Uptake of STAR: Increasing Qualified Staff to improve care of older adults in Ass

描述（由申请人提供）：本申请涉及广泛的挑战领域（01）行为、行为改变和预防以及特定的挑战主题15-MH-105策略，以支持在临床和社区环境中采取干预措施。该提案旨在增加经过培训的照顾痴呆症患者的辅助生活工作人员的数量和素质，以满足这一弱势和服务不足社区的需求。华盛顿老龄化服务的一个良好的伙伴关系，代表非营利长期护理和高级住房提供者在华盛顿州和一个经验丰富的跨学科研究小组的领先组织，从华盛顿大学。护理学院西北老龄化研究小组（NWRGA）将合作开发，评估和系统地翻译一个循证培训计划，旨在指导护理人员在辅助生活住宅，以改善老年人的护理认知障碍，提高他们的照顾者的技能水平，并推迟更昂贵的制度化。在资助期结束时，将建立一个基础设施，以确保有效和广泛地翻译这一方案，为更广泛的社区提供有效的优质服务。随着这个国家有认知问题需要护理的老年人数量的增加，对训练有素的工作人员的需求也在增加。据估计，辅助生活住宅目前为200多万老年人提供护理，其中超过一半的人患有严重的认知，情感和行为问题，每年都有更多的人进入。尽管如此，仍没有足够数量的受过培训和受雇的人为这些脆弱和得不到充分服务的老年人提供高质量的护理。吸收和翻译一种有效的经验评估治疗，以改善护理，减少情感和行为问题，并减少转移到更昂贵的长期护理选择将有一个显着的公共卫生影响，影响数百万老年人现在和未来数百万。具体目标是：（1）通过循证干预措施的系统化和标准化传播，增加辅助生活方面合格的培训师和直接护理人员的数量;（2）使用最先进的治疗方法建立和评估这种传播的成功;（3）评估培训师、直接护理人员和护理接受者结果（包括情感和行为障碍）方面的计划有效性，降低卫生保健费用，培训人员和护理人员对培训的满意度，以及改善对居民的护理;（4）发展基础设施，以便在当前计划期结束时继续进行培训。该提案解决了一个重大的公共卫生利益的问题-在辅助生活（AL）住宅痴呆症患者的情感和行为障碍的减少。工作人员培训辅助生活住宅（星星）是一个以证据为基础的，国家的最先进的治疗方案，在培训AL工作人员利用行为问题解决技术，以减少情感和行为障碍，改善痴呆症患者的生活证明有效。拟议中的项目是大学研究人员和社区组织之间的合作，以翻译星星，供更广泛的国家使用。

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area (01) Behavior, Behavioral Change, and Prevention and specific Challenge Topic 15-MH-105 Strategies to support uptake of interventions within clinical and community settings. This proposal seeks to increase the number and caliber of trained Assisted Living staff caring for persons with dementia, in order to meet the needs of this vulnerable and underserved community. A well-established partnership of Aging Services of Washington, the leading organization representing not-for- profit long-term care and senior housing providers in the state of Washington and an experienced group of interdisciplinary researchers from the U.W. School of Nursing's NorthWest Research Group on Aging (NWRGA) will collaborate to develop, evaluate, and systematically translate an evidence-based training program designed to direct care staff in Assisted Living Residences to improve the care of older adults with cognitive impairments, increase the level of skill of their caregivers, and delay more costly institutionalization. At the end of the funding period, an infrastructure will exist to insure effective and wide-spread translation of this program to sustain effective quality services for the wider community. As the numbers of older adults with cognitive problems requiring care in this country increase, so does the need for well trained staff. Assisted living residences are currently estimated to provide care for over two million older adults, with over half experiencing significant cognitive, affective, and behavioral problems, and more entering every year. Despite this, there are insufficient numbers of individuals trained and employed to provide quality care to these vulnerable and underserved older adults. The uptake and translation of an effective empirically evaluated treatment to improve care, reduce affective and behavioral problems, and reduce transfer to more costly long-term care options will have a significant public health impact affecting millions of older adults now and millions more in the future. The specific aims are to: (1) increase the number of qualified trainers and direct care staff in Assisted living through the systematic and standardized dissemination of an evidence-based intervention; (2) establish and evaluate success of this dissemination using state-of-the- science methods for treatment fidelity; (3) evaluate program effectiveness in regards to trainer, direct care staff, and care-recipient outcomes including affective and behavioral disturbance, lower health care costs, satisfaction with training among trainers and caregivers, and improved care for residents; (4) develop the infrastructure to continue this training when the current program period is concluded. This proposal addresses an issue of significant public health interest - the reduction of affective and behavioral disturbances in persons with dementia in Assisted-living (AL) residences. Staff Training in Assisted-living Residences (STAR) is an evidenced-based, state-of-the-art treatment program with demonstrated efficacy in training AL staff to utilize behavioral problem solving techniques to reduce affective and behavioral disturbances and improve the lives of persons with dementia. The proposed project is a partnership between university researchers and a community organization to translate STAR for broader, national use.