An Assistive Wardrobe to Support Dressing Independence

支持穿衣独立的辅助衣柜

• 批准号: 6585851
• 负责人: MARGARET P CALKINS
• 金额: $ 10万
• 依托单位: IDEAS, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-15 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6585851
• 关键词: assistive device /technology; behavioral /social science research tag; clinical research; ergonomics; functional ability; human subject; nursing homes; self care; technology /technique development

DESCRIPTION (provided by investigator): The majority of individuals in long term care settings have significant and often severe limitations in their ability to complete basic activities of daily living (ADLs). MDS data indicate that over 80% of individuals in nursing homes are unable to dress independently with verbal prompts, and over 55% of individuals in assisted living also need assistance. Decreased ability to provide self-care has negative consequences on self-image, whereas increasing ability to complete ADLs independently supports more positive self-image and higher quality of life. The aim of this project is to develop a closet system/wardrobe that can be easily customized to support specific and common physical and cognitive disabilities of nursing home and assisted living residents. The basic hypothesis is that an adaptable wardrobe, designed to universal design principles, will increase independence in dressing in residents in long-term care settings with either physical or cognitive impairments. This in turn will decrease the amount of time staff needs to spend on assisting residents with dressing. The project will develop a prototype unit and test it in several assisted living facilities and nursing homes. Universal design principles are not routinely incorporated into the design of products such as wardrobes, despite substantial evidence of their efficacy. Features that do not need to be "learned" to use, such as a light colored interior, an interior light that automatically turns on and off, and door and drawer knobs that can be easily seen and used by someone with significant strength or range of motion impairments, would be included. Recognizing both the significant range and degree of physical and cognitive impairments of long term care residents, additional features will be designed as "add on" components, which can be tailored to the specific needs of an individual resident. Facilities are increasingly recognizing the importance of resident centered care practices, in which the specific needs and abilities of individual residents are considered when developing care plans. The physical environment, however, seldom provides opportunities to be customized for individual residents. This project would create a wardrobe that could be easily modified by nursing home staff, with little or no specialized training, to meet the unique needs of the residents.

描述(由研究人员提供)：长期护理环境中的大多数人在完成基本日常生活活动(ADL)方面有严重且往往严重的限制。MDS数据显示，养老院中超过80%的人无法在口头提示下独立穿衣，超过55%的辅助生活中的人也需要帮助。自我照顾能力的下降对自我形象有负面影响，而独立完成ADL的能力增加则支持更积极的自我形象和更高的生活质量。这个项目的目的是开发一个衣柜系统/衣柜，可以很容易地定制，以支持疗养院和辅助生活居民特定和常见的身体和认知残疾。基本假设是，按照通用设计原则设计的可调整衣柜，将提高长期护理环境中患有身体或认知障碍的居民在着装方面的独立性。这反过来将减少工作人员需要花费在帮助居民穿衣上的时间。该项目将开发一个原型单元，并在几个辅助生活设施和养老院进行测试。通用设计原则通常不会被纳入衣柜等产品的设计中，尽管有大量证据表明它们是有效的。不需要学习使用的功能，如浅色内饰，自动开关的内灯，以及门和抽屉旋钮，可以很容易地被有显著体力或运动障碍的人看到和使用，都将包括在内。认识到长期护理居民的身体和认知障碍的显著范围和程度，将把额外的功能设计为“附加”组件，可根据个人居民的具体需求量身定做。医疗机构越来越认识到以居民为中心的护理实践的重要性，即在制定护理计划时考虑个别居民的具体需求和能力。然而，物理环境很少为个别居民提供定制的机会。这个项目将创建一个衣柜，可以很容易地由疗养院工作人员修改，很少或根本不需要专门的培训，以满足居民的独特需求。