Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce
评估以人为本的国家培训计划,以加强痴呆症护理人员队伍
基本信息
- 批准号:10679067
- 负责人:
- 金额:$ 74.99万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-08-15 至 2027-07-31
- 项目状态:未结题
- 来源:
- 关键词:AdoptionAge YearsAlzheimer&aposs DiseaseAlzheimer&aposs disease related dementiaAreaAssisted Living FacilitiesAttitudeBedsBehaviorCaringCase MixesCertificationCharacteristicsCluster randomized trialCommunitiesCommunity HealthcareCommunity ParticipationCompetenceComputersCountryDataDementiaDevelopmentDiscipline of NursingEducationEducational process of instructingEffectivenessFamilyFamily memberFeelingHourImpaired cognitionIndividualInjuryIntentionKnowledgeLearningLicensingLong-Term CareMinorityModelingNational Institute on AgingOccupationsOutcomePerceptionPersonal SatisfactionPersonsPreparationProceduresProviderPsychological reinforcementQuality of lifeRandomizedReach, Effectiveness, Adoption, Implementation, and MaintenanceReactionReportingResidential TreatmentSelf CareSeveritiesTablet ComputerTestingTrainingTraining ProgramsWaiting ListsWorkplacearmbehavior changeburnoutcare outcomescare providerscommunity livingcostdementia careeffectiveness evaluationeffectiveness/implementation hybridevidence baseexpectationexperiencehandheld mobile devicehigh schoolimprovedimproved outcomeinterestpeer supportperson centeredprogramsrecruitresidential care facilityresponseskillsskills trainingvirtual
项目摘要
Project Summary/Abstract
More than 75% of persons living with Alzheimer's disease and related dementias who reach 80 years of age
require residential long-term care, which is increasingly provided in assisted living (AL). Across the country,
almost 29,000 AL communities with more than 996,000 beds have become the primary residential care
provider for persons with dementia: 90% of AL residents have cognitive impairment and 42% have recorded
moderate or severe dementia, with actual rates being higher. AL provides supportive but not nursing services;
consequently, virtually all care is provided by direct care workers (nursing assistants and personal care aides).
Unfortunately, direct care workers are undervalued and undertrained, leading to poor care, workplace injury,
dissatisfaction, and high turnover. AL is state-regulated, and only 17 states stipulate minimum training hours
(some being as low as one hour), meaning that two-thirds of states are silent on training. Fewer than 40% of
staff have education beyond high school, and so it is not surprising that a minority report sufficient knowledge
to care for persons with dementia. In striving to fill this gap, training for direct care workers must be accessible
and have efficacy in benefitting the staff, organization, and persons with dementia.
Online training is an especially promising option due to its low cost, wide availability, and potential for self-
pacing, automated skills tests, and certification. The Alzheimer's Association is the national leader in dementia
care training, and in 2021 developed essentiALZTM (pronounced “essentials”), an online program teaching
evidence-based, person-centered care, which can be accessed from a computer, tablet, or mobile device.
Already more than 1,500 staff have essentiALZ certification, but as is true of the majority of training programs,
evidence as to its ability to improve care and outcomes is lacking. It is possible that essentiALZ is effective in
changing care and outcomes, but it may also be that additional supports are necessary to do so. A timely
model of support is Project ECHO, which has flooded the field of long-term care as a proven way to provide
expert guidance and peer support via a remote, online approach. Adding ECHO to online dementia training
might provide a necessary boost to achieve care change and improved outcomes.
The proposed project responds to the NIA Notice of Special Interest that calls for strengthening the workforce
through enhancing and supporting skills training. It will conduct a hybrid implementation/effectiveness cluster-
randomized trial in 126 AL communities across six states, comparing essentiALZ alone, essentiALZ + ECHO
enhancement, and a waitlist control. Outcomes grounded in the RE-AIM model and the Kirkpatrick training
effectiveness model will be examined over six months, comparing the arms in terms of (1) implementation and
(2) effectiveness, and (3) examining the extent to which implementation and effectiveness differ based on
characteristics of the AL community, staff, residents, and family members. Results will inform next steps in
dementia care training for the AL and broader long-term care workforce.
项目概要/摘要
超过 75% 的阿尔茨海默氏病及相关痴呆症患者年过 80 岁
需要长期住院护理,这种服务越来越多地通过辅助生活 (AL) 提供。在全国范围内,
近29,000个拥有超过996,000张床位的AL社区已成为初级住宿护理
痴呆症患者的提供者:90% 的 AL 居民有认知障碍,42% 的人有记录
中度或重度痴呆症,实际发病率更高。 AL 提供支持服务,但不提供护理服务;
因此,几乎所有护理均由直接护理人员(护理助理和个人护理助理)提供。
不幸的是,直接护理人员的价值被低估且培训不足,导致护理质量差、工伤、
不满意,人员流动率高。 AL 受州监管,只有 17 个州规定了最低培训时数
(有些时间短至一小时),这意味着三分之二的州对培训保持沉默。少于 40%
工作人员受过高中以上教育,因此少数人报告有足够的知识也就不足为奇了
照顾痴呆症患者。为了努力填补这一空白,必须为直接护理人员提供培训
并有效造福员工、组织和痴呆症患者。
在线培训因其成本低、可用性广泛以及自我培训的潜力而成为一种特别有前途的选择。
节奏、自动化技能测试和认证。阿尔茨海默病协会是全国痴呆症领域的领导者
护理培训,并于 2021 年开发了 essentiALZTM(发音为“essentials”),这是一个在线课程教学
基于证据、以人为本的护理,可以通过计算机、平板电脑或移动设备进行访问。
已有超过 1,500 名员工拥有 essentiALZ 认证,但正如大多数培训计划一样,
缺乏证据证明其改善护理和结果的能力。 essentiALZ 可能有效
改变护理和结果,但也可能需要额外的支持才能做到这一点。及时的
支持的模式是 ECHO 项目,该项目已成为长期护理领域的一个行之有效的提供
通过远程在线方法提供专家指导和同行支持。将 ECHO 添加到在线痴呆症培训中
可能会为实现护理变革和改善结果提供必要的推动力。
拟议项目响应 NIA 特别利益通知,该通知呼吁加强劳动力
通过加强和支持技能培训。它将进行混合实施/有效性集群——
在六个州的 126 个 AL 社区中进行的随机试验,比较单独使用 essentiALZ、essentiALZ + ECHO
增强和候补名单控制。基于 RE-AIM 模型和柯克帕特里克训练的结果
有效性模型将在六个月内进行审查,在(1)实施和
(2) 有效性,以及 (3) 检查实施和有效性的差异程度
AL 社区、员工、居民和家庭成员的特征。结果将告知下一步
为 AL 和更广泛的长期护理人员提供痴呆症护理培训。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Sheryl Zimmerman其他文献
Sheryl Zimmerman的其他文献
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{{ truncateString('Sheryl Zimmerman', 18)}}的其他基金
A Pragmatic Crossover Trial to Test the Effectiveness of a Novel Lighting System to Reduce Nighttime Falls in Persons with Alzheimer’s Disease and Related Dementias
一项务实的交叉试验,旨在测试新型照明系统在减少阿尔茨海默病和相关痴呆症患者夜间跌倒方面的有效性
- 批准号:
10649432 - 财政年份:2022
- 资助金额:
$ 74.99万 - 项目类别:
Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce
评估以人为本的国家培训计划,以加强痴呆症护理人员队伍
- 批准号:
10525110 - 财政年份:2022
- 资助金额:
$ 74.99万 - 项目类别:
A Pragmatic Crossover Trial to Test the Effectiveness of a Novel Lighting System to Reduce Nighttime Falls in Persons with Alzheimer’s Disease and Related Dementias
一项务实的交叉试验,旨在测试新型照明系统在减少阿尔茨海默病和相关痴呆症患者夜间跌倒方面的有效性
- 批准号:
10342711 - 财政年份:2022
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Adapting an Evidence-Based Program that Improves Oral Hygiene and Health for Assisted Living Residents with Dementia
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- 批准号:
10176330 - 财政年份:2018
- 资助金额:
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Adapting an Evidence-Based Program that Improves Oral Hygiene and Health for Assisted Living Residents with Dementia
采用循证计划,改善患有痴呆症的辅助生活居民的口腔卫生和健康
- 批准号:
9974464 - 财政年份:2018
- 资助金额:
$ 74.99万 - 项目类别:
Adapting an Evidence-Based Program that Improves Oral Hygiene and Health for Assisted Living Residents with Dementia
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- 批准号:
10470713 - 财政年份:2018
- 资助金额:
$ 74.99万 - 项目类别:
Adapting an Evidence-Based Program that Improves Oral Hygiene and Health for Assisted Living Residents with Dementia
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- 批准号:
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解决辅助生活中的行为和情绪:与使用抗精神病药物和精神药物以及替代做法相关的组织特征
- 批准号:
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- 资助金额:
$ 74.99万 - 项目类别:
Addressing Behavior and Mood in Assisted Living: Organizational Characteristics Related to the Use of Antipsychotic and Psychotropic Medications and Alternative Practices
解决辅助生活中的行为和情绪:与使用抗精神病药物和精神药物以及替代做法相关的组织特征
- 批准号:
8942171 - 财政年份:2015
- 资助金额:
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