ASSESSMENT PROTOCOL TO IDENTIFY ENVIRONMENTAL BARRIERS TO COMMUNICATION

识别通信环境障碍的评估方案

基本信息

批准号：
7386154
负责人：
MARGARET P CALKINS
金额：
$ 10万
依托单位：
IDEAS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-12-01 至 2008-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7386154
关键词：
Address Affect Aggressive behavior Agitation Area Bathing Behavior Caring Classification Client Clinical Communication Communication impairment Dementia Dependence Development Eating Effectiveness Ensure Environment Evaluation Goals Health Impairment Individual International Intervention Knowledge Language Life Link Long-Term Care Manuals Marketing Measurement Modeling Modification Numbers Pathologist Performance Phase Physical environment Play Pre-Post Tests Protocols documentation Provider Purpose Quality of life Recommendation Resources Role Sampling Self Care Small Business Funding Mechanisms Small Business Innovation Research Grant Speech Speech Pathologist Speech-Language Pathology Sterile coverings Structure Testing Therapeutic Training World Health Organization base behavior change commercialization contextual factors disability environmental intervention improved innovation size success tool

项目摘要

DESCRIPTION (provided by applicant): Dementia affects both expressive and receptive language abilities. As a result, communication is a major problem in many long term care facilities, contributing to increased dependence in a variety of self care activities. Recent studies suggest that contextual factors play an important role in communication performance and in providing effective care for individuals with communication disorders. Although the SLP scope of practice promotes improved quality of life by reducing environmental barriers to communication, environmental assessment and intervention are not part of routine clinical practice. Not surprisingly, therefore, no physical environment assessment tools or resources exist specifically to determine environmental barriers and facilitators to communication in residential care environments. The goals of this SBIR project are: 1) To develop a new and innovative Communication Toolkit-Environmental Interventions for Dementia that will enable speech-language pathologists (SLPs) to identify environmental barriers and facilitators and recommend effective environmental interventions to improve communication of individuals with dementia in long-term care settings; 2) To demonstrate the effectiveness of the toolkit; and 3) To develop a marketing plan to ensure the success of Phase III. The toolkit will include: 1) a training module with video, 2) an assessment protocol, 3) measurement tools, and 4) user manual. The first 3 months of the Phase I will be spent developing the Communication Toolkit for bedroom/ bathroom spaces and having it reviewed by the Advisory panel. The remaining 3 months will focus on evaluating the Communication Toolkit in several ways. First, a sample of 30 SLPs will complete the Training Module, and knowledge gain will be assessed through the administration of pre and post tests. Second, a smaller subset of SLPs will be trained to use the Assessment Protocol, and changes in their behavior (i.e., the number of environmental interventions they recommend in their care plans) will be assessed. Phase II will extend the scope of the Communication Toolkit to include other areas of long-term care facilities. Three basic activities are planned for Phase II. Together, the four components of the Communication Toolkit-Environmental Interventions for Dementia will significantly expand the capacity of SLPs to reduce environmental barriers to communication with care recipients.

描述（由申请人提供）：痴呆症影响表达和接受语言能力。结果，在许多长期护理设施中，沟通是一个主要问题，这有助于增加各种自我护理活动的依赖。最近的研究表明，上下文因素在沟通绩效中起着重要作用，并为沟通障碍的人提供有效的护理。尽管SLP实践范围通过减少沟通环境障碍来促进生活质量的改善，但环境评估和干预并不是常规临床实践的一部分。因此，毫不奇怪，没有任何物理环境评估工具或资源专门用于确定在住宅护理环境中进行通信的环境障碍和促进者。该SBIR项目的目标是：1）为痴呆症开发一种新的，创新的沟通工具 - 环境干预措施，这将使语音语言病理学家（SLP）（SLP）识别环境障碍和协助者，并建议有效的环境干预措施，以改善长期护理环境中痴呆症患者痴呆症患者的沟通； 2）证明工具包的有效性； 3）制定营销计划，以确保第三阶段的成功。该工具包将包括：1）带有视频的培训模块，2）评估协议，3）测量工具和4）用户手册。阶段的前三个月，我将花在开发卧室/浴室空间的通信工具包，并由咨询面板进行审查。其余3个月将以几种方式重点放在评估通信工具包上。首先，一个30个SLP的样本将完成训练模块，并通过测试前和后测试来评估知识增益。其次，将对SLP的较小子集进行培训以使用评估方案，并将评估其行为的变化（即，他们在护理计划中推荐的环境干预措施的数量）将被评估。第二阶段将扩展通信工具包的范围，以包括长期护理设施的其他领域。计划针对第二阶段进行三个基本活动。总之，痴呆症的交流工具基因环境干预措施的四个组成部分将大大扩大SLP的能力，以减少与护理接收者交流的环境障碍。