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.
项目总结/文摘
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
- 资助金额:
$ 74.99万 - 项目类别:
Holistic Evaluation to Advance Research in Dementia (HEARD): Phased Interdisciplinary Infrastructure Development and Pilot Studies
痴呆症高级研究的整体评估 (HEARD):分阶段跨学科基础设施开发和试点研究
- 批准号:
10818100 - 财政年份:2021
- 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
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:
10176330 - 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
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
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:
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
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:
9789809 - 财政年份:2018
- 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:
9132160 - 财政年份:2015
- 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:
$ 74.99万 - 项目类别:
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