、策略和准备好将Woop扩展到商业范围。

1 Approximately 6.5 million Americans aged 65 and older live with dementia, supported by more than 11 million 2 unpaid family caregivers. These numbers are projected to rise exponentially in the coming decades fueling the 3 need to develop scalable ways to support dementia caregivers. The need to empower dementia caregivers to 4 continue providing care while maintaining their own health and well-being is recognized in public health 5 literature and in Strategy 3.B of the National Plan to Address Alzheimer's Disease. While effective caregiver 6 interventions exist, significant implementation barriers also exist. Many interventions have not been translated 7 for widespread use. Most require delivery by time-strapped healthcare professionals, which is problematic 8 given eldercare workforce shortages and medical delegation trends. The upshot is family caregivers are 9 typically left unsupported to determine ways to manage complex care while maintaining their own well-being. 10 One way to improve the capacity of dementia caregivers to manage caregiving responsibilities and bolster their 11 well-being is by pinpointing where they have control and where to focus efforts to attain their wishes or goals. A 12 brief, easy to learn 4-step intervention called Wish, Outcome, Obstacle, Plan (WOOP) does just that. WOOP is 13 a strategy that helps individuals set challenging but attainable goals and focus on internal obstacles over which 14 they have control. This helps them persist in goal-directed behavior, improving the likelihood they will attain the 15 wish or goal. WOOP, known scientifically as Mental Contrasting with Implementation Intentions (MCII), has 16 been rigorously developed over 20 years, translated into multiple languages, and used effectively in more than 17 100 countries worldwide across multiple domains such as career achievement, health, and interpersonal 18 relations. Recent preliminary work demonstrated WOOP to be effective for dementia caregivers. In a 19 randomized controlled trial, dementia caregivers taught to use WOOP via in-person one-on-one sessions and 20 phone coaching experienced reduced stress, reduced depressive symptoms, and increased positive emotions 21 and quality of life. What remains unknown is whether tailoring WOOP for dementia caregivers and delivering it 22 to groups via novel technology is feasible and effective. In this effort, Borrow My Glasses, a gerontology 23 education company and woman owned small business teams with research institute Yale University and 24 consultants including the developer of WOOP, healthcare professionals, and others with lived experience as 25 dementia caregivers. SPECIFIC AIMS: This STTR Phase I proposal uses human centered design to AIM 1: 26 translate WOOP into a novel technology prototype tailored to the needs of dementia caregivers and test it for 27 usability. AIM 2: conduct iterative proof-of-concept testing to evaluate the appropriateness, acceptability, 28 feasibility, and perceived benefit of disseminating WOOP to groups of dementia caregivers via web-based e- 29 learning technology. Overall feasibility in Phase 1 will inform a randomized controlled trial in Phase 2 to further 30 tailor the design, strategy, and readiness to scale WOOP for Dementia Caregivers commercially.