Online Training & Certification for Competency in Dementia Friendly Hospital Care

描述（由申请人提供）：阿尔茨海默病和相关的痴呆症（ADRD）是21世纪美国面临的紧迫的医疗挑战。在2011年的美国，每68秒就有一人被诊断为ADRD；到2050年，这一数字将是每33秒一个（阿尔茨海默病事实和数据，2010年）。ADRD是美国第三大最昂贵的疾病，尽管研究正在进行，但目前还没有办法预防与ADRD相关的发病、衰退或死亡。对于痴呆症患者及其家庭成员来说，住院治疗尤其困难，对工作人员提出了特殊的护理挑战。急性护理是复杂的，因为痴呆症的症状往往会因疾病和新环境而加剧。文献中很少有关于痴呆护理对非专业医院员工影响的研究，但对长期护理和家庭环境的研究表明，与ADRD护理相关的困难会给有偿护理人员带来压力、负担和缺乏工作满意度。在急症护理医院，护理助理和其他非专业联合卫生工作者（NA/ ahw），如饮食助理、运输员工和医疗技术人员，通常在没有专门的痴呆症护理培训的情况下与残疾人互动。长期护理方面的研究表明，痴呆症护理方面的教育和技能培训将起到一定的作用

DESCRIPTION (provided by applicant): Alzheimer's disease and related dementias (ADRD) are an urgent healthcare challenge facing 21st Century America. In the U.S. in 2011, one person received an ADRD diagnosis every 68 seconds; by 2050, that number will be one every 33 seconds (Alzheimer's Disease Facts and Figures, 2010). ADRD are the third most costly disease sets in the U.S. In spite of ongoing research efforts, at present there is no way to prevent onset, decline, or death related to ADRD. Hospitalization is especially difficult for peopl with dementia (PWD) and their family members and presents special care challenges to staff. Acute care is complicated because symptoms of dementia are often exacerbated by illness and a new environment. There are few studies in the literature of the effects of dementia care on non-professional hospital employees, but studies in long-term care and home settings suggest that the difficulties associated with ADRD care cause stress, burden, and lack of job satisfaction in paid caregivers. In the acute-care hospital setting, nursing assistants and other non-professional allied health workers (NA/AHWs) such as dietary aides, transportation employees, and medical technologists, generally interact with PWD without specialized dementia-care training. Studies in long-term care suggest that education and skill training in dementia care will result in measurable positive effects on staff, including greater knowledge, sense of competence and job satisfaction and improved productivity due to reduced illness, sick days and lateness. This Fast Track effort aims to create a video-based, interactive, online dementia-care training program for NA/AHWs working in hospitals. The completed product will consist of 12 one-hour modules that will include real-life and role- played scenarios illustrating the effects of standard and best practices in the acute-care setting and interviews with experts. The effort will be completed in conjunction with the Alzheimer's Association and researchers at NYU Langone Medical Center. Hospital staff, schools for CNA-AHWs, unions and individual trainees as well as hospitals will gain convenient, consistent, 24/7, national access (both urban and rural) to top-quality dementia training as well as an individual certification program anticipated to be accredited by the Alzheimer's Association. The Phase II Randomized Control Trial (RCT) research evaluation will include knowledge gained, job satisfaction, productivity, stress, self-esteem and understanding of communication with PWD and family members. An expert multidisciplinary national team of consultants will guide the content development and program evaluation. In addition to its strong commercial potential (applicants have commercialized 100% of their SBIR awards during the past decade), the proposed effort has the capacity to benefit NA/AHWs and the PWD for whom they care in rural as well as urban venues as diverse as community and "minute" clinics, urgent care centers, and physicians' offices, where quality dementia training resources are scarce.