Adapting and Testing the Care Partner Hospital Assessment Tool (CHAT) for Use in Dementia Care

调整和测试护理合作伙伴医院评估工具 (CHAT) 以用于痴呆症护理

• 批准号: 10571459
• 负责人: Beth Fields
• 金额: $ 13.31万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-12-01 至 2027-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10571459
• 关键词: Acceleration; Address; Adherence; Administrator; Adult; Aging; Alzheimer' s Disease; Alzheimer' s disease patient; Alzheimer' s disease related dementia; Assessment tool; Biometry; Caregivers; Caring; Clinical; Clinical Trials; Clinical Trials Design; Cognitive; Collaborations; Complement; Conduct Clinical Trials; Consensus; Data; Decision Support Model; Delirium; Development; Development Plans; Eligibility Determination; Ensure; Environment; Ethics; Event; Exclusion; Family Caregiver; Family member; Feeling; Friends; Future; Goals; Health; Healthcare Systems; Hospitalization; Hospitals; Impaired cognition; Institution; Intervention; Knowledge; Leadership; Long-Term Care for Elderly; Measures; Medical; Mental Depression; Mentors; Mentorship; Modeling; Morbidity - disease rate; Outcome; Pathway interactions; Patient-Focused Outcomes; Patients; Policies; Preparation; Process; Randomized; Randomized, Controlled Trials; Readiness; Recommendation; Reporting; Research; Risk; Role; Safety; Science; Scientist; Senior Scientist; Standardization; Statistical Data Interpretation; Stress; System; Testing; Training; United States National Institutes of Health; Work; acute care; adverse outcome; care delivery; career; career development; caregiving; dementia care; dementia caregiving; design; efficacy evaluation; efficacy trial; experience; falls; flexibility; hospital care; hospital patient care; hospital readmission; hospitalization rates; human centered design; improved; iterative design; pilot test; post intervention; preference; primary outcome; programs; prototype; randomized, clinical trials; recruit; satisfaction; screening; screening, brief intervention, referral, and treatment; skills; standardized care; support tools; treatment as usual; usability; videoconference

PROJECT SUMMARY/ABSTRACT This K23 application proposed a career development plan to help Dr. Beth Fields establish an independent research program that focuses on optimizing hospital-based care and outcomes for patients living with Alzheimer’s disease and related dementias (ADRD) and their family member or friend care partners. She will train under the mentorship of a transdisciplinary group of senior scientists with research expertise in participatory human-centered design, conduct of clinical trials, and clinical ADRD care. She will continue working with her current mentors, Drs. Farrar-Edwards, Werner, and Shah, and Mr. Hetzel, all of whom have experience mentoring trainees. This will be complemented by content and mentoring expertise from Drs. Schulz and Gilmore-Bykovskyi. Collectively, this team will provide an outstanding training environment that will allow Dr. Fields to fill critical gaps in her knowledge and skill set relating to the study of hospital-based care processes and outcomes for patients living with ADRD and their care partners. Her training goals are to develop skills in (1) participatory human-centered design principles, (2) hospital-based ADRD care delivery, (3) clinical trial design and statistical analysis, (4) ethical and regulatory standards in ADRD research, and (5) professional skills in team science and scientific leadership. Achieving these goals will strengthen her scholarly activities, establish important collaborations, and acquire critical data that will ensure her successful transition to independence. To this end, Dr. Fields’ proposed research plan builds directly on her prior work developing and validating the Care Partner Hospital Assessment Tool (CHAT). Guided by the widely used and effective decision-support model of Screening, Brief Intervention and Referral to Treatment (SBIRT), the CHAT applies a sequential screening and referral pathway that 1) identifies care partners and their preferences for inclusion in the patients’ hospital care and 2) tailors referrals to address their stated preferences and unmet needs for post-discharge preparedness. The SBIRT model was designed to adapt flexibly to different health conditions and contexts, thus enabling the adaptation of the CHAT to facilitate the inclusion and preparation of care partners of patients living with ADRD. Therefore, the purpose of this proposal is to adapt CHAT for care partners of hospitalized patients living with ADRD (CHAT-AD) and evaluate its feasibility and potential efficacy in a pilot randomized clinical trial. Findings from this study, in combination with the career development plan, will enable Dr. Fields to launch an independent program of research that aims to (1) improve hospital-based care processes and outcomes for patients living with ADRD and their care partners, and (2) elucidate the essential caregiving role that so many care partners of patients living with ADRD assume.

项目总结/摘要 这K23应用程序提出了一个职业发展计划，以帮助博士贝丝领域建立一个独立的 研究计划，重点是优化医院为基础的护理和结果的患者生活 阿尔茨海默病和相关痴呆症（ADRD）及其家人或朋友护理伙伴。她将 在具有参与性研究专长的跨学科高级科学家小组的指导下进行培训 以人为本的设计、临床试验的实施和临床ADRD护理。她将继续与她合作。 现任导师，Farrar-Edwards博士，Werner和Shah以及Hetzel先生，他们都有经验 指导学员。这将由Schulz博士的内容和指导专业知识作为补充， 吉尔莫-比科夫斯基总的来说，这个团队将提供一个出色的培训环境，使博士。 填补与医院护理流程研究相关的知识和技能方面的关键空白的领域 以及ADRD患者及其护理伙伴的结局。她的培训目标是培养以下方面的技能：（1） 参与式以人为本的设计原则，（2）以医院为基础的ADRD护理提供，（3）临床试验设计 和统计分析，（4）ADRD研究中的伦理和监管标准，以及（5） 团队科学和科学领导。实现这些目标将加强她的学术活动，建立 重要的合作，并获得关键数据，以确保她成功过渡到独立。到 为此，菲尔兹博士提出的研究计划直接建立在她先前开发和验证护理的工作基础上。 合作医院评估工具（CHAT）。在广泛使用和有效的决策支持模型的指导下， 筛查、短暂干预和转诊治疗（SBIRT），CHAT采用顺序筛查， 转诊途径：1）确定护理伙伴及其对纳入患者医院护理的偏好 以及2）定制转诊，以解决他们所陈述的偏好和未满足的出院后准备需求。 SBIRT模式旨在灵活适应不同的健康状况和背景，从而使 调整CHAT，以促进ADRD患者的护理伙伴的纳入和准备。 因此，本建议的目的是调整CHAT，以适应患有以下疾病的住院患者的护理伙伴： ADRD（CHAT-AD），并在初步随机临床试验中评估其可行性和潜在疗效。结果 从这项研究，结合职业发展计划，将使博士菲尔兹推出一个独立的 一项研究计划，旨在（1）改善以医院为基础的护理过程和患者生活的结果 与ADRD和他们的护理伙伴，（2）阐明了重要的治疗作用，这么多的护理伙伴， ADRD患者的假设。