Interactive Training for Staff Who Care for Psychiatric Residents

描述(申请人提供)：长期护理机构的居民和医院的患者可能会因精神疾病而表现出挑战性的行为。拟议的项目将开发一个互动计划，旨在提高与这些住院医生一起工作的专业人员的技能。基于技能的模块旨在满足用户的阅读能力，将包括围绕逼真的视频建模场景构建的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按照自己的步伐前进。计划模块将涉及1)与焦虑不安或迷失方向的居民的基本沟通技能和适当的应对策略，2)高级技能，包括基于团队的方法和预防策略，3)工作人员自我护理的技术，4)有关精神疾病的一般信息，以及5)仅供管理人员使用的模块，展示机构范围内以人为中心的护理理念的成本效益和组织基础。将提供面向用户的计划内容摘要打印输出和面向主管的培训进度文档。第一阶段的研究将开发互联网和光盘培训计划，涵盖基本沟通技能、有关精神疾病的信息模块和文件要求。该计划将在专业护理人员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.