Distance Learning for Home Modifications (R43 AG021817)

家庭改造远程学习 (R43 AG021817)

• 批准号: 7060444
• 负责人: MARGARET P CALKINS
• 金额: $ 33.63万
• 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 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7060444
• 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、身体和认知障碍的老年人提供家居改造的实用信息。通过改建、增加适应性硬件或改变物品的排列来改造房屋是管理慢性健康护理条件、维持或改善功能、增加独立性、确保经历功能限制的虚弱老年人的安全以及将个人护理服务的成本降至最低的重要干预策略。美国住房改造实施有限的一个主要原因并不是缺乏木匠或建筑人员来实施改造，而是社会服务机构中缺乏个人，特别是在非城市地区，他们拥有制定适当改造方案的知识。远程学习是教育服务提供者的一种有效方式，使他们能够根据老年人的具体需要制定全面、多层面战略的一部分。在第一阶段，以自学和互动形式成功地编写和测试了一门关于家庭改造以补偿阿尔茨海默病和相关痴呆症等认知障碍的课程。知识测试显示有一些显著的学习，这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：针对感觉丧失的人的家居改造；针对轮椅使用者的家居改造；为步态和上身受限的人进行的家居改造；以及降低跌倒风险的家居改造。课程评估将扩大到包括对学生使用课程中所学材料的两个月的跟踪调查。第三阶段将包括一项积极的营销计划，使课程随时可供广泛的社会服务机构人员、承包商和其他从事家居改造的人员使用。