| 2000 — 2002 |
Glueckauf, Robert L |
P50Activity Code Description:
To support any part of the full range of research and development from very basic to clinical; may involve ancillary supportive activities such as protracted patient care necessary to the primary research or R&D effort. The spectrum of activities comprises a multidisciplinary attack on a specific disease entity or biomedical problem area. These grants differ from program project grants in that they are usually developed in response to an announcement of the programmatic needs of an Institute or Division and subsequently receive continuous attention from its staff. Centers may also serve as regional or national resources for special research purposes. |
Core--Outcome
outcomes research; functional ability; biomedical facility; neuropsychological tests; behavioral /social science research tag; clinical research; human subject;
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1 |
| 2008 — 2010 |
Glueckauf, Robert L |
R34Activity Code Description:
To provide support for the initial development of a clinical trial or research project, including the establishment of the research team; the development of tools for data management and oversight of the research; the development of a trial design or experimental research designs and other essential elements of the study or project, such as the protocol, recruitment strategies, procedure manuals and collection of feasibility data. |
Telephone Cbt For Depressed African-American Dementia Caregivers @ Florida State University
[unreadable] DESCRIPTION (provided by applicant): Recent epidemiological research has estimated that there are 4.5 million adults with progressive dementia in the United States. The prevalence, incidence, and cumulative risk rates of Alzheimer's and related dementias are substantially higher in African Americans (AAs) than among Whites. The vast majority of dementia patients (75%) are cared for in the home by family caregivers (CGs), primarily middle-aged daughters and daughters- in-law, as well as older spouses. CGs are confronted with a wide variety of challenges in providing assistance to family members with dementia, such as dealing with agitation and aggressive behavior. Such intensive home care activities are performed at high cost to CGs in terms of their health and psychological functioning. Previous research has shown that dementia CGs are at substantial risk for the development of mental health problems, especially depressive disorders. Although the NIMH has called for the implementation of evidence- based psychological interventions in treating depression, there continues to be a substantial gap between CG needs and available services. The specific groups most negatively affected by this shortage of services are ethnic minorities, especially AAs. AA CGs have lower household incomes and are less likely to receive mental health services than White CGs. Fortunately, two recent developments have enhanced our prospects for meeting the mental health needs of underserved AA CGs: (1) research supporting the efficacy of cognitive- behavioral therapy (CBT) for dementia CGs and (2) the growing use of telehealth. However, we lack basic information about how and under what conditions telehealth-based CBT leads to reduced depression in this population. The primary aim of the R34 study is to compare the effects of face-to-face (f-to-f) and telephone- based CBT on changes in CG depression and perceived health over time. One hundred six AA CGs from Northern Florida will be randomly assigned to either telephone-based CBT (n = 53) or to f-to-f CBT (n = 53). We will test the hypothesis that the two modes of CBT delivery will show positive and equivalent outcomes from pre- to post treatment. Exploratory analysis will be performed to examine the relationships among sociodemographic factors, caregiving stressors, CG appraisals of resources, depression and health status. Furthermore, we will collect preliminary data on the utilization and costs of health services for both groups of AA participants across two time intervals. The public health benefits of this R34 project are likely to be substantial. Treatment manuals tailored to the cultural preferences and psychosocial needs of African-American (AA) dementia caregivers (CGs) will be developed to guide future cognitive-behavioral (CB) intervention studies. Recruitment and retention strategies used in previous research (e.g., Glueckauf et al., 2005) will be implemented and refined to maximize the participation of AA CGs. Last, the findings of the proposed study will be used to guide the selection of delivery mode (i.e., face-to-face or telephone) for a future, large-scale clinical trial comparing the effects and cost- effectiveness of CB intervention versus routine care for AA dementia CGs with depression. [unreadable] [unreadable] [unreadable]
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0.979 |