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

项目摘要/摘要 这份K23申请书提出了一项职业发展计划，以帮助贝丝·菲尔兹博士建立一个独立的 研究计划，重点是优化以医院为基础的护理和患者的预后 阿尔茨海默病和相关痴呆症(ADRD)及其家庭成员或朋友护理伙伴。她会的 在具有参与性研究专长的跨学科资深科学家小组的指导下进行培训 以人为中心的设计、临床试验和临床ADRD护理。她将继续与她一起工作 目前的导师是Farrar-Edwards博士、Werner博士和Shah博士以及Hetzel先生，他们都有经验 指导实习生。这将得到舒尔茨博士和舒尔茨博士的内容和指导专家的补充 吉尔摩-比科夫斯基。总体而言，这个团队将提供一个出色的培训环境，使Dr。 填补她在医院护理流程研究方面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预后。她的培训目标是发展(1)方面的技能 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)反兴奋剂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。至 为此，菲尔兹博士提出的研究计划直接建立在她之前开发和验证护理的工作基础上 合作伙伴医院评估工具(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应用顺序筛查和 转诊路径，用于1)确定护理伙伴及其偏好，以便纳入患者的医院护理 2)量身定做转诊，以满足他们所陈述的偏好和未得到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 修改CHAT，以促进纳入ADRD患者的护理伙伴并为其做好准备。 因此，这项建议的目的是使Chat适用于与 ADRD(ChAT-AD)，并在先导性随机临床试验中评估其可行性和潜在疗效。发现 从这项研究中，结合职业发展计划，将使菲尔兹博士能够推出独立的 旨在(1)改善以医院为基础的护理流程和患者生活结果的研究计划 与ADRD和他们的护理伙伴，以及(2)阐明如此多的护理伙伴的基本护理作用 患有ADRD的患者认为。

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.