Enhancing Care of the Aged and Dying in Prisons

加强监狱中老年人和临终者的护理

• 批准号: 9255904
• 负责人: Susan Jayne Loeb
• 金额: $ 76.61万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-15 至 2018-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9255904
• 关键词: Address; Administrator; Age; Aging; Amendment; Caring; Cellular Phone; Computers; Constitution; Constitutional; Constitutional Laws; Death Rate; E-learning; Effectiveness; Elderly; Environment; Funding; Gambling; Geriatrics; Head; Health; Health Status; Healthcare; Hospice Care; Housing; Imprisonment; Individual; Internet; Investments; Judgment; Lead; Learning; Marketing; Mission; Modeling; Multimedia; Nurses; Outcome; Paper; Pattern; Pennsylvania; Persons; Phase; Population; Prisoner; Prisons; Process; Psychology; Reporting; Research Personnel; Rights; Shapes; Small Business Technology Transfer Research; Structure; System; Tablets; Technology; Testing; Time; Trainers Training; Training; Training Programs; Translating; United States; United States National Institutes of Health; Universities; aged; base; commercialization; court; demographics; design; end of life; health care availability; innovation; insight; interest; learning strategy; offender; palliative; phase 1 study; prototype; research and development; response; scale up; technological innovation; trend; usability; ward

The United States has the highest rate of incarceration in the world. There are over 1,821 state and federal prisons housing over 2.3 million prisoners in the United States. The demographics of the prison population are shifting. Longer sentences and constrained options for early release compound this trend. The older adult segment of prison populations has more than tripled since 1990. The health status of aging inmates does not mirror the free-world population. In fact, prisoners typically present with health issues common to free citizens who are 10-15 years their senior. Prisoners are wards of that state, that is, the system is responsible for providing for not only custody and control of offenders, but also their care. Collectively, these trends have had a profound impact on prison systems: U.S. prisons are facing sharply increased demands in caring for aged and dying inmates. In response to this need, Phase I project Enhancing Care for the Aged and Dying in Prisons (ECAD-P) demonstrated that (1) there is a need and interest for products such as ECAD-P (i.e., corrections administrators and staff are interested in EOL care training); (2) trainings should be short, intensive, engaging, interactive, and contextually sensitive to the specific environment; and (3) an interactive, media-rich prototype with high acceptability and usability could be developed. The specification document and commercialization plan indicate it is possible to develop a full-scale ECAD-P learning system in Phase II and market potential exists. The technological innovation proposed for the ECAD-P project is well-suited to the targeted market. Technical merit, feasibility, and market potential of the ECAD-P Learning System were demonstrated in the Phase I project. The purpose of this Phase II application is to continue research and development of the ECAD-P learning system with an emphasis on developing a scalable unit for commercialization and testing scale-up in a larger number of more diverse contexts. More specifically, the aims of ECAD-P Phase II are to 1) Develop a full scale media-rich interactive computer-based learning system consisting of 6 modules addressing EOL and geriatric care issues in prisons; 2) Conduct in-person usability testing of the full scale ECAD-P Learning System in state and federal prisons to evaluate the user interface, ease of use, and perceived barriers in order to optimize the scalable unit for broader dissemination; and 3) Test scale-up of the full scale ECAD-P Learning System in 12 federal (n=6) and state (n=6) prisons across the nation to evaluate outcomes, usage patterns, and commercialization opportunities. Continued research and development will permit the refinement the scalable unit for commercialization. Expanded testing of the learning system will establish the effectiveness of the learning system and will provide critical insights relevant to dissemination of the commercial product.

美国的监禁率最高。有超过1,821个州和联邦 监狱在美国拥有超过230万名囚犯。监狱人口的人口统计 转移。较长的句子和限制的早期发布的选项加剧了这一趋势。老年人 自1990年以来，监狱人口的细分市场已经超过两倍。 反映自由世界的人口。实际上，囚犯通常会出现自由公民常见的健康问题 他们的大四学生10 - 15年。囚犯是该州的病房，即该系统负责 不仅提供罪犯的监护权和控制权，还提供他们的照顾。总的来说，这些趋势有一个 对监狱系统的深远影响：美国监狱在照顾老年人和 垂死的囚犯。为了应对这种需求，I期项目增强了对监狱老年人和死亡的护理 （ECAD-P）证明（1）对ECAD-P等产品有必要和兴趣（即更正 管理员和员工对EOL护理培训感兴趣）； （2）培训应短，密集，引人入胜， 互动，对特定环境敏感； （3）互动的，富含媒体的原型 可以开发高可接受性和可用性。规格文件和商业化 计划表明可以在第二阶段和市场潜力中开发全尺度的ECAD-P学习系统 存在。 ECAD-P项目提出的技术创新非常适合目标市场。 ECAD-P学习系统的技术优点，可行性和市场潜力已在 第一阶段项目。该第二阶段应用的目的是继续研究ECAD-P的研究和开发 学习系统，重点是开发可扩展单元，以进行商业化和测试规模 更多不同的环境。更具体地说，ECAD-P II期的目标是1） 规模丰富的基于计算机的交互式学习系统由6个模块组成，这些模块涉及EOL和 监狱中的老年护理问题； 2）对ECAD-P学习的全面可用性测试 州和联邦监狱的系统，以评估用户界面，易用性和感知障碍 优化可扩展单元以进行更广泛的传播； 3）全尺度ECAD-P学习的测试规模 全国各地的12个联邦（n = 6）和州（n = 6）监狱的系统，以评估结果，使用模式和 商业化机会。持续的研发将允许改进 商业化单位。扩展学习系统的测试将确定 学习系统，将提供与传播商业产品有关的关键见解。