On-Line Training in Treating Dementia-Spaced Retrieval

这个项目的目的是为言语语言病理学家创建和评估一个关于空间检索(SR)使用的网络课程，这是一种已证明成功的干预措施，使痴呆症患者能够在越来越长的时间内学习和保留新信息。这种干预基本上是一种应用于记忆的塑造范式，已被证明对各种痴呆条件下的人以及治疗目标都有效，包括学习新的运动技能，减少吞咽困难，以及有效地使用辅助设备。关于使用SR的网上课程的市场日益增长的原因是：(1)对康复专业人员和其他护理人员进行有效干预痴呆症的培训的需求不断增加；(2)需要 (3)2001年卫生部/医疗保险和医疗补助服务中心的条例，允许对阿尔茨海默病患者的康复服务进行报销。这个为期两年的项目将分三个部分进行。在第一部分，将开发网络课程的阿尔法版本；100名接受研究生培训成为言语语言病理学家(SLP)的学生将被随机分配参加网络课程或面授课程。对SR的知识将在测试前和测试后进行评估。对课程内容的满意度和在实际实践中有效应用SR知识的能力也将得到评估。从两个版本的 课程将进行比较。在第2部分中，将使用与第1部分相同的程序向100名新学员提供基于网络的课程的测试版。在第3部分中，300名有执照的SLP将参加基于网络的课程的现场测试版本，并将根据参加课程后获得的知识、应用知识的能力、对课程内容的满意度和改进课程的建议进行评估。第一阶段提案的目标是：1)开发用于培训使用SR的言语语言病理学家的纯文本的原型在线课程内容；2)确定基于网络的课程在知识获取、实施培训的能力和/或在参加阿尔法和测试版课程的人员中的满意度方面是否能够产生与传统的面对面授课版本相当的结果；以及3)对在线课程原型的最终(现场测试)版本进行评估，因为它涉及知识获取和专业知识获取 由SLP练习。

The purpose of this project is to create and evaluate a web-based course for speech-language pathologists on the use of Spaced Retrieval (SR), an intervention with demonstrated success enabling persons with dementia to learn and retain new information over increasingly longer periods of time. This intervention, essentially a shaping paradigm applied to memory, has been shown to be effective for persons across a variety of dementing conditions as well as treatment goals, including learning new motor skills, reducing swallowing difficulties, and effectively using assistive devices. The growing market for a web-based course on the use of SR arises from: (1) The rising demand for training of rehabilitation professionals and other care providers in effective interventions for the increasing numbers of persons with dementia; (2) The need for this training to be readily available and effective; (3) The 2001 DHHS/Centers for Medicare and Medicaid Services' regulations allowing reimbursement for rehabilitation services for persons with Alzheimer's disease. This 2-year project will progress in three Parts. In Part 1, an alpha version of the web-based course will be developed; 100 students receiving graduate training to become speech-language pathologist (SLPs) will be randomly assigned to take the web-based course or a face-to-face version of the course. Knowledge of SR will be assessed pre- and posttest. Satisfaction with course content and ability to effectively apply knowledge about SR in actual practice will also be assessed. Results generated from the two versions of the course will be compared. In Part 2, a beta version of the web-based course will be offered to 100 new students, using the same procedures as in Part 1. In Part 3, 300 licensed SLPs will take a field test version of the web-based course, and will be assessed regarding knowledge gained after taking the course, ability to apply knowledge, satisfaction with course content and recommendations for improving the course. The objectives of this Phase I proposal are to: 1) Develop the prototype, text-only online course content for training speech-language pathologists to use SR; 2) Determine whether a web-based course can produce comparable results to a traditional, face-to-face delivery version of the course in terms of knowledge acquisition, ability to implement training, and/or satisfaction among persons taking the course in both an alpha and beta version of the text-only course; and 3) Conduct evaluations of the final (field-test) version of the online course prototype as it relates to knowledge acquisition and professional practice by SLPs.