Improving Affect & Behavior in Assisted Living Residents

描述（由申请人提供）：本提案制定了一项多地点有效性试验方案，用于减少老年痴呆症辅助生活（AL）居民的情感和行为障碍。人工智能正迅速成为长期护理老年痴呆症患者最常用的方法之一。这些居民中有一半以上患有精神错乱，而且相当多的人有情感和行为问题，妨碍了他们的护理和生活质量。尽管如此，没有经验验证的治疗方法来教直接护理人员如何照顾这些居民已经在多站点有效性试验中进行评估。有一个巨大的公共卫生需要这样的试验，以减少阿尔茨海默病患者经历的情感和行为障碍。

DESCRIPTION (provided by applicant): This proposal develops a protocol for a multi-site effectiveness trial on a treatment to reduce affective and behavioral disturbance in Assisted-living (AL) residents with dementia. AL is rapidly becoming one of the most common methods of caring for demented older adults in long-term care. Over half of these residents are demented, and a significant number have affective and behavioral problems impeding their care and quality of life. Despite this, no empirically validated treatments to teach direct care staff how to care for these residents have been evaluated in a multi-site effectiveness trial. There is a tremendous public health need for such a trial to decrease the affective and behavioral disturbance experienced by AL residents with dementia. This study will develop a comprehensive standardized protocol to conduct and evaluate an intervention for AL staff to reduce the affective and behavioral problems of residents with dementia. This protocol will include: (1) a standardized procedure for conducting the treatment (including treatment manual and all materials necessary for treatment delivery); (2) methods for evaluating treatment fidelity, including assessment of treatment delivery, receipt, and enactment; (3) standardized measures of resident and staff outcomes, and (4) implementation procedures for web-based data collection and entry. This proposal will accomplish its goals in 3 phases. First, sites in three different states will collaborate to standardize the protocol to insure that it can be conducted systematically and reliably across sites. Second, a feasibility trial will be conducted to test the protocol. Across the three sites, 9 AL residences (each with 7-9 staff and 8-10 residents) will receive the intervention - two in-house workshops, four on-site consultations with direct care staff and two licensed staff sessions - and be assessed at baseline and post training. Treatment fidelity measures and resident and staff outcomes will be obtained at each residence. Resident outcomes will include depression, anxiety, behavioral problems and quality of life; staff outcomes will include job satisfaction, reaction to resident problems, skill, and turnover. Finally, the results of this trial will be used to develop a multi-site effectiveness trial on treatment to reduce affective and behavioral disturbance in AL residents with dementia.