An Innovative Psychosocial Intervention for Adult-Child Caregivers of Parents With Alzheimer's Disease
研究概览
详细说明
Caring for an elderly parent is a growing societal problem, and many studies have shown that caring for a person with dementia can have a negative impact on a caregiver's psychological and physical health, social life and career, and relationship with the patient. Stress and coping models proposed in the AD caregiving literature, and general stress and coping theories suggest that by improving caregivers' ability to cope and master the caregiving situation, it is possible to avoid or ameliorate the negative emotional consequences of caregiving.
Building upon the results of a pilot study, this study will formally test the efficacy of a psychosocial intervention, based on a concept of caregiving that builds on the interests, activities, and responsibilities of both the caregiver and patient in creating a care strategy. The intervention is designed to reduce the negative effects frequently experienced by adult children who care for a parent in the middle stage of Alzheimer's disease. Caregivers will learn to engage with their parents in activities that are within the patients' remaining functional and cognitive abilities. Caregivers will also be encouraged to teach activities to other family members and paid caregivers. The study will also evaluate a lower level of intervention, based on written materials.
It is expected that by increasing knowledge about AD and providing what may be a new conceptual approach to relating to a parent at this point in the disease process, 1) caregivers and patients may experience a higher level of satisfaction and gratification from their interactions, 2) caregivers will gain a sense of control and mastery over a difficult situation and thus feel more capable of coping and 3) the patient may maintain a higher level of functioning.
A randomized treatment/control design will be used, and adult-child caregivers who participate will be assigned to one of the two levels of intervention, each designed to reduce stress, anxiety and depression. The benefits of each intervention will be evaluated by looking at the change in scores on widely used measures of the anticipated outcomes among caregivers in each group, and their relative benefits will be tested by comparing scores of the caregivers in the two groups at two follow-up points, six and nine months after baseline.
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Olanta Barton
- 电话号码:212-263-5710
- 邮箱:olanta.barton@med.nyu.edu
学习地点
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New York
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New York、New York、美国、10016
- 招聘中
- Aging and Dementia Research Center, Silberstein Institute, NYU School of Medicine
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接触:
- Olanta Barton
- 电话号码:212-263-5710
- 邮箱:olanta.barton@med.nyu.edu
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Men or women between the ages of 21 and 90
- Adult-child caring for at least one parent who has been diagnosed with Alzheimer's disease and is in the moderate stage
- Person with Alzheimer's disease must be living at home or in a congregate residential setting that is like a home
- Caregiver must be willing to complete intake and follow-up questionnaires
- Caregiver must be willing to attend 2 workshops and 1 individual counseling session
Exclusion Criteria:
- Severe psychological or physical illness
- Unwillingness to participate in all aspects of the study
学习计划
研究是如何设计的?
设计细节
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
无干预:2个
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实验性的:1
multi-component psychosocial intervention
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individual-family consultation, support group, and ad hoc consultation
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
Changes in measures of depression, stress, and anxiety
大体时间:six and nine months from baseline
|
six and nine months from baseline
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合作者和调查者
调查人员
- 首席研究员:Mary S. Mittelman, DrPH、NYU School of Medicine
出版物和有用的链接
一般刊物
- Mittelman MS, Ferris SH, Shulman E, Steinberg G, Ambinder A, Mackell JA, Cohen J. A comprehensive support program: effect on depression in spouse-caregivers of AD patients. Gerontologist. 1995 Dec;35(6):792-802. doi: 10.1093/geront/35.6.792.
- Mittelman MS, Ferris SH, Shulman E, Steinberg G, Levin B. A family intervention to delay nursing home placement of patients with Alzheimer disease. A randomized controlled trial. JAMA. 1996 Dec 4;276(21):1725-31.
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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