PROMOTING SOCIAL INTEGRATION IN LONG TERM CARE--INTERVENTION STUDY

研究表明，照顾者通常与 被制度化的家庭成员。然而，许多家庭成员经历了 亲属过渡到养老院的痛苦，部分原因是 由于与设施工作人员的关系困难。同样， 对养老院工作人员的研究表明，与家庭的关系 可能是一个重要的压力来源。然而，人们对此知之甚少 以最有效的方式促进这种合作和交流。因为 对于家庭、工作人员和居民的潜在好处，存在这样的需求 用于开发和严格评估促进这些 目标。拟开展的项目将进行随机、对照 一项旨在加强合作和 养老院居民家庭成员间的有效沟通 和工作人员，并减少人际冲突。本节目是 合作进行了四年的广泛试点测试的结果 与一个主要的长期护理提供者协会。 这项研究将测试该计划是否会为 家庭成员、工作人员和居民，并将检查 不同分组的有效性(例如，按性别、农村与 城市位置)。还将评估的是 制度环境影响干预，以及是否会发生变化 产生了设施政策和实践。这项研究将招募1200人 受试者来自纽约州随机选择的20家养老院，以及 将他们分配到治疗组和对照组。平行的培训课程 沟通和冲突解决技术将与 干预单位的家属和工作人员。一次预试面试和两次 测试后将进行访谈，以衡量家庭的结果， 工作人员和住院医生。此外，还将收集设施级别的数据 评估干预对家庭等结局的影响 投诉和员工流失率。调查人员将与 州和国家养老院协会和其他团体 在研究结果的基础上传播信息和推广计划。

Research has demonstrated that caregivers typically maintain close ties to institutionalized family members. However, many family members experience distress regarding the relative's transition to the nursing home, in part due to difficulties in relationships with facility staff. Similarly, studies of nursing home staff indicate that relationships with families can be a significant source of stress. Little is known, however, about the most effective ways to promote such cooperation and communication. Because of the potential benefits to families, staff, and residents, a need exists for the development and rigorous evaluation of programs that foster these goals. The proposed project will conduct a randomized, controlled intervention study of a program designed to increased cooperation and effective communication between family members of nursing home residents and staff, and to reduce interpersonal conflict. This program is the result of four years of extensive pilot-testing, conducted in cooperation with a major association of long-term care providers. The study will test whether the program leads to positive outcome for family members, staff, and residents, and will examine differences in effectiveness for various subgroups (for example., by gender, rural versus urban location). Also evaluated will be the degree to which the institutional environment affects the intervention, and whether changes in facility policies and practices resulted. The study will recruit 1200 subjects from 20 randomly selected nursing homes in New York state, and assign them to treatment and control groups. Parallel training sessions on communication and conflict resolution techniques will be conducted with families and staff ont he intervention units. A pretest interview and two post-test interviews will be conducted to measure outcomes for family, staff, and residents. In addition, facility-level data will be collected to assess the impact of the intervention on outcomes such as family complaints and staff turnover. The investigators will work closely with state and national nursing home associations and other groups to disseminate information and promote programs based on the study findings.