A Training and Fidelity Model to Move and Scale Evidence-based Dementia Care and Caregiver Support Programs into Practice: The Case for COPE in PACE service settings

将循证痴呆症护理和护理人员支持计划付诸实践的培训和保真模型：PACE 服务环境中的 COPE 案例

• 批准号: 9789806
• 负责人: Laura N. Gitlin
• 金额: $ 52.55万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9789806
• 关键词: Activities of Daily Living; Address; Caregiver Burden; Caregiver support; Caregivers; Caring; Communities; Competence; Computational Linguistics; Day Care; Dementia; Dementia caregivers; Development; Distress; Elderly; Enrollment; Environment; Evidence based program; Family; Family Caregiver; Home environment; Impaired cognition; Intervention; Long-Term Care; Long-Term Care for Elderly; Measures; Medicaid; Medicare; Modality; Modeling; Monitor; Natural Language Processing; Nursing Homes; Occupational Therapist; Outcome; Participant; Patient-Focused Outcomes; Personal Satisfaction; Persons; Physical Function; Procedures; Process; Protocols documentation; Quality of life; Randomized; Registered nurse; Science; Service setting; Site; Techniques; Testing; Training; Training Programs; base; biobehavior; care providers; care systems; comparative efficacy; dementia care; design; evidence base; improved; neuropsychiatric symptom; pragmatic trial; programs; quality assurance; randomized trial; response; satisfaction; scale up; simulation; uptake; user-friendly

This NIA Stage I study is designed to address two leading barriers to implementation of evidence-based dementia care and caregiver support programs into long-term care settings: (1) lack of streamlined, user-friendly, and tested training modalities, and (2) lack of scalable, practical processes to accurately measure fidelity in “real world” settings. The aims of the study are to determine whether an online training program is the same or better in improving interventionist fidelity to an evidence based dementia program (COPE) and dementia patient outcomes when compared to a high intensity face-to-face traditional form of training. To accomplish these aims we will develop an online, principle-driven approach using state-of-the- science simulation and best practices and a scalable approach to assess fidelity to COPE by applying computational linguistics techniques. We will then conduct a noninferiority trial in Programs for All Inclusive Care for Elders (PACE) organizations randomly assigned to the training conditions. PACE staff will be evaluated post training on their fidelity outcomes. Dyads of persons with dementia and their caregivers will be evaluated at 4 months post COPE implementation on function, neuropsychiatric symptoms, quality of life, and caregiver burden. The findings from this project will lay the essential groundwork for a large scale, Stage III-IV, pragmatic trial of COPE in PACE settings throughout the US. Findings will also serve as a model for guiding the development of practical, scalable processes for training and fidelity monitoring in other long-term care settings and for other evidence-based support programs.

本NIA第一阶段研究旨在解决实施的两个主要障碍