PROMOTING SOCIAL INTEGRATION IN LONG TERM CARE--INTERVENTION STUDY

研究表明，照顾者通常与 制度化的家庭成员然而，许多家庭成员经历 关于相对的过渡到养老院的痛苦，部分 由于与设施工作人员的关系困难。同样地， 对养老院工作人员的研究表明， 可能是压力的重要来源。然而，人们对它知之甚少。 最有效的方式来促进这种合作和沟通。因为 对于家庭、员工和居民的潜在利益， 制定和严格评估促进这些计划的计划， 目标.该项目将进行一项随机、对照 一项旨在加强合作的方案的干预研究， 疗养院居民家庭成员之间的有效沟通 减少人际冲突。这都是一个 经过四年广泛的试点测试， 长期护理提供者的主要协会。 这项研究将测试该计划是否会导致积极的结果， 家庭成员，工作人员和居民，并将研究差异， 各种子组的有效性（例如，按性别分列，农村与 城市位置）。还将评估的程度， 制度环境影响干预，以及 政策和实践的结果。该研究将招募1200名 受试者来自纽约州随机选择的20家疗养院， 将他们分为治疗组和对照组。平行培训班， 沟通和解决冲突的技巧将与 家庭和工作人员在干预单位。一次测试前的面试， 将进行测试后访谈，以衡量家庭的结果， 工作人员和居民。此外，还将收集设施一级的数据， 评估干预措施对结果的影响， 投诉和人员流动。调查人员将与 州和国家养老院协会和其他团体， 根据研究结果传播信息和促进方案。

Research has demonstrated that caregivers typically maintain close ties to institutionalized family members. However, many family members experience distress regarding the relative's transition to the nursing home, in part due to difficulties in relationships with facility staff. Similarly, studies of nursing home staff indicate that relationships with families can be a significant source of stress. Little is known, however, about the most effective ways to promote such cooperation and communication. Because of the potential benefits to families, staff, and residents, a need exists for the development and rigorous evaluation of programs that foster these goals. The proposed project will conduct a randomized, controlled intervention study of a program designed to increased cooperation and effective communication between family members of nursing home residents and staff, and to reduce interpersonal conflict. This program is the result of four years of extensive pilot-testing, conducted in cooperation with a major association of long-term care providers. The study will test whether the program leads to positive outcome for family members, staff, and residents, and will examine differences in effectiveness for various subgroups (for example., by gender, rural versus urban location). Also evaluated will be the degree to which the institutional environment affects the intervention, and whether changes in facility policies and practices resulted. The study will recruit 1200 subjects from 20 randomly selected nursing homes in New York state, and assign them to treatment and control groups. Parallel training sessions on communication and conflict resolution techniques will be conducted with families and staff ont he intervention units. A pretest interview and two post-test interviews will be conducted to measure outcomes for family, staff, and residents. In addition, facility-level data will be collected to assess the impact of the intervention on outcomes such as family complaints and staff turnover. The investigators will work closely with state and national nursing home associations and other groups to disseminate information and promote programs based on the study findings.