Accessible Hearing Care for Reduction of Disruptive Behaviors and Caregiver Burden in Dementia

无障碍听力护理可减少痴呆症患者的破坏性行为和护理人员负担

• 批准号: 9926799
• 负责人: CARRIE L NIEMAN
• 金额: $ 19.83万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-15 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9926799
• 关键词: African American; Aging; Alzheimer' s Disease; Alzheimer' s disease related dementia; Arts; Atherosclerosis Risk in Communities; Audiology; Award; Basic Science; Behavior; Behavior Therapy; Behavioral Model; Behavioral Symptoms; Caregiver Burden; Caregivers; Caring; Characteristics; Clinical; Clinical Management; Clinical assessments; Cognition; Cognitive aging; Communication; Communication impairment; Communities; Counseling; Data; Dementia; Dementia caregivers; Development; Education; Educational workshop; Elderly; Enhancement Technology; Ensure; Environment; Ethnic Origin; Faculty; Foundations; Funding; Future; Geriatrics; Gerontology; Goals; Head and Neck Surgery; Health; Healthcare; Hearing; Hearing Aids; Hearing Tests; Home environment; Human; Impaired cognition; Individual; Institutes; Interdisciplinary Study; Intervention; Intervention Studies; Investigation; K-Series Research Career Programs; Knowledge; Low income; Maryland; Mediator of activation protein; Medicare; Memory; Mental Depression; Mentors; Methodology; Methods; Modality; Modeling; Modification; Nature; Needs Assessment; Neurocognitive; Neuropsychology; Otolaryngology; Otology; Participant; Persons; Pilot Projects; Population; Presbycusis; Prevalence; Process; Protocols documentation; Provider; Public Health; Quality of life; Race; Randomized; Readiness; Rehabilitation therapy; Research; Risk; Role; Scientist; Socioeconomic Status; Stress; Structure; Techniques; Technology; Testing; Therapeutic; Training; United States National Institutes of Health; Universities; Visit; Vulnerable Populations; aging and technology; amplification device; base; biracial; career; clinical practice; cohort; college; cost; daily functioning; dementia care; design; experience; functional outcomes; hearing impairment; improved; innovation; low socioeconomic status; medical schools; meetings; neglect; neurocognitive test; neuropsychiatric symptom; novel; open label; post intervention; preference; programs; psychosocial; recruit; responsible research conduct; skills; social; social engagement; theories; tool; treatment center; treatment group; trial design

ABSTRACT Dr. Carrie Nieman will be joining the faculty in the Department of Otolaryngology-Head & Neck Surgery at the Johns Hopkins School of Medicine, where she will dedicate her clinical practice to hearing loss and otology. She seeks this Mentored Career Development Award to fill knowledge gaps in her training in the care and study of hearing loss and communication impairments among older adults with Alzheimer’s disease and related dementias (ADRD). Her long-term goal is to establish an independent research program devoted to community-delivered hearing care for persons with dementia. The candidate proposes a comprehensive training plan that incorporates didactic coursework, hands-on experiences, active participation in seminars and workshops, and dedicated meetings and tutorials overseen by a transdisciplinary mentor team. The training plan immerses Dr. Nieman in the rich interdisciplinary research and clinical environments of the Johns Hopkins Alzheimer’s Disease Research Center, the Memory and Alzheimer’s Treatment Center, the Johns Hopkins Center on Aging and Health, as well as Gallaudet University and the Center for Research and Education on Aging and Technology Enhancement. Specific training goals include: (1) receive training in cognitive aging and the neuropsychological and clinical assessment and management of older adults with ADRD, (2) complete training in mixed methods and apply skills to the proposed study, (3) integrate a human factors approach to hearing care, (4) incorporate coursework in trial design and analysis and advanced techniques in intervention research, and (5) continue training in responsible research conduct, with emphasis on vulnerable populations. The specific aims of the proposed research are to: (1) characterize hearing loss and hearing care in a diverse cohort of community-dwelling older adults with cognitive impairment to inform the development of a comprehensive communication intervention, (2) develop, via a community-engaged approach, a theory-driven, user-centered communication intervention that integrates low-cost, over-the-counter hearing technology, and (3) assess the feasibility, acceptability, and preliminary efficacy of a home-delivered communication intervention through a randomized controlled pilot study. Study recruitment, retention, and execution will be conducted in partnership with the Johns Hopkins Alzheimer’s Disease Research Center, the local chapter of the Alzheimer’s Association, and the Maryland Institute College of Art Center for Social Design. Completion of the proposed research will establish the potential for affordable, accessible hearing care as a low-risk, low-cost approach to reduction of disruptive behaviors and caregiver burden among persons with dementia and their caregivers. At the conclusion of this award, the candidate will have obtained the skills, knowledge, and preliminary data to successfully compete for independent funding and, ultimately, inform the development of new models of hearing care that expand access to the tools necessary for communication and engagement.

摘要