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纽约大学护理人员干预措施的外部有效性:多个示范项目中的关键护理人员结果。

External Validity of the New York University Caregiver Intervention: Key Caregiver Outcomes Across Multiple Demonstration Projects.

机构信息

1 Utah State University, Logan, USA.

2 Minnesota Board on Aging, St. Paul, USA.

出版信息

J Appl Gerontol. 2019 Sep;38(9):1253-1281. doi: 10.1177/0733464817714564. Epub 2017 Jun 23.

DOI:10.1177/0733464817714564
PMID:28645235
Abstract

The Administration on Aging funded six New York University Caregiver Intervention (NYUCI) demonstration projects, a counseling/support intervention targeting dementia caregivers and families. Three sites (Georgia, Utah, Wisconsin) pooled data to inform external validity in nonresearch settings. This study (a) assesses collective changes over time, and (b) compares outcomes across sites on caregiver burden, depressive symptoms, satisfaction with social support, family conflict, and quality of life. Data included baseline/preintervention ( = 294) and follow-up visits (approximately 4, 8, 12 months). Linear mixed models showed that social support satisfaction increased ( < .05) and family conflict decreased ( < .05; Cohen's = 0.49 and 0.35, respectively). Marginally significant findings emerged for quality of life increases ( = .05) and burden decreases ( < .10). Depressive symptoms remained stable. Slopes did not differ much by site. NYUCI demonstrated external validity in nonresearch settings across diverse caregiver samples.

摘要

美国老龄化管理局资助了纽约大学护理员干预(NYUCI)的六个示范项目,这是一个针对痴呆症护理员及其家庭的咨询/支持干预项目。三个地点(乔治亚州、犹他州、威斯康星州)汇集数据,以了解非研究环境中的外部有效性。本研究(a)评估随时间的集体变化,以及(b)比较各地点在护理员负担、抑郁症状、社会支持满意度、家庭冲突和生活质量方面的结果。数据包括基线/干预前(=294)和随访访问(大约 4、8、12 个月)。线性混合模型显示,社会支持满意度增加(<0.05),家庭冲突减少(<0.05;Cohen's =0.49 和 0.35,分别)。生活质量增加(=0.05)和负担减轻(<0.10)出现了边缘显著的结果。抑郁症状保持稳定。斜率在不同地点之间没有太大差异。NYUCI 在不同的护理员样本中证明了非研究环境中的外部有效性。

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