Assessment Protocol to Identify Environmental Barriers to Communication

识别通信环境障碍的评估协议

基本信息

批准号：
8270899
负责人：
MARGARET P CALKINS
金额：
$ 9.51万
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 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8270899
关键词：
Activities of Daily Living Address Administrator Adult Affect Aggressive behavior Aging Agitation Agreement Alzheimer&apos s Disease Area Awareness Bathing Behavior Care given by nurses Caregiver Burden Caregivers Caring Classification Communication Communication impairment Comprehension Consult Consultations Data Collection Dementia Dependence Development Diagnostic Distress Doctor of Philosophy Eating Education Effectiveness Elderly Eligibility Determination Environment Environmental Risk Factor Evaluation Family Family Caregiver Family member Frustration Future Goals Health Health Occupations Health Personnel Health Professional Healthcare Individual Insurance Intention International Intervention Journals Knowledge Language Language Disorders Lead Life Light Link Long-Term Care Long-Term Care Nursing Maintenance Marketing Measures Mission Modeling Nurses Nursing Homes Nursing Staff Occupational Therapist Outcome Participant Pathologist Pattern Peer Review Performance Phase Physical environment Play Pre-Post Tests Protocols documentation Provider Published Comment Publishing Qualitative Evaluations Quality of Care Quality of life Reading Reporting Research Resources Review Literature Role Sampling Self Care Self Efficacy Services Small Business Innovation Research Grant Societies Solid Solutions Source Specialist Speech Sterile coverings Stress Structure Testing Therapeutic Time Training Visit Work World Health Organization base beneficiary caregiver education clinical practice commercialization contextual factors design disability environmental intervention experience improved innovation instrument meetings meter profession allied to medicine resource guides satisfaction skills social sound stem symposium technological innovation tool treatment planning usability web site

项目摘要

DESCRIPTION (provided by applicant): Ineffectual communication with people with dementia is a significant problem in long-term care settings that negatively impacts residents' functional abilities and quality of life. It also influences staff stress and burden which can result in higher turnover and poorer quality care. The environment is a key factor affecting the quality of communication, especially for individuals with impaired communication skills as a result of dementia. A poorly designed communication environment has negative consequences for many groups: residents with dementia, direct care staff and nurses, therapists, family members, and facility administrators/owners. The Communication Toolkit will be the only comprehensive resource that provides information to speech-language pathologists (SLPs), occupational therapists (OTs), physical therapist (PTs), nursing staff, and administration about how to assess and modify the long term care environment so that it is supports the communication skills of people with dementia and improves their quality of life. The specific aims of this SBIR project are: 1) To expand the Communication Toolkit by incorporating additional areas of the residential care environment such as the dining room and activity spaces. 2) To refine and revise the Communication Toolkit per results of Phase I and thorough evaluation by the Advisory Panel. 3) To demonstrate the effectiveness of the Communication Toolkit by measuring positive outcomes in awareness, utility and impact in a larger sample of professionals. This sample will include other professions who work with SLPs to implement communication interventions (e.g. occupational therapists, physical therapists, and nurses). The Communication Toolkit includes the Communication Environment Resource Guide and Assessment Instrument, along with sound and light meters to assess how well the environment supports effective communication. Once expanded and approved by the Advisory Panel, the Communication Toolkit will be evaluated in two waves of data collection, with at least 90 health professionals. The efficacy of the Communication Toolkit will be assessed through the following changes: Awareness of environmental interventions will be assessed by change in knowledge; Utility of information will be assessed by change in behavior; Impact of the Communication Toolkit will be assessed by implementation of interventions; Usability of the Communication Toolkit will be assessed by evaluation of the Communication Toolkit. PUBLIC HEALTH RELEVANCE: Significant proportions of individuals living in long-term care settings experience communication problems, often stemming from dementia, which impairs their ability participate fully in their care and maintain a high quality of life. Although there is solid empirical evidence that appropriate environmental interventions can improve communication, assessment of barriers and facilitators to effective communication is not part of normal clinical practice. The Communication Toolkit will guide health care professions by providing solutions that can be incorporated into functional maintenance plans, restorative plans, caregiver training, and direct treatment interventions, improving the lives of individuals with communication deficits.