AUDIOTAPE INTERVENTION FOR AGITATION

描述（改编自研究者摘要）： 这一修订是为了扩大我们的调查， 居民的个人特征，环境背景，以及 疗养院（NH）使用计算机辅助系统的真实的时间 行为观察 然而，根据初步调查结果， 我们的激越干预研究，我们建议扩展我们的原始目标， 从一个干预试验的背景下。 我们最初的研究允许我们 开发一个申请人使用过的实时观测系统 在许多其他研究中，也被其他研究所采用。 团队 之前的应用程序产生了一些有趣的发现 关于激越，包括精确的描述性数据和 发生、持续和时间模式;顺序条件 考虑到员工触摸和口头互动， 探索性结构方程模型（SEM）与激动，认知 和功能状态，以及随时间推移的居民性别。 的建议 延续有三个具体目标：目标1：使用我们的观察系统， 我们将研究两种有希望和实际的干预措施的效果， 激动：环境白色噪音和舒缓的口语录音带， 都是通过耳机传递给居民的。 干预组将 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相结合，以鼓励 护理助理（NAs）与治疗方案的依从性;目标2;我们 将检查NA对协议的遵守情况以及居民对 目标3：我们将继续研究 居民个人特征、环境 背景和搅拌的横截面和纵向使用SEM。 在这些分析中，干预将被视为许多分析中的一个 随着时间的推移可能影响搅拌的变量。 我们建议扩大 我们的调查通过区分额外的子分类， 激动，完善我们的入选标准，只允许临床上 显著激动的居民，并测量激动强度， 居民的影响。

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.