Computer-based Learning to Enhance ADRD Care in Prison: Just Care for Dementia

项目总结/摘要 美国监狱系统在照顾狱中老年人方面面临着急剧增加的需求。阿尔茨海默 疾病和相关痴呆（ADRD）是与年龄相关的疾病。监狱人口比例过高 少数群体在痴呆症的患病率和发病率方面存在差异。监狱健康，社会， 和安全人员认为他们缺乏识别痴呆症和支持的必要技能和知识， 那些被监禁和患有ADRD的人。这种未满足的需求可能是由于缺乏标准化， 可行的，可接受的ADRD教育计划，专门为那些管理和照顾 在监狱的限制性环境中。有些监狱会雇用经过仔细审查的囚犯 成为同伴照顾者，协助工作人员照顾ADRD患者。监狱中的培训项目往往 国内发展，缺乏一致性，这表明需要基于证据的，当前的，容易获得的 对监狱工作人员和同行照顾者进行培训，重点是照顾患有ADRD的人， 监狱为了满足这一需求，这个第一阶段STTR项目，题为基于计算机的学习，以提高ADRD 监狱中的护理：对痴呆症的公正护理，将展示开发媒体的科学价值和可行性。 丰富的学习模块，对多学科监狱工作人员和同伴照顾者进行有关ADRD主题的培训 在乎该项目的具体目标是：（1）将ADRD护理的最佳实践转化为媒体丰富， 交互式的、基于计算机的教育模块原型，以使惩戒工作人员和同伴照顾者做好准备， 满足被监禁和患有ADRD的人日益增长的护理需求;（2）亲自进行 与惩教人员和同伴照顾者一起对学习模块原型进行可用性测试， 用户界面、易用性和可感知的障碍，以改进产品并优化 监狱设置。与一个由监狱保健专家组成的咨询委员会合作， 培训和技术，监狱中的痴呆症，以及以前的监禁经验，我们将计划和 制定讨论指南，然后与两组监狱利益攸关方开展重点小组讨论： 在一所男子监狱和一所女子监狱，多学科惩戒工作人员和囚犯作为同伴照顾者。 焦点小组将使我们能够确保设计和技术计划符合以下方面的培训要求： 监狱环境，并将分离基本的ADRD内容，以制定全面的培训计划。 最后，我们将创建和评估多媒体，交互式计算机为基础的学习模块的原型， 惩教工作人员和同伴照顾者。在第一阶段结束时，我们将有： 模块的设计，在一次适合的技术，在纠正设置;是允许的， 被监禁的人使用;代表惩教人员和同伴的关键学习需求 提供ADRD护理的护理人员;并进一步发展我们的合作关系， 产品的商业化。

Project Summary/Abstract U.S. prison systems face sharply increased demands in caring for older people living in prisons. Alzheimer's Disease and related dementias (ADRD) are age-related diseases. Prison populations are over- represented by minority populations who experience disparities in prevalence and incidence of dementia. Prison health, social, and security staff perceive they lack the skills and knowledge essential for identifying dementia and supporting people who are incarcerated and living with ADRDs. This unmet need may be due to a lack of standardized, feasible, and acceptable ADRD education programs that are tailored specifically for those managing and caring for people in the restrictive environment of prisons. Some prisons engage carefully vetted incarcerated people to be peer caregivers, assisting staff with care for people with ADRD. Training programs in prisons are often home grown and lack consistency, which points to a need for evidence based, current, and readily accessible training for both prison staff and peer caregivers that is focused on care of people who are living with ADRD in prison. In response to this need, this Phase I STTR project, titled Computer-based Learning to Enhance ADRD Care in Prison: Just Care for Dementia, will demonstrate the scientific merit and feasibility of developing media rich learning modules to train both multidisciplinary prison staff and peer caregivers on topics related to ADRD care. The specific aims of the project are to: (1) transform best practices in ADRD care into media-rich, highly interactive, computer-based educational module prototypes to prepare corrections staff and peer caregivers to meet the growing care needs of people who are incarcerated and living with ADRD; and (2) conduct in-person usability testing of the learning module prototypes with corrections staff and peer caregivers to evaluate the user interface, ease of use, and perceived barriers in order to refine the product and optimize implementation in prison settings. In collaboration with an advisory board comprised of people with expertise in prison healthcare, training and technology, dementia in prisons, and experience with previous incarceration, we will plan and develop discussion guides and then conduct focus groups with two groups of prison stakeholders: interdisciplinary corrections staff and inmates who serve as peer caregivers at a men's and a women's prison. Focus groups will permit us to ensure that design and technology plans match what is allowable for training in prison settings and will isolate essential ADRD content for development of the comprehensive training program. Finally, we will create and evaluate prototypes of media rich, interactive computer-based learning modules for corrections staff and peer caregivers. At the end of Phase I, we will have: a specifications document for the design of modules that at once fits with the technology available in corrections settings; is permissible to be used by people who are incarcerated; represents the critical learning needs of corrections staff and peer caregivers for providing ADRD care; and further develop our collaborative relationships in preparation for commercialization of the product.