An Assistive Wardrobe to Support Dressing Independence

描述（由申请人提供）：穿衣服是一项复杂的任务，有很多步骤，从能够到达衣服存放的地方，能够到达它们，能够将它们取下/取出存储位置，在准备穿衣服时管理衣服，穿衣服和重新调整。它需要力量和耐力，并可能受到活动程度、负重状况、平衡、活动范围和视力不良的影响。许多老年人，从社区的家庭到高级公寓、住房和城市发展部的住房，再到辅助生活和养老院，都需要或至少得到帮助穿衣。在第一阶段，开发了一个辅助衣柜的原型，并对生活在一系列住房环境中的26名老年人进行了测试。该单元旨在专门解决这些居民所经历的身体和安全问题。第一阶段的结果强烈表明，原型辅助衣柜单元增加了居民获取衣物的能力，更容易和更安全（p< 0.003）。在第二阶段，辅助性衣橱单元将得到改进，以包括对认知障碍人士的支持。采用重复测量设计，采用两种干预措施（衣柜单独，以及衣柜与恢复性训练计划），评估辅助衣柜系统对45-50名具有一系列身体和认知缺陷的老年人正常日常着装的影响。有4种假设：#1，辅助衣柜系统将增强取衣的独立性和安全性；#2与使用传统衣柜相比，使用辅助衣柜系统时，居民将独立完成更多的穿衣过程；#3当使用辅助衣柜时，工作人员将花费更少的时间和更少的帮助居民取出衣服和穿衣服；4 .在居民使用衣橱参加为期六天的修复穿衣计划后，效果会更强。预期的结果对居民和设施都是积极的。功能能力的丧失，如穿衣独立，与自我价值感和幸福感的下降有关，因此保持或改善穿衣独立可能会增加自我价值感。此外，考虑到目前和预计未来的人员短缺，特别是在CNA/STNA一级，在不影响居民安全的情况下提高效率的环境假体将越来越重要。

DESCRIPTION (provided by applicant): Dressing is a complex task with many steps, ranging from being able to get to where the clothes are stored, being able to reach them, being able to get them off/out of the storage location, managing clothing in preparation for donning, donning and readjusting. It requires strength and stamina and may be impacted by degree of mobility, weight-bearing status, balance, range of motion, and poor vision. Many older adults, in settings ranging from homes in the community to senior apartments and HUD housing to assisted living and nursing homes require, or at least receive, assistance with dressing. In Phase I, a prototype assistive wardrobe unit was developed and tested with 26 elders living in a range of housing settings. The unit was designed to specifically address physical and safety concerns experienced by these residents. Results from Phase I strongly indicate that the prototype assistive wardrobe unit increased residents' ability to access their clothing, with greater ease and safety (p< .003). In Phase II, the assistive wardrobe unit will be refined to include supports for people with cognitive impairment. A repeated measure design with two interventions (wardrobe alone, and wardrobe with restorative training program) will assess the impact of the assistive wardrobe system on the normal daily dressing routine of 45-50 elders with a range of physical and cognitive deficits. There are 4 hypotheses: #1 The assistive wardrobe system will enhance independence and safety in accessing clothes; #2 Residents will complete more of the dressing process independently when using the assistive wardrobe system than when using their traditional wardrobe; #3 Staff will spend less time and provide less assistance to residents in getting their clothes out and getting dressed when using the assistive wardrobe; #4 Results will be stronger after residents participate in a six-day restorative dressing program using the wardrobe. The expected outcomes will be positive both for residents and facilities. Loss of functional abilities, such as dressing independence, is linked to decreases in self worth and well-being, therefore maintenance or improvements in dressing independence may increase sense of self-worth. Further, given the current and expected future shortages in staffing, especially at the CNA/STNA level, environmental prostheses that increase efficiency without compromising resident safety will be increasingly important.