On-Line Training in Treating Dementia: Spaced Retrieval

治疗痴呆症的在线培训：间隔检索

• 批准号: 7537642
• 负责人: THOMAS J SLOMINSKI
• 金额: $ 57.91万
• 依托单位: NORTHERN SPEECH SERVICES/NAT'L REHAB SRV
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7537642
• 关键词: Adopted; Adult; Aging; Alzheimer' s Disease; Anatomy; Anoxia; Area; Arts; Assisted Living Facilities; Barium swallow; Birds; Blood Vessels; Books; Camping; Caregivers; Caring; Child; Chin; Client; Clinic; Clinical; Cognitive; Communication; Communication impairment; Computer software; Computers; Condition; Continuing Education; Cues; Deglutition; Deglutition Disorders; Dementia; Department of Defense; Development; Diagnosis; Education; Educational Materials; Educational process of instructing; Effectiveness; Elderly; Evaluation; Exposure to; Extensible Markup Language; Face; Faculty; Family; Feedback; Florida; Food; Future; Geriatrics; Goals; Grant; Home environment; Housing; Incidence; Indium; Individual; Industry; Inservice Training; Internet; Intervention; Knowledge; Knowledge acquisition; Language; Learning; Licensing; Liquid substance; Marketing; Memory; Memory impairment; Methods; Mind; Modeling; Modification; Monitor; Numbers; Nursing Homes; Occupations; Ohio; Online Systems; Oral; Oropharyngeal; Outcomes Research; Pain; Parkinson Disease; Pathologist; Patients; Performance; Persons; Phase; Physiology; Population; Preparation; Problem behavior; Procedures; Process; Provider; Public Health; Purpose; Recommendation; Recording of previous events; Recruitment Activity; Regulation; Rehabilitation therapy; Research; Research Personnel; Retrieval; Rosa; Safety; Sensory; Series; Shapes; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Societies; Specialist; Speech; Speech Pathologist; Speech-Language Pathology; Standards of Weights and Measures; Structure; Students; Symptoms; System; Systems Integration; Techniques; Technology; Testing; Text; Time; Training; United States Centers for Medicare and Medicaid Services; United States Dept. of Health and Human Services; Universities; Vendor; Visual; Wernicke-Korsakoff Syndrome; Work; Writing; base; career; concept; day; design; disability; experience; improved; interest; lectures; member; programs; rehabilitation service; rehabilitation strategy; skills; young adult

DESCRIPTION (provided by applicant): The number of people in the U.S. diagnosed with dementia related to Alzheimer's disease is expected to exceed 15 million by 2050, out of a total of 80 million worldwide. Market potential is expanding for the creation of computer-based learning materials involving effective interventions for persons with cognitive disabilities associated with dementia. In particular, students in masters-level speech-language pathology (SLP) programs need to acquire such clinical job skills before beginning their professional careers. One example of an effective intervention for persons with dementia is Spaced-Retrieval (SR). SR is a method of learning and retaining information by recalling that information over increasingly longer periods of time. It is, in essence, a shaping paradigm applied to memory (Bjork, 1988; Camp & McKitrick, 1992; Landauer & Bjork, 1978). Another area in which SLPs are designated to provide therapy is the diagnosis and treatment of swallowing disorders (dysphagia), which is commonly seen in persons with dementia. In addition, students generally do not learn how to effectively communicate with persons with dementia in their standard coursework. This Phase II SBIR project will capitalize on the expertise of National Rehabilitation Services (NRS), which has created and successfully marketed products for the education of rehabilitation professionals. NRS also successfully concluded the Phase I SBIR on which this proposal is based, involving creation of a web-housed, text-based course on the use of SR. For Phase II, we wish to adopt the Sharable Content Object Reference Model (SCORM) as our specification standard to develop an initial product line of SCORM-based courses for SLP students in masters-level programs, using the concepts drawn from the SCORM model in a self-contact Rich Internet Application (RIA) product. These courses will involve: the use of SR, diagnosis and treatment of dysphagia, and communicating with persons with dementia. In this 2-year project, 200 SLP students at four universities will participate in alpha and beta version creation and testing of the three proposed courses, in addition to 150 older adult clients with dementia in university affiliated clinics. Our objectives are to: 1) Create alpha and beta versions of three SCORM-based courses for SLP masters- level students focusing on skills necessary to work effectively with clients with dementia; 2) Document that these SCORM-based courses can produce comparable results to traditional, face-to-face delivery versions of the courses in terms of knowledge acquisition; 3) Determine whether knowledge acquired in these SCORM-based courses can be effectively implemented by students when working with older adult clients with dementia; 4) Determine whether implementation of knowledge acquired by students in these SCORM- based courses results in corresponding health-related improvements in clients with dementia; and 5) Create the necessary final modifications to the courses so that they will be market ready by the end of the project. PUBLIC HEALTH RELEVANCE: The number of people in the U.S. diagnosed with dementia related to Alzheimer's disease is expected to exceed 15 million by 2050, out of a total of 80 million worldwide. Other forms of dementia also will become more prevalent as the number of older adults increases in the future. Educational material designed to train therapists to facilitate higher levels of independence in people with dementia is beneficial to all members of society. National Rehabilitation Services (NRS), with a history of developing and presenting such materials, will use this Phase 2 SBIR project to create state-of-the-art, computer-based content for training students about to enter the field of Speech-Language Pathology. This will serve to enhance the skills of these future professionals, as well as to encourage more of them to work with geriatric clients with dementia.

描述（由申请人提供）：到2050年，美国被诊断患有与阿尔茨海默病相关的痴呆症的人数预计将超过1500万，而全球共有8000万人。市场潜力正在扩大，以创造计算机为基础的学习材料，涉及对与痴呆症有关的认知残疾人的有效干预。特别是，硕士水平的言语语言病理学（SLP）课程的学生需要在开始职业生涯之前获得这样的临床工作技能。对痴呆症患者进行有效干预的一个例子是空间检索（SR）。SR是一种通过在越来越长的时间内回忆信息来学习和保留信息的方法。从本质上讲，它是一种应用于记忆的塑造范式（Bjork，1988; Camp & McKitrick，1992; Landauer & Bjork，1978）。SLP被指定提供治疗的另一个领域是吞咽障碍（吞咽困难）的诊断和治疗，这在痴呆症患者中很常见。此外，学生一般不学习如何有效地沟通与痴呆症患者在他们的标准课程。SBIR项目第二阶段将利用国家康复服务局（NRS）的专业知识，该机构已经为康复专业人员的教育创造并成功地销售了产品。NRS还成功地结束了第一阶段SBIR的基础上，这一建议是，涉及创建一个网络上，基于文本的课程使用SR.对于第二阶段，我们希望采用可共享的内容对象参考模型（SCORM）作为我们的规范标准，以开发一个初始的产品线SCORM为基础的课程SLP学生在硕士水平的程序，在自接触富互联网应用程序（RIA）产品中使用从SCORM模型中得出的概念。这些课程将涉及：SR的使用，吞咽困难的诊断和治疗，以及与痴呆症患者的沟通。在这个为期2年的项目中，四所大学的200名SLP学生将参与三门拟议课程的alpha和beta版本的创建和测试，此外还有150名老年痴呆症患者在大学附属诊所。我们的目标是：1）创建阿尔法和测试版的三个SCORM为基础的课程为SLP硕士级学生专注于必要的技能，有效地与客户端与痴呆症; 2）文件，这些基于SCORM的课程可以产生可比的结果传统的，面对面交付版本的课程在知识获取方面; 3）确定在这些基于SCORM的课程中获得的知识是否可以有效地由学生在与老年痴呆症患者合作时实施; 4）确定学生在这些基于SCORM的课程中获得的知识的实施是否会导致痴呆症患者的相应健康相关改善;以及5）对课程进行必要的最终修改，以便在项目结束时为市场做好准备。公共卫生关系：到2050年，美国被诊断患有与阿尔茨海默病有关的痴呆症的人数预计将超过1500万，而全球共有8000万人。随着未来老年人数量的增加，其他形式的痴呆症也将变得更加普遍。旨在培训治疗师以促进痴呆症患者更高水平的独立性的教育材料对社会所有成员都有益。国家康复服务（NRS），与开发和提出这样的材料的历史，将使用这个第2阶段SBIR项目，以创建国家的最先进的，基于计算机的内容，培训学生即将进入言语语言病理学领域。这将有助于提高这些未来专业人员的技能，并鼓励他们中的更多人与老年痴呆症患者合作。