Accessible Hearing Care for Reduction of Disruptive Behaviors and Caregiver Burden in Dementia

无障碍听力护理可减少痴呆症患者的破坏性行为和护理人员负担

• 批准号: 10210351
• 负责人: CARRIE L NIEMAN
• 金额: $ 19.76万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-15 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10210351
• 关键词: African American; Aging; Alzheimer' s Disease; Alzheimer' s disease related dementia; Arts; Atherosclerosis Risk in Communities; Audiology; Award; Basic Science; Behavior; Behavior Therapy; Behavioral Model; Behavioral Symptoms; Caregiver Burden; Caregivers; Caring; Characteristics; Clinical; Clinical Management; Clinical assessments; Cognition; Cognitive aging; Communication; Communication impairment; Communities; Counseling; Data; Dementia; Dementia caregivers; Development; Education; Educational workshop; Elderly; Enhancement Technology; Ensure; Environment; Ethnic Origin; Faculty; Foundations; Funding; Future; Geriatrics; Gerontology; Goals; Head and Neck Surgery; Health; Healthcare; Hearing; Hearing Aids; Hearing Tests; Home; Human; Impaired cognition; Individual; Institutes; Interdisciplinary Study; Intervention; Intervention Studies; Investigation; K-Series Research Career Programs; Knowledge; Low income; Maryland; Mediator of activation protein; Medicare; Memory; Mental Depression; Mentors; Methodology; Methods; Modality; Modeling; Modification; Nature; Needs Assessment; Neurocognitive; Neuropsychology; Otolaryngology; Otology; Participant; Persons; Pilot Projects; Population; Presbycusis; Prevalence; Process; Protocols documentation; Provider; Public Health; Quality of life; Race; Randomized; Readiness; Rehabilitation therapy; Research; Risk; Role; Scientist; Socioeconomic Status; Stress; Structure; Techniques; Technology; Testing; Therapeutic; Training; United States National Institutes of Health; Universities; Visit; Vulnerable Populations; aging and technology; amplification device; base; biracial; career; clinical practice; cohort; college; cost; daily functioning; dementia care; design; experience; functional outcomes; hearing impairment; implementation barriers; improved; innovation; low socioeconomic status; medical schools; meetings; neglect; neurocognitive test; neuropsychiatric symptom; novel; open label; post intervention; preference; programs; psychosocial; recruit; responsible research conduct; skills; social; social engagement; theories; tool; treatment center; treatment group; trial design

ABSTRACT Dr. Carrie Nieman will be joining the faculty in the Department of Otolaryngology-Head & Neck Surgery at the Johns Hopkins School of Medicine, where she will dedicate her clinical practice to hearing loss and otology. She seeks this Mentored Career Development Award to fill knowledge gaps in her training in the care and study of hearing loss and communication impairments among older adults with Alzheimer’s disease and related dementias (ADRD). Her long-term goal is to establish an independent research program devoted to community-delivered hearing care for persons with dementia. The candidate proposes a comprehensive training plan that incorporates didactic coursework, hands-on experiences, active participation in seminars and workshops, and dedicated meetings and tutorials overseen by a transdisciplinary mentor team. The training plan immerses Dr. Nieman in the rich interdisciplinary research and clinical environments of the Johns Hopkins Alzheimer’s Disease Research Center, the Memory and Alzheimer’s Treatment Center, the Johns Hopkins Center on Aging and Health, as well as Gallaudet University and the Center for Research and Education on Aging and Technology Enhancement. Specific training goals include: (1) receive training in cognitive aging and the neuropsychological and clinical assessment and management of older adults with ADRD, (2) complete training in mixed methods and apply skills to the proposed study, (3) integrate a human factors approach to hearing care, (4) incorporate coursework in trial design and analysis and advanced techniques in intervention research, and (5) continue training in responsible research conduct, with emphasis on vulnerable populations. The specific aims of the proposed research are to: (1) characterize hearing loss and hearing care in a diverse cohort of community-dwelling older adults with cognitive impairment to inform the development of a comprehensive communication intervention, (2) develop, via a community-engaged approach, a theory-driven, user-centered communication intervention that integrates low-cost, over-the-counter hearing technology, and (3) assess the feasibility, acceptability, and preliminary efficacy of a home-delivered communication intervention through a randomized controlled pilot study. Study recruitment, retention, and execution will be conducted in partnership with the Johns Hopkins Alzheimer’s Disease Research Center, the local chapter of the Alzheimer’s Association, and the Maryland Institute College of Art Center for Social Design. Completion of the proposed research will establish the potential for affordable, accessible hearing care as a low-risk, low-cost approach to reduction of disruptive behaviors and caregiver burden among persons with dementia and their caregivers. At the conclusion of this award, the candidate will have obtained the skills, knowledge, and preliminary data to successfully compete for independent funding and, ultimately, inform the development of new models of hearing care that expand access to the tools necessary for communication and engagement.

抽象的 Carrie Nieman博士将加入耳鼻喉科和颈部手术系的教职员工 约翰·霍普金斯医学院（Johns Hopkins Medicine），她将在那里致力于听力丧失和耳鼻喉科。 她寻求这个指导的职业发展奖，以填补她在护理培训的知识空白和 研究老年痴呆症老年人的听力损失和沟通障碍的研究 相关痴呆症（ADRD）。她的长期目标是建立一个专门的独立研究计划 为患有痴呆症患者提供了社区的听力护理。候选人的提议是全面的 培训计划，结合了教学课程，动手经验，积极参与SEMIAR和 由跨学科导师团队监督的讲习班以及专门的会议和教程。培训 计划将尼曼博士浸入约翰·霍普金斯的丰富跨学科研究和临床环境中 阿尔茨海默氏病研究中心，记忆和阿尔茨海默氏症治疗中心，约翰·霍普金斯 老龄化和健康中心以及加洛德大学和研究与教育中心 衰老和技术增强。具体培训目标包括：（1）接受认知衰老和 ADRD老年人的神经心理学和临床评估和管理，（2）完整 混合方法的培训并将技能应用于拟议的研究，（3）整合了人为因素的方法 听力护理，（4）在试验设计和分析中将课程纳入干预中 研究和（5）继续对负责任的研究行为进行培训，重点是脆弱的人群。 拟议研究的具体目的是：（1）表征潜水员的听力损失和听力护理 有认知障碍的社区居民的队列，以告知发展 全面的交流干预措施，（2）通过社区参与的方法，一种理论驱动的方法， 以用户为中心的通信干预措施集成了低成本，非处方听力技术，并且 （3）评估家庭交流的可行性，可接受性和初步效率 通过随机对照试验研究的干预。研究招聘，保留和执行将是 与约翰·霍普金斯·阿尔茨海默氏病研究中心合作进行 阿尔茨海默氏症协会和马里兰州社会设计艺术学院。完成 拟议的研究将确定可负担得起的，可访问的听力护理作为低风险，低成本的潜力 减少痴呆症患者中的破坏性行为和照料者燃烧的方法 照顾者。在此奖项结束时，候选人将获得技能，知识和 初步数据成功竞争独立资金，并最终告知 新的听力护理模式，扩大了对沟通和参与所需的工具的访问。