Accessible Hearing Care for Reduction of Disruptive Behaviors and Caregiver Burden in Dementia

摘要 卡丽·尼曼医生将加入该校耳鼻咽喉头颈外科的教职队伍。 在约翰霍普金斯医学院，她将在那里致力于听力损失和耳科的临床实践。 她寻求这个有指导的职业发展奖，以填补她在护理和护理方面的培训中的知识空白 老年阿尔茨海默病患者听力损失和沟通障碍的研究 相关痴呆(ADRD)。她的长期目标是建立一个独立的研究项目，致力于 社区为痴呆症患者提供的听力护理。候选人提出了一项全面的 培训计划，包括教学课程、实践经验、积极参与研讨会和 研讨会，以及由跨学科导师团队监督的专门会议和教程。培训 计划让尼曼博士沉浸在约翰·霍普金斯大学丰富的跨学科研究和临床环境中 约翰霍普金斯大学记忆和阿尔茨海默氏症治疗中心阿尔茨海默病研究中心 老龄化和健康中心，以及加拉德特大学和研究和教育中心 老龄化与技术进步。具体培训目标包括：(1)接受认知老化和 老年人ADRD的神经心理和临床评估及处理，(2)完整 混合方法培训并将技能应用于拟议的研究，(3)将人的因素方法整合到 听力护理，(4)在试验设计和分析中纳入课程，并在干预中采用先进技术 继续进行负责任的研究方面的培训，重点是弱势群体。 这项拟议研究的具体目标是：(1)描述不同类型的听力损失和听力护理 社区居住的有认知障碍的老年人队列，以告知发展 综合传播干预，(2)通过社区参与的方法，发展以理论为导向的， 以用户为中心的通信干预，集成了低成本、场外听证技术，以及 (3)评估家庭递送沟通的可行性、可接受性和初步效果 通过随机对照先导研究进行干预。学习招聘、保留和执行将是 与约翰霍普金斯阿尔茨海默氏症研究中心合作进行，当地分会 阿尔茨海默氏症协会和马里兰艺术学院社会设计中心。完成 这项拟议的研究将确立负担得起、可获得的听力护理作为一种低风险、低成本的潜力。 减少痴呆患者破坏性行为和照顾者负担的方法 照顾者。在此奖项结束时，候选人将获得以下技能、知识和 成功争取独立资金的初步数据，并最终为 新的听力护理模式，扩大了沟通和参与所需工具的使用范围。

ABSTRACT Dr. Carrie Nieman will be joining the faculty in the Department of Otolaryngology-Head & Neck Surgery at the Johns Hopkins School of Medicine, where she will dedicate her clinical practice to hearing loss and otology. She seeks this Mentored Career Development Award to fill knowledge gaps in her training in the care and study of hearing loss and communication impairments among older adults with Alzheimer’s disease and related dementias (ADRD). Her long-term goal is to establish an independent research program devoted to community-delivered hearing care for persons with dementia. The candidate proposes a comprehensive training plan that incorporates didactic coursework, hands-on experiences, active participation in seminars and workshops, and dedicated meetings and tutorials overseen by a transdisciplinary mentor team. The training plan immerses Dr. Nieman in the rich interdisciplinary research and clinical environments of the Johns Hopkins Alzheimer’s Disease Research Center, the Memory and Alzheimer’s Treatment Center, the Johns Hopkins Center on Aging and Health, as well as Gallaudet University and the Center for Research and Education on Aging and Technology Enhancement. Specific training goals include: (1) receive training in cognitive aging and the neuropsychological and clinical assessment and management of older adults with ADRD, (2) complete training in mixed methods and apply skills to the proposed study, (3) integrate a human factors approach to hearing care, (4) incorporate coursework in trial design and analysis and advanced techniques in intervention research, and (5) continue training in responsible research conduct, with emphasis on vulnerable populations. The specific aims of the proposed research are to: (1) characterize hearing loss and hearing care in a diverse cohort of community-dwelling older adults with cognitive impairment to inform the development of a comprehensive communication intervention, (2) develop, via a community-engaged approach, a theory-driven, user-centered communication intervention that integrates low-cost, over-the-counter hearing technology, and (3) assess the feasibility, acceptability, and preliminary efficacy of a home-delivered communication intervention through a randomized controlled pilot study. Study recruitment, retention, and execution will be conducted in partnership with the Johns Hopkins Alzheimer’s Disease Research Center, the local chapter of the Alzheimer’s Association, and the Maryland Institute College of Art Center for Social Design. Completion of the proposed research will establish the potential for affordable, accessible hearing care as a low-risk, low-cost approach to reduction of disruptive behaviors and caregiver burden among persons with dementia and their caregivers. At the conclusion of this award, the candidate will have obtained the skills, knowledge, and preliminary data to successfully compete for independent funding and, ultimately, inform the development of new models of hearing care that expand access to the tools necessary for communication and engagement.