Social Impact and Innovation in Health (InHEALTH) Research Group, University Centre of Mérida, University of Extremadura, 06800 Mérida, Spain.
BioẼrgon Research Group, University of Extremadura, 10003 Cáceres, Spain.
Int J Environ Res Public Health. 2022 Nov 18;19(22):15243. doi: 10.3390/ijerph192215243.
People with Alzheimer's disease (AD) diagnosis who get informal care remain at home longer, reducing the demand for healthcare resources but increasing the stress of caregiving. Research on the effectiveness of physical training, psychoeducational, cognitive-behavioural, and health education programs in reducing the caregiver load and enhancing health-related quality of life (HRQoL) exist, but none exist about an integrated interdisciplinary program. The goals of this project are (1) to assess the Integral-CARE Interdisciplinary Program (IP) applicability, safety, effects on HRQoL, and the incremental cost-effectiveness ratio for AD caregivers; (2) to evaluate the IP applicability and cost-effectiveness to enhance the physical, psychoemotional, cognitive-behavioural dimensions, and the health education status of informal caregivers, and (3) to study the transference of the results to the public and private sectors. A randomized controlled trial will be conducted with an experimental (IP) and a control group (no intervention). The PI will be conducted over nine months using face-to-face sessions (twice a week) and virtual sessions on an online platform (once a week). There will be an initial, interim (every three months), and final assessment. Focus groups with social and health agents will be organized to determine the most important information to convey to the public and private sectors in Extremadura (Spain). Applicability, safety, HRQoL, incremental cost-effectiveness ratio, and HRQoL will be the main outcome measures, while secondary measures will include sociodemographic data; physical, psychoemotional, health education, and cognitive-behavioural domains; program adherence; and patient health status. Data will be examined per procedure and intention to treat. A cost-effectiveness study will also be performed from the viewpoints of private and public healthcare resources.
患有阿尔茨海默病(AD)的人接受非正式护理后,可以在家中停留更长时间,从而减少对医疗保健资源的需求,但增加了护理人员的压力。虽然已经有研究评估了身体训练、心理教育、认知行为和健康教育计划在减轻护理人员负担和提高与健康相关的生活质量(HRQoL)方面的有效性,但没有研究涉及综合跨学科计划。本项目的目标是:(1)评估综合关怀跨学科计划(IP)的适用性、安全性、对 AD 护理人员 HRQoL 的影响以及增量成本效益比;(2)评估 IP 的适用性和成本效益,以增强非正式护理人员的身体、心理情绪、认知行为维度和健康教育状况;(3)研究结果在公共和私营部门的转移。将进行一项随机对照试验,实验组(IP)和对照组(无干预)。PI 将在九个月内进行,使用面对面会议(每周两次)和在线平台上的虚拟会议(每周一次)。将进行初始、中期(每三个月一次)和最终评估。将组织焦点小组,与社会和卫生机构合作,确定向埃斯特雷马杜拉(西班牙)的公共和私营部门传达的最重要信息。适用性、安全性、HRQoL、增量成本效益比和 HRQoL 将是主要的结果测量指标,而次要测量指标将包括社会人口统计学数据;身体、心理情绪、健康教育和认知行为领域;方案依从性;和患者的健康状况。将根据程序和意向治疗进行数据检查。还将从私人和公共医疗保健资源的角度进行成本效益研究。