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

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

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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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