In-reach for Successful Aging through Education(i-SAGE)

描述（由申请人提供）：“通过教育实现成功老龄化”（i-SAGE）培训计划的概念是为与实践相关的、基于问题的虚拟学习网络创造机会，该网络专门针对照顾英语能力有限的少数民族老年人的跨学科临床医生和同伴健康促进者。该项目将制定一个跨学科的、基于网络的成功老龄化培训方案，供（a）双语、多文化、多学科的保健人员、临床医生和受训人员使用（临床医生、实习医生、医科学生和护理学生）在斯坦福大学医学院、德安扎护理学院、退伍军人事务部在加州、内华达州和夏威夷的设施，加州大学山麓学院、旧金山弗朗西斯科护理学院和弗吉尼亚州全国姑息治疗网络;和（B）双语、多文化同伴健康促进者来自以下10个加州县的13个不同种族群体的（非专业健康顾问）--阿拉米达、默塞德、蒙特雷、纳帕、圣贝尼托、圣弗朗西斯科、圣马特奥、圣克拉拉、圣克鲁斯、和索拉诺通过我们众多的社区外展合作伙伴，包括山麓学院，旧金山弗朗西斯科，圣克拉拉县天主教慈善机构，美国帕拉迪纳印度和第一民族美洲原住民退伍军人服务组织。i-SAGE培训的总体目标是让学习者了解对来自13个不同民族的少数民族老年人进行文化有效护理的科学原则：非裔美国人、阿拉斯加原住民、美洲印第安人、亚裔印度裔美国人、华裔美国人、菲律宾裔美国人、夏威夷和太平洋岛民、西班牙裔/拉丁裔美国人、苗族美国人、日裔美国人、韩裔美国人、巴基斯坦裔和越南裔美国人。课程中的特殊焦点的双重领域包括（一）跨文化癌症护理和（二）跨文化姑息治疗和临终关怀。核心网基材料将存放在一个有密码保护的学习管理系统中，并增加练习测验、评价测试、数字化视频案例研究剪辑链接、研讨会、相关外部网站链接和其他学习资源清单。将通过一个因特网门户网站便利使用，该门户网站有两个目的：（a）提供持续的学习者支助（通过网络板、可下载的工作辅助材料和其他教育资源）以及（B）作为i-SAGE培训的营销工具。i-SAGE培训的可用性和有效性将通过课程模块和半结构化在线调查，使用个人学习者运动的自动分析进行研究。将通过基于浏览器的界面自动分析i-SAGE门户活动，目的是提高门户的效力。将建立一个机制，在全国范围内向退伍军人事务部所有设施、社区老年中心、疗养院设施和感兴趣的医学院的临床医生和同伴健康促进者传播i-SAGE培训。

DESCRIPTION (provided by applicant): The concept of the "In-reach for Successful AGing through Education" (i-SAGE) training program is to create opportunities for a practice-relevant, problem-based virtual learning network specifically tailored towards inter- disciplinary clinicians and peer health promoters caring for ethnic minority older adults with Limited English Proficiency. The project will develop an inter-disciplinary, web-based training program on successful aging to be used by (a) Bi-lingual, multi-cultural, multi-disciplinary health personnel, clinicians and trainees (clinicians, physicians-in-training, medical students and nursing students) at Stanford University School of Medicine, De Anza College of Nursing, the Veterans Affairs' facilities in the States of California, Nevada and Hawaii, Foothill College, University of California, San Francisco School of Nursing and the VA Nationwide Palliative Care Network; and (b) Bi-lingual, multi-cultural peer health promoters (lay health advisers) from the 13 different ethnic groups commonly represented in the following ten California counties--Alameda, Merced, Monterey, Napa, San Benito, San Francisco, San Mateo, Santa Clara, Santa Cruz, and Solano through our numerous community out-reach partners, including Foothill College, University of San Francisco, Catholic Charities of Santa Clara County, Pallium India USA and First Nations Native American Veterans Service Organizations. The overall goal of the i-SAGE training is for learners to develop an understanding of the scientific principles of culturally effective care of ethnic minority older adults from 13 different ethnic groups: African Americans, Alaska Natives, American Indians, Asian Indian Americans, Chinese Americans, Filipino Americans, Hawaiian and Pacific Islanders, Hispanic/Latino Americans, Hmong Americans, Japanese Americans, Korean Americans, Pakistani Americans, and Vietnamese Americans. Dual areas of special foci in the curriculum include (i) cross-cultural cancer care and (ii) cross-cultural palliative and end-of-life care. The core web-based material will be hosted on a password-protected learning management system augmented with practice quizzes, evaluation tests, links to clips of digitized video case studies, seminars, links to relevant external web sites, and lists of additional learning resources. Access will be facilitated through an internet portal, which will serve dual purposes of (a) providing ongoing learner support (through web boards, downloadable job-aids and other educational resources) as well as (b) a marketing tool for the i-SAGE training. The usability and the effectiveness of the i-SAGE training will be studied using automatic analysis of individual learner movement through the curricular modules and through semi structured online surveys. Automatic analysis of the i-SAGE portal activity will be done via a browser-based interface with the goal of improving the effectiveness of the portal. A mechanism will be developed to disseminate the i-SAGE training nationwide to clinicians and peer health promoters in all VA facilities, community-based senior centers, nursing home facilities and interested medical schools throughout the country.