Interactive Training for Staff Who Care for Psychiatric Residents

描述（由申请人提供）：长期护理机构的居民和医院的患者可能会表现出由精神疾病引起的挑战性行为。拟议的项目将开发一个互动程序，旨在提高与这些居民一起工作的专业人员的技能。基于技能的模块，旨在适应用户的阅读能力，将包括围绕现实的视频建模小插曲建立自定进度的互动教程。基于能力的教学设计将允许用户在理解材料时以自己的速度前进。计划模块将解决1）基本的沟通技巧和适当的应对策略与激动或迷失方向的居民，2）先进的技能，包括团队为基础的方法和预防策略，3）技术的工作人员自我保健，4）一般信息的精神疾病，和5）管理员只有一个模块，展示成本效益和组织基础设施的哲学为中心的人照顾。将为用户提供程序内容的简要原则，并为主管提供培训进度的文件。第一阶段的研究将开发互联网和光盘培训计划，涵盖基本的沟通技巧，有关精神疾病和文件要求的信息模块。该计划将在一项由专业护理人员进行的随机试验中进行评估。第二阶段将完成所有模块的开发，并将通过互联网在多个设施进行更大规模的随机试验进行评估。

DESCRIPTION (provided by applicant): Residents in long-term care facilities and patients in hospitals may exhibit challenging behaviors caused by mental illness. The proposed project will develop an interactive program designed to sharpen the skills of professional staff who work with these residents. Skill-based modules, designed to accommodate users regardless of reading ability, will consist of self-paced interactive tutorials built around realistic video modeling vignettes. The competency-based instructional design will allow users to advance at their own pace when the material is understood. Program modules will address 1) basic communication skills and appropriate response strategies with agitated or disoriented residents, 2) advanced skills including team based approaches and prevention strategies, 3) techniques for staff self-care, 4) general information on mental illness, and 5) an administrators-only module demonstrating the cost effectiveness and organizational underpinnings for a facility-wide philosophy of person centered care. Summary printouts of program content for users and documentation of training progress for supervisors will be supplied. The Phase I research will develop internet and CD-ROM training programs covering basic communication skills, informational modules about mental illness and documentation requirements. The program will be evaluated in a randomized trial with professional care giving staff. Phase II will finish development of all modules, and will be evaluated in a larger randomized trial at multiple facilities via the internet.