Computer-based Learning to Enhance ADRD Care in Prison: Just Care for Dementia

基于计算机的学习可增强监狱中 ADRD 护理：只关注痴呆症

• 批准号: 10483628
• 负责人: Susan Jayne Loeb
• 金额: $ 30万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10483628
• 关键词: Address; Age; Aging; Alzheimer' s disease related dementia; Alzheimer' s disease risk; Awareness; Businesses; Caregivers; Caring; Characteristics; Chronic Disease; Collaborations; Computers; Dementia; Development; Discrimination; Disease; E-learning; Education; Educational Technology; Effectiveness; Elderly; Ensure; Environment; Ethics; Ethnic Origin; Face; Focus Groups; Funding; General Population; Health; Healthcare; Home; Human Resources; Imprisonment; Incidence; Individual; Intervention; Knowledge; Laws; Learning; Learning Module; Life; Mental Health; Minority Groups; Mission; Morbidity - disease rate; National Institute on Aging; Paper; Persons; Phase; Preparation; Prevalence; Prisons; Race; Research; Role; Services; Small Business Technology Transfer Research; Social Security; Standardization; System; Technology; Testing; Training; Training Activity; Training Programs; Traumatic Brain Injury; United States; Woman; age related; aged; aging demographic; base; burden of illness; caregiving; commercialization; community living; dementia care; dementia risk; design; end of life care; ethnic minority; evidence base; experience; health disparity; high risk; innovative technologies; interest; learning materials; legal implication; low socioeconomic status; meetings; men; multidisciplinary; peer; prison population; programs; prototype; racial minority; research and development; response; scale up; skills; social; usability

Project Summary/Abstract U.S. prison systems face sharply increased demands in caring for older people living in prisons. Alzheimer's Disease and related dementias (ADRD) are age-related diseases. Prison populations are over- represented by minority populations who experience disparities in prevalence and incidence of dementia. Prison health, social, and security staff perceive they lack the skills and knowledge essential for identifying dementia and supporting people who are incarcerated and living with ADRDs. This unmet need may be due to a lack of standardized, feasible, and acceptable ADRD education programs that are tailored specifically for those managing and caring for people in the restrictive environment of prisons. Some prisons engage carefully vetted incarcerated people to be peer caregivers, assisting staff with care for people with ADRD. Training programs in prisons are often home grown and lack consistency, which points to a need for evidence based, current, and readily accessible training for both prison staff and peer caregivers that is focused on care of people who are living with ADRD in prison. In response to this need, this Phase I STTR project, titled Computer-based Learning to Enhance ADRD Care in Prison: Just Care for Dementia, will demonstrate the scientific merit and feasibility of developing media rich learning modules to train both multidisciplinary prison staff and peer caregivers on topics related to ADRD care. The specific aims of the project are to: (1) transform best practices in ADRD care into media-rich, highly interactive, computer-based educational module prototypes to prepare corrections staff and peer caregivers to meet the growing care needs of people who are incarcerated and living with ADRD; and (2) conduct in-person usability testing of the learning module prototypes with corrections staff and peer caregivers to evaluate the user interface, ease of use, and perceived barriers in order to refine the product and optimize implementation in prison settings. In collaboration with an advisory board comprised of people with expertise in prison healthcare, training and technology, dementia in prisons, and experience with previous incarceration, we will plan and develop discussion guides and then conduct focus groups with two groups of prison stakeholders: interdisciplinary corrections staff and inmates who serve as peer caregivers at a men's and a women's prison. Focus groups will permit us to ensure that design and technology plans match what is allowable for training in prison settings and will isolate essential ADRD content for development of the comprehensive training program. Finally, we will create and evaluate prototypes of media rich, interactive computer-based learning modules for corrections staff and peer caregivers. At the end of Phase I, we will have: a specifications document for the design of modules that at once fits with the technology available in corrections settings; is permissible to be used by people who are incarcerated; represents the critical learning needs of corrections staff and peer caregivers for providing ADRD care; and further develop our collaborative relationships in preparation for commercialization of the product.

项目摘要/摘要 美国监狱系统面临着照顾监狱中老年人的需求急剧增加。阿尔茨海默氏症 疾病和相关痴呆症（ADRD）是与年龄有关的疾病。监狱人口由 在痴呆症患病率和发病率方面遇到差异的少数群体。监狱健康，社会， 安全人员认为他们缺乏识别痴呆和支持至关重要的技能和知识 被监禁并与ADRD一起生活的人。这种未满足的需求可能是由于缺乏标准化， 可行且可接受的ADRD教育计划，专门针对那些管理和关怀的人量身定制 对于监狱限制性环境中的人们。一些监狱与经过仔细审查的被监禁的人交战 成为同伴护理人员，协助员工为ADRD患者提供护理。监狱的培训计划通常是 家庭成长且缺乏一致性，这表明需要基于证据，最新且随时访问 为监狱工作人员和同行护理人员培训，这些人员专注于照顾与Adrd一起生活的人 监狱。根据这种需求，此阶段I STTR项目，标题为基于计算机的学习，以增强ADRD 监狱护理：仅关心痴呆症，将证明发展媒体的科学优点和可行性 丰富的学习模块可以培训与ADRD有关的主题的多学科监狱工作人员和同行护理人员 关心。该项目的具体目的是：（1）将ADRD护理中的最佳实践转变为媒体丰富，高度 基于计算机的互动，基于计算机的教育模块原型，以准备更正的人员和同伴护理人员 满足被监禁和与ADRD一起生活的人们的日益增长的护理需求； （2）面对面进行 与校正人员和同伴护理人员对学习模块原型的可用性测试，以评估 用户界面，易用性和可感知的障碍，以完善产品并在 监狱设置。与一个顾问委员会合作，该咨询委员会由拥有监狱医疗保健专业知识的人组成， 培训和技术，监狱的痴呆症以及先前监禁的经验，我们将计划和 制定讨论指南，然后与两组监狱利益相关者进行焦点小组： 跨学科的惩教人员和囚犯在男子和妇女监狱担任同伴护理人员。 焦点小组将允许我们确保设计和技术计划与训练相匹配 监狱环境，并将隔离基本的ADRD内容，以制定综合培训计划。 最后，我们将创建和评估媒体丰富，基于计算机的学习模块的原型 更正人员和同伴护理人员。在第一阶段结束时，我们将拥有： 设计模块，这些模块立即符合校正设置中可用的技术；允许是 被监禁的人使用；代表惩教人员和同伴的批判性学习需求 提供ADRD护理的护理人员；并进一步发展我们的协作关系以准备 产品的商业化。