Programming for Dementia: Maximizing Abilities

超出所提供的空间。这项为期三年的研究的目的是确定蒙台梭利为基础的活动规划是否是一种有效的干预老年痴呆症患者及其护理人员在三种类型的护理环境，包括成人日托，辅助生活设施和养老院。拟议的研究将扩大在Menorah公园老年生活中心进行的示范项目，并将其扩展到克利夫兰地区的其他设施。老年痴呆症患者的结果包括参与的频率和质量（即积极参与社会和物理环境）、心理健康指标、功能状态和生活质量。护理人员的结果将包括对护理人员负担、满意度和掌握程度的测量。在控制条件下，将基于蒙台梭利的活动规划与其他类型的新颖活动进行比较。数据将分两个阶段收集。第一阶段的结果将用于修改和改进第二阶段的干预措施。在每个阶段，每个类型的环境（成人日托，辅助生活，养老院）中的两个站点（设施）将参与研究。每种类型设置中的一个站点将是实验条件，另一个将是控制。将进行抽样，以便每个地点的25名痴呆症患者将完成研究。这将提供N = 300名参与者的总样本（每个站点25人，每个设置2个站点，3个设置，共2个研究阶段）。因此，本研究有以下具体目的：1)确定与控制条件下的其他类型活动相比，基于蒙台梭利的活动规划是否对痴呆症患者有效；2)制定培训材料和程序，使现场员工能够有效地实施该计划；3)确定环境和场地是否以及在多大程度上对结果产生差异影响；4)确定规划对护理人员的影响；5)获得可用于功效分析的效应量估计，为全面随机有效性试验做准备。网站性能 ======================================== 节结束 ===========================================

EXCEED THE SPACE PROVIDED. The purpose of this three-year study is to determine if Montessori-based activities programming is an effective intervention for older adults with dementia and their caregivers in three types of care settings, including adult day care, assisted living facilities and nursing homes. The proposed study will expand a demonstration project conducted at the Menorah Park Center for Senior Living and extend it to other facilities in the Cleveland area. Outcomes for the older adults with dementia will include frequency and quality of engagement (i.e., active involvement with the social and physical environment), measures of mental health, functional status, and quality of life. Outcomes for the staff caregivers will include measures of perceived caregiver burden, satisfaction, and mastery. Montessori-based activities programming will be compared to other types of novel activities in the control condition. Data will be gathered in two phases. Results from the first phase will be used to modify and improve the intervention for the second phase. In each phase, two sites (facilities) within each type of setting (adult day care, assisted living, nursing home) will take part in the study. One site within each type of setting will be the experimental condition and the other will be the control. Sampling will be conducted such that 25 participants with dementia in each site will finish the study. IThis will provide a total sample of N = 300 participants (25 per site X 2 sites per setting X 3 settings IX 2 phases of the study). The study, therefore, has the following specific aims: 1) to determine if Montessori-based activities programming is an effective intervention for persons with dementia, in comparison to other types of activities in the control condition; 2) to create training materials and procedures that will allow site staff to implement the program effectively; 3) to determine if and to what extent outcomes are differentially affected by settings and sites; 4) to determine effects of programming on caregiving staff; and 5) to obtain effect size estimates that can be used for power analyses to prepare for full-scale randomized effectiveness trials. PERFORMANCE SITE ========================================Section End===========================================