Web-based Environmental Design Lexicon for Dementia care

基于网络的痴呆症护理环境设计词典

• 批准号: 6643207
• 负责人: MARGARET P CALKINS
• 金额: $ 10.13万
• 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: 2003-09-01 至 2004-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6643207
• 关键词: Alzheimer's disease; Internet; clinical research; cost effectiveness; dementia; extended care; human subject; mental health information system; vocabulary development for information system

DESCRIPTION (provided by applicant): This project will create a Web-based dementia design lexicon for designers and long-term care providers that provides a comprehensive assembly of design-related information which is: systematically organized, easily searchable, linked with potential outcomes (resident, staff, family, and organization), and weighted for confidence in the impact/outcome. This project builds on a previously funded project, which has developed the basic content of the lexicon. The genesis of this project stems from the inadequacy of psychological, social and medical research to inform design decision-making. The physical environment has a significant impact on how care is organized, determining everything from the size of groups residents find themselves in for meals and activities to the people they interact (or don't interact) with, to basic care issues such as the ability to maintain continence. However, the greatest impact of gerontological research upon design has been at a global level of abstraction--getting designers to think in terms such as "legibility," "sensory stimulation," and "autonomy." Yet designers are then required to take a "leap of faith," in their decision-making as to what design decisions would forward such goals as "maximizing autonomy." These decisions are often based upon design industry folklore or reasoning by analogy. Thus individuals in long-term care settings, and particularly people with dementia, who comprise between 50 and 80% of all nursing home residents, may be forced to live in settings that are not supportive of their needs and abilities. This project would address these current limitations by creating a highly accessible, research-based, comprehensive database that weights information as being 1) research-based, 2) reflecting the consensus of a group of dementia design experts, or 3) anecdote and without evidence. Phase I of this project has three specific aims. Aim #1 is to translate a portion of the significant amount of information generated through the Alzheimer's Association grant into a database format that reflects the relational structure necessary to make the ultimate product both comprehensive and useable to the end-users. Aim #2 will be to pilot test the database on a sample of potential users (both designers and long-term care clinicians) to ensure it is easily navigated and understandable. If the resulting product is so complex customers find it too difficult to use, it will not be successful. Aim #3 will be to evaluate the efficacy of the database as an informational tool. Ultimately, the goal is that the lexicon will be used to create supportive environments for people with dementia. Phase II will format the rest of the lexicon information into the database, translate it into a user-friendly Web-based resource, and again test its utility in informing the design process. Phase III includes final product development and market penetration plans.

描述（由申请人提供）：该项目将为设计师和长期护理提供商创建一个基于Web的痴呆症设计词典，该词典提供了与设计相关的信息的全面组装，该信息是：系统地组织，易于搜索，可搜索，与潜在的成果（居民，员工，家庭和组织）联系起来，并对影响/结果的信心加权。该项目建立在一个先前资助的项目的基础上，该项目开发了词典的基本内容。该项目的起源源于心理，社会和医学研究不足，无法为设计决策提供信息。物理环境对组织的组织方式有重大影响，从居民的大小来确定自己的餐食和活动，再到与他们互动（或不互动）到基本护理问题，例如维持持续性的能力。但是，老年学研究对设计的最大影响是全球抽象的水平 - 设计师可以以“可读性”，“感觉刺激”和“自主权”等方式思考。然而，设计师必须采取“信仰的飞跃”，以实现设计决策将推进“最大化自主权”之类的目标。这些决定通常基于设计行业的民间传说或类比推理。因此，在长期护理环境中，尤其是患有痴呆症的人，占所有疗养院居民的50％至80％的人可能被迫生活在不支持其需求和能力的环境中。该项目将通过创建一个高度可访问的，基于研究的，全面的数据库来解决这些当前局限性，该数据库将信息加权为1）基于研究的信息，2）反映一组痴呆设计专家的共识，或3）轶事，没有证据。 该项目的第一阶段具有三个具体目标。 AIM＃1是将通过阿尔茨海默氏症协会赠款生成的大量信息的一部分转化为数据库格式，该格式反映了使最终产品既全面又可用于最终用户所必需的关系结构。目标＃2将是在潜在用户（设计师和长期护理临床医生）样本中测试数据库，以确保易于导航和可理解。如果生成的产品是如此复杂的客户发现它太难使用，那将不会成功。 AIM＃3将是评估数据库作为信息工具的功效。最终，目标是将词典用于为痴呆症患者创造支持环境。第二阶段将将其余的词典信息格式化到数据库中，将其转换为基于用户友好的资源，并再次测试其在告知设计过程中的实用程序。第三阶段包括最终产品开发和市场渗透计划。