Improving Affect & Behavior in Assisted Living Residents

改善影响

• 批准号: 6840364
• 负责人: LINDA TERI
• 金额: $ 13.19万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-01-01 至 2006-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6840364
• 关键词: Internet; anxiety; clinical research; clinical trials; data collection; dementia; depression; human subject; human therapy evaluation; job satisfaction; mental health personnel; mood disorders; patient care personnel attitude; psychological aspect of aging; psychotherapy; quality of life; residential care facility; therapy design /development; training

DESCRIPTION (provided by applicant): This proposal develops a protocol for a multi-site effectiveness trial on a treatment to reduce affective and behavioral disturbance in Assisted-living (AL) residents with dementia. AL is rapidly becoming one of the most common methods of caring for demented older adults in long-term care. Over half of these residents are demented, and a significant number have affective and behavioral problems impeding their care and quality of life. Despite this, no empirically validated treatments to teach direct care staff how to care for these residents have been evaluated in a multi-site effectiveness trial. There is a tremendous public health need for such a trial to decrease the affective and behavioral disturbance experienced by AL residents with dementia. This study will develop a comprehensive standardized protocol to conduct and evaluate an intervention for AL staff to reduce the affective and behavioral problems of residents with dementia. This protocol will include: (1) a standardized procedure for conducting the treatment (including treatment manual and all materials necessary for treatment delivery); (2) methods for evaluating treatment fidelity, including assessment of treatment delivery, receipt, and enactment; (3) standardized measures of resident and staff outcomes, and (4) implementation procedures for web-based data collection and entry. This proposal will accomplish its goals in 3 phases. First, sites in three different states will collaborate to standardize the protocol to insure that it can be conducted systematically and reliably across sites. Second, a feasibility trial will be conducted to test the protocol. Across the three sites, 9 AL residences (each with 7-9 staff and 8-10 residents) will receive the intervention - two in-house workshops, four on-site consultations with direct care staff and two licensed staff sessions - and be assessed at baseline and post training. Treatment fidelity measures and resident and staff outcomes will be obtained at each residence. Resident outcomes will include depression, anxiety, behavioral problems and quality of life; staff outcomes will include job satisfaction, reaction to resident problems, skill, and turnover. Finally, the results of this trial will be used to develop a multi-site effectiveness trial on treatment to reduce affective and behavioral disturbance in AL residents with dementia.

描述（由申请人提供）：本提案制定了一项多中心有效性试验方案，用于治疗痴呆症辅助生活（AL）居民的情感和行为障碍。AL正在迅速成为长期护理老年痴呆症患者的最常见方法之一。这些居民中有一半以上患有痴呆症，相当多的人有情感和行为问题，阻碍了他们的护理和生活质量。尽管如此，没有经验验证的治疗，教直接护理人员如何照顾这些居民已在多站点的有效性试验进行了评估。有一个巨大的公共卫生需要这样一个试验，以减少情感和行为障碍所经历的AL居民与痴呆症。 本研究将发展一个全面的标准化协议，进行和评估的干预AL工作人员，以减少居民的情感和行为问题与痴呆症。该方案将包括：（1）进行治疗的标准化程序（包括治疗手册和治疗提供所需的所有材料）;（2）评估治疗保真度的方法，包括评估治疗提供、接收和实施;（3）住院医师和工作人员结果的标准化措施;（4）基于网络的数据收集和输入的实施程序。 该计划将分三个阶段实现其目标。首先，三个不同州的研究中心将合作标准化方案，以确保其可以在研究中心之间系统可靠地进行。 第二，将进行可行性试验以测试该方案。在这三个地点，9个AL住所（每个有7-9名工作人员和8-10名居民）将接受干预-两个内部研讨会，四个现场咨询与直接护理人员和两个持牌工作人员会议-并在基线和培训后进行评估。治疗保真度的措施和居民和工作人员的成果将在每个住所获得。居民的成果将包括抑郁，焦虑，行为问题和生活质量;工作人员的成果将包括工作满意度，对居民问题的反应，技能和营业额。最后，本试验的结果将用于开发一个多站点的有效性试验，以减少AL居民痴呆症的情感和行为障碍的治疗。