E-training of Inmate Peer Caregivers for Enhancing Geriatric and End-of-life Care in Prisons - Phase II

为加强监狱老年和临终关怀而对囚犯同伴照顾者进行电子培训 - 第二阶段

• 批准号: 10010022
• 负责人: Susan Jayne Loeb
• 金额: $ 99.7万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-01 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10010022
• 关键词: Address; Adult; Age; Budgets; Caregivers; Caring; Computers; Death Rate; Discipline of Nursing; E-learning; Education; Effectiveness; Elderly; Ensure; Environment; Focus Groups; Funding; Future; Glean; Goals; Health; Health Care Costs; Health Status; Human Resources; Imprisonment; Information Technology; Knowledge acquisition; Laws; Learning; Libraries; Logistics; Long-Term Care; Mental Health; Mission; Modeling; Modification; Nature; Outcome; Pattern; Persons; Phase; Population; Prisoner; Prisons; Research; Security; Small Business Technology Transfer Research; Standardization; Stretching; System; Tablets; Technology; Testing; Time; Training; Training Activity; United States; Woman; aged; aging in place; caregiver education; caregiving; commercialization; design; end of life; end of life care; evidence base; impression; insight; interest; learning materials; meetings; men; mindfulness; multidisciplinary; peer; peer support; phase 1 study; phase 2 study; physical conditioning; preference; programs; prototype; public health relevance; research and development; response; scale up; systematic review; tool; trend; usability

There are over 1,719 United States (US) state and federal prisons with over 2.3 million prisoners. In 2017, more than 20% of sentenced prisoners were age 50 or older. The health status of older inmates is often parallel with free-living people who are far older (e.g., 10-15 years). Older prisoners disproportionately contribute to the steeply rising correctional healthcare costs and their death rate is 10 times that of younger prisoners. Corrections budgets are stretched as they strive to meet the care needs of aged and dying prisoners. Carefully selected and vetted inmates offer an abundant human resource that is poised to contribute in important ways to augment prison staff in meeting growing care needs of older and dying inmates. However, the lack of standardized, evidence-based, training that is geared toward this target audience is a current barrier to ensuring high quality inmate caregiving. In response to this need, our Phase I project E-training of Inmate Peer Caregivers for Enhancing Geriatric and End-of-Life Care in Prisons demonstrated that inmate access to technology is growing and inmates can be successful e-learners. Specifically, we learned: (1) there is a need and interest for products such as our Inmates Care computer-based learning (CBL); (2) trainings should be engaging, interactive, and contextually sensitive to the specific environment, target user, and security constraints, while at the same time being mindful of emerging trends in regard to technology use by inmates (e.g., availability of tablets for purchase and use in many states); and finally, (3) that interactive, media-rich prototype modules with high acceptability and usability could be developed. The specifications document and commercialization plan indicated it is possible to develop a full-scale Inmates Care learning system in Phase II and a Technology Niche Analyses® revealed market potential exists. The purpose of this Phase II application is to continue research and development of the Inmates Care learning system with an emphasis on developing a scalable unit for commercialization and testing scale-up in a larger number of more diverse state prisons. More specifically, the aims of this Phase II study are to: 1) Develop a full scale media-rich interactive computer-based learning system Inmates Care, that consists of six modules aimed at augmenting the highly variable face-to- face inmate caregiving programs in state prisons with standardized, evidence-based training to prepare inmates in assisting with EOL and geriatric care; and one Training Overview and Rollout module that prepares staff to use Inmates Care as a tool for inmate peer caregiver training; 2) Conduct in-person usability testing of the full-scale Inmates Care program in two rounds in state prisons to evaluate logistics, inmate and staff impressions, user interface, ease of use, and perceived barriers in order to optimize the scalable unit for broader dissemination (n=30); and 3) Test scale-up of the full-scale Inmates Care program in state prisons across the nation to evaluate knowledge acquisition outcomes, usage patterns, and commercialization opportunities (n=288).

美国和联邦监狱有超过1,719个州和联邦监狱，有超过230万名囚犯。在2017年，更多 超过20％的被判刑囚犯年龄在50岁以上。老年囚犯的健康状况通常与 年龄较大的自由生活人（例如10 - 15年）。年长的囚犯不成比例地为 纠正医疗费用急剧上升，其死亡率是年轻囚犯的10倍。 矫正预算在努力满足老年和垂死的囚犯的护理需求时会延长。小心 选择和审查的感染提供了丰富的人力资源，该资源被中毒以重要的方式贡献 增加监狱工作人员满足较老的囚犯的日益增长的护理需求。但是，缺乏 针对该目标受众的标准化，基于证据的培训是确保目前的障碍 高质量的囚犯护理。为了响应这种需求，我们的I阶段I项目的囚犯同伴培训 在监狱中增强老年医学和临终关怀的护理人员表明，囚犯可以进入 技术正在增长，囚犯可以成为成功的电子学习者。具体来说，我们学会了：（1）有一个 对我们的囚犯护理基于计算机的学习（CBL）等产品的需求和兴趣； （2）培训应该 对特定环境，目标用户和安全性敏感，互动和上下文敏感 限制，同时也要注意有关囚犯技术使用的新兴趋势 （例如，在许多州购买和使用平板电脑）；最后，（3）互动的，媒体丰富的 可以开发具有高可接受性和可用性的原型模块。规格文件和 商业化计划表明，可以在II阶段开发全面的囚犯护理学习系统 技术利基Analyses®揭示了市场潜力。此II阶段应用的目的是 继续研究和开发囚犯护理学习系统，重点是开发 可扩展的单位用于商业化和测试规模较大的州监狱。更多的 具体而言，这项II阶段研究的目的是：1）开发一个完整的媒体丰富的互动基于计算机 学习系统囚犯的护理，包括六个模块，旨在面对面增强高度可变的模块 在州监狱中面对囚犯护理计划，并通过标准化的循证培训来准备 囚犯协助EOL和老年护理；还有一个准备准备的培训概述和推出模块 员工使用囚犯护理作为囚犯同伴培训的工具； 2）进行面对面可用性测试 州监狱两轮的全面囚犯护理计划评估登录名，囚犯和员工 印象，用户界面，易用性和可感知的障碍，以优化可扩展单元 更广泛的传播（n = 30）; 3）在州监狱中的全尺度囚犯护理计划的测试规模 全国各地评估知识获取结果，使用模式和商业化 机会（n = 288）。