AUDIOTAPE INTERVENTION FOR AGITATION

描述(改编自《调查员摘要》)：的主要目标 这一修订是为了扩大我们对以下关系的调查 城市居民的个人特征、环境背景与情绪激动 使用计算机辅助实时系统的养老院(NH) 行为观察。然而，针对以下方面的初步调查结果 我们的激荡干预研究，我们建议延长我们最初的目标 从干预试验的背景来看。我们最初的研究允许我们 开发已由申请人使用的实时观测系统 在许多其他研究中，也被其他研究采用 团队。之前的申请产生了一些耐人寻味的发现 关于煽动，包括准确的描述性数据和预测 发生、持续时间和时间模式；顺序条件 员工接触和口头互动时出现情绪激动的可能性 探索性结构方程模型(SEM)与激越、认知 和职能地位，以及随时间推移的居民性别。这项提议 延续有三个具体目标：目标1：利用我们的观察系统， 我们将研究两种有希望和实际的干预措施的效果 鼓动：环境白噪音和舒缓的口语录音带， 两者都是通过耳机发送给居民的。干预小组将被 与未治疗的对照组相比。简单的员工管理 系统将与两种干预方案集成，以鼓励 护理助理(NAS)遵守治疗方案；目标2；我们 将检查NA对协议的遵从性和对 为期12个月的干预措施；目标3：我们将继续审查 居民个人特征与环境的关系 使用扫描电子显微镜从横向和纵向两个方面分析了情境和激荡的关系。 在这些分析中，干预将被认为只是众多干预之一 随着时间的推移，会影响情绪的变数。我们计划扩大规模 我们的调查通过区分其他子分类进行 激动人心，细化我们的进入标准，只允许临床上的 显著的骚动居民，并测量骚动强度和 居民情绪。

DESCRIPTION (Adapted from the Investigator's Abstract): The major goal of this revision is to expand our investigation into the relationships among resident personal characteristics, environmental context, and agitation in the nursing home (NH) using a computer-assisted system of real time behavioral observation. However, in response to preliminary findings from our agitation intervention research, we propose to extend our original aims from the context of an intervention trial. Our original study allowed us to develop a real-time observational system that has been used by the applicant in numerous additional studies and has also been adopted by other research teams. The previous application produced a number of intriguing findings regarding agitation, including precise descriptive data and predictors of occurrence, duration and temporal patterns; sequential conditional probabilities of agitation given staff touch and verbal interaction and exploratory structural equation modeling (SEM) relating agitation, cognitive and functional status, and resident gender over time. The proposal for continuation has 3 specific aims: Aim 1: using our system of observation, we will examine the effects of two promising and practical interventions for agitation: environmental white noise and soothing spoken word audiotapes, both delivered to residents via earphones. Intervention groups will be compared to a no treatment control group. An uncomplicated staff management system will be integrated with both intervention protocols to encourage nursing assistants (NAs) compliance with the treatment protocols; Aim 2; we will examine NA compliance with the protocol and resident response to the interventions over a 12 month period; Aim 3: we will continue to examine the relationship among resident personal characteristics, environmental context and agitation both cross-sectionally and longitudinally using SEM. In these analyses, intervention will be considered just one of many variables that can affect agitation over time. We are proposing to expand our investigations by discriminating additional subclassifications of agitation, refining our entry criteria to allow entry of only clinically significant agitated residents, and measuring agitation intensity and resident affect.