Distance Learning for Home Modifications

家居改造远程学习

• 批准号: 6937007
• 负责人: MARGARET P CALKINS
• 金额: $ 40.02万
• 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: 2003-05-01 至 2007-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6937007
• 关键词: accidental falls; behavioral /social science research tag; building /facility design /renovation; clinical research; cognition disorders; computer assisted instruction; dementia; educational resource design /development; frail elderly; functional ability; health care personnel education; housing; human subject; neuromuscular disorder; patient care management; patient safety /medical error; person with disability; social service

DESCRIPTION (provided by applicant): The goal of this project is to develop and test the feasibility of a series of online educational modules that provide practical information on home modifications for older adults with sensory, mobility, physical and cognitive impairments. Modifying a home through remodeling, adding adaptive hardware, or changing the arrangement of objects is an important intervention strategy to manage chronic health care conditions, maintain or improve functioning, increase independence, ensure safety of frail older adults who experience functional limitations, and minimize the cost of personal care services. A major reason for the limited implementation of home modifications throughout the U.S. is not a lack of carpenters or construction people to implement the modifications, but rather the lack of individuals in social service agencies, particularly in non-urban areas, who have the knowledge to prescribe the appropriate modifications. Distance learning is an effective way to educate service providers to enable them to prescribe home modifications as part of a comprehensive, multi-dimensional strategy tailored to the specific needs of older adults. In Phase I a course on home modifications to compensate for cognitive impairments, such as Alzheimer's disease and related dementias was successfully developed and tested in a self-study and an interactive format. Test of knowledge tests showed some significant learning, and both formats were highly rated by students. In Phase II, we will develop and assess an additional 4 courses: Home modifications for people with sensory loss; home modifications for wheelchair users; home modifications for people with gait and upper body limitations; and home modifications to reduce falls risk. Course evaluation will be expanded to include a 2 month follow-up with students on their use of material learned in the courses. Phase III will include an aggressive marketing plan to make the courses readily available to a broad range of social service agency personnel, contractors, and others engaged in home modifications.

描述（由申请人提供）：该项目的目标是开发和测试一系列在线教育模块的可行性，这些模块为有感觉、行动能力、身体和认知障碍的老年人提供有关家居改造的实用信息。通过改造、添加适应性硬件或改变物体的布置来改造房屋是管理慢性医疗保健状况、维持或改善功能、增强独立性、确保功能受限的体弱老年人的安全以及最大限度地降低个人护理服务成本的重要干预策略。在美国各地，房屋改造实施有限的一个主要原因并不是缺乏实施改造的木匠或建筑人员，而是社会服务机构中缺乏具备适当改造知识的人员，特别是在非城市地区。远程学习是教育服务提供商的有效方法，使他们能够制定家庭改造方案，作为针对老年人特定需求量身定制的全面、多维策略的一部分。在第一阶段，成功开发并以自学和互动形式测试了有关家庭改造以补偿认知障碍（例如阿尔茨海默病和相关痴呆症）的课程。知识测试显示了一些重要的学习成果，两种形式都得到了学生的高度评价。在第二阶段，我们将开发和评估另外 4 个课程： 为感觉丧失者进行家居改造；轮椅使用者的家居改造；为步态和上半身受限的人进行家居改造；以及对房屋进行改造以降低跌倒风险。课程评估将扩大到包括对学生使用课程中所学材料进行为期两个月的跟踪。第三阶段将包括一项积极的营销计划，以使广泛的社会服务机构人员、承包商和其他从事房屋改造的人员能够轻松获得这些课程。