e-CLEAR Dementia Training Platform

到2050年，全球痴呆症患病率预计将增加两倍（英国阿尔茨海默病研究中心，2021年），这对医疗保健构成了巨大挑战。我们的e-CLEAR痴呆症培训平台是应对这些紧迫问题的创新解决方案，专注于NI。研究表明，NI有2万人患有痴呆症（阿尔茨海默氏症协会，2016年），英国有944,000人（阿尔茨海默氏症研究英国，2021年），美国有650万人（阿尔茨海默氏症协会），全球有惊人的5500万人（世界卫生组织，2023年）。令人震惊的是，90%的痴呆症患者表现出对护理人员构成挑战的行为，包括攻击、寻求退出和性不当行为（Walaszek, 2020）。如果没有对痴呆症的深刻理解和有效的参与策略，护理人员的反应方式往往会加剧痛苦，并可能导致安置、住院和具有相关风险的药物处方出现不必要的中断（Banerjee, 2009; Duffy, 2019）。这些后果带来巨大的经济成本，并对痴呆症患者的生活质量产生不利影响。80%的痴呆症患者被送入养老院，因为他们表现出两种或两种以上的挑战行为（Bakker等人）。（英国护理指南，2011年），养老院居住时间从5年到10年不等，住宿护理的年费为27,000- 39,000英镑，护理费用为35,000- 55,000英镑（英国护理指南，2023年）。对于一些人来说，这种行为需要住院治疗，每周费用为2520英镑至3500英镑（苏格兰政府，2018年），平均住院时间为41.3天（Wolverson等人，2022年），每人总计约12.3万英镑。具有挑战性的行为也会导致员工缺勤（5%）和员工流失率（38.2%）的增加（CQC, 2022），以及增加人员配备水平的需求（Ryu等人）。, 2005)。英国的痴呆症费用为347亿英镑（阿尔茨海默病协会，2020年），全球为1.3万亿美元（世界卫生组织，2023年）。鉴于诊断后的预期寿命为5-10年，并且大约三分之一的人将在其一生中照顾痴呆症患者，因此对医疗保健和社会的影响是深远的（阿尔茨海默氏症协会，2023）。该提案解决了护理人员面临的挑战，并通过提高效率和减少医疗保健人员的挑战来节省成本。e-CLEAR dementia与NHS长期计划中概述的优先事项保持一致，强调改善痴呆症护理和早期干预策略，并与NICE指南（2018年）一致，建议对具有挑战性的行为采取社会心理方法，e-CLEAR dementia支持痴呆症学习和发展框架中详细说明的基本培训需求。

The escalating global prevalence of dementia is expected to triple by 2050 (Alzheimer Research UK, 2021) posing a formidable healthcare challenge. Our e-CLEAR Dementia Training platform emerges as an innovative solution to confront these pressing issues, focusing on NI.Research shows there are 20,000 people living with dementia in NI (Alzheimer's Society, 2016), 944,000 in UK (Alzheimer Research UK, 2021), 6.5M in USA (Alzheimer's-Association), and a staggering 55M worldwide (WHO, 2023). A striking 90% of people living with dementia present with behaviours that challenge carers, including aggression, exit-seeking, and sexually inappropriate behaviour (Walaszek, 2020). Without a solid understanding of dementia and effective engagement strategies, carers frequently respond in ways that contribute to heightened distress and can lead to unnecessary breakdown in placements, hospital admissions, and the prescription of medications with associated risks (Banerjee, 2009; Duffy, 2019).These consequences carry substantial financial costs, and adversely impact the quality of life for the person with dementia. 80% of people with dementia are admitted to care homes because they present with two or more behaviours that challenge (Bakker _et al_., 2011), with care home residency ranging from 5 to 10 years and associated annual fees £27,000-£39,000 for residential care, and £35,000-£55,000 for nursing care (UK care guide, 2023).For some people, this behaviour requires admission to a specialist dementia inpatient bed, incurring weekly costs of £2,520 to £3,500 (Scottish Government, 2018) and an average stay of 41.3 days (Wolverson et al., 2022), totalling around £123,000 per person. Behaviours that challenge also contribute to increased staff absence (5%) and staff turnover (38.2%) (CQC, 2022), and the need for increased staffing levels (Ryu _et al_., 2005).Dementia costs in the UK are £34.7 billion (Alzheimer Society, 2020), and $1.3 trillion globally (WHO, 2023). Given that life expectancy post-diagnosis is 5-10 years, and approximately one in three people will care for someone with dementia in their lifetime, the impact on healthcare and society is profound (Alzheimer's Association, 2023).This proposal addresses both the challenges faced by carers, and cost savings through increased efficiency and reduced staffing challenges in healthcare. Aligning with the priorities outlined in the NHS Long Term Plan, emphasising improved dementia care and early intervention strategies, and the NICE guidelines (2018) recommending psychosocial approaches to behaviours that challenge, e-CLEAR Dementia supports the essential training needs detailed in the dementia learning and development frameworks.