Resident-to-Resident Elder Mistreatment Intervention for Dementia Care in Assisted Living

辅助生活中痴呆症护理中居民对居民虐待老人的干预措施

• 批准号: 10448041
• 负责人: MARK STEVEN LACHS
• 金额: $ 15.49万
• 依托单位: HEBREW HOME FOR THE AGED AT RIVERDALE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-15 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10448041
• 关键词: Accidents; Activities of Daily Living; Address; Affective; Aggressive behavior; Aging; Alzheimer' s Disease; Alzheimer' s disease related dementia; Area; Assisted Living Facilities; Awareness; Behavior; Behavior Disorders; Behavioral; Caring; Characteristics; Cluster randomized trial; Data; Data Reporting; Dementia; Discipline of Nursing; Disease; Distress; Doctor of Philosophy; Educational Intervention; Elder Abuse; Elderly; Experimental Designs; Focus Groups; Frequencies; Geriatrics; Gerontology; Goals; Impaired cognition; Individual; Injury; Intervention; Interview; Knowledge; Living Arrangement; Long-Term Care; Measurement; Measures; Mediating; Methodology; Minority; Movement; Nursing Homes; Outcome; Personal Satisfaction; Persons; Positioning Attribute; Prevalence Study; Problem behavior; Process; Professional Role; Public Health; Publishing; Quality of Care; Quality of life; Randomized; Reporting; Research; Risk; Role; Safety; Services; Source; Support System; Testing; Time; Training; Treatment Effectiveness; Vulnerable Populations; care systems; case finding; community setting; comorbidity; compare effectiveness; comparison group; dementia care; falls; group intervention; improved; informant; innovation; intervention program; multidisciplinary; pragmatic trial; prevent; prospective; psychologic; psychological distress; rapid growth; residence; response; social; staff intervention; statistics; treatment as usual; trend

7. Summary/ Abstract Proposed is an administrative supplement to the grant, Resident-to-Resident Elder Mistreatment (R-REM) Intervention for Dementia Care in Assisted Living. The proposed supplement address Covid-related behavioral and social outcomes both cross-sectionally (n=400) and longitudinally (n=200) by adding a Covid experiences module to an ongoing assessment. The parent study is a cluster randomized trial to evaluate an innovative staff intervention in assisted living residences (ALRs), and addresses the goal of comparing the effectiveness of treatments in managing behavioral disorders in people with Alzheimer’s disease and related disorders (ADRD). The proposed supplement addresses the goal of evaluating how social distancing requirements affect the care and well-being of vulnerable older adults in ALRs, including individuals with mild cognitive impairment and ADRD. Front line staff is ideally suited to inform intervention research and to serve as meaningful collaborators in promoting best practices, including those aimed at keeping residents engaged, such as technological interventions to enhance connections with music, art and social engagement with families. The proposed study addresses the following specific aims: Aim 1 (A1). Describe Covid-related experiences of fear, loneliness, engagement in isolation-mitigating technologies, care satisfaction, and environmental quality. Primary Aim (A2). Examine cross-sectionally and longitudinally the multivariate effects of Covid-related experiences (social isolation, loneliness, fear, stress) of residents on the outcomes of anxiety, depression and behavior, controlling for personal characteristics such as cognition, co-morbidity and physical function. Hypothesis: Covid-related experiences will contribute uniquely to negative outcomes; these effects will be mitigated (mediated) by technological and other interventions to reduce isolation and loneliness. Aim 3 (A3). Evaluate the impact on staff of Covid-related experiences in terms of heightened resident behavioral aggression, staff stress, burden, burnout as well as positive caregiver experiences. Social isolation due to COVID-19 social distancing restrictions in assisted living and other such settings may increase the risk of poor behavioral, cognitive, psychological and health outcomes. Identifying isolation- reducing interventions and examining their potential mediating role in ameliorating adverse outcomes is important, and has implications for future such catastrophic events. The results are likely applicable to the over 1.2 million residents of ALRs, many of whom have significant care needs and dementia-related behaviors. The proposed project is an important step in developing approaches and interventions for ameliorating and preventing social isolation in ALRs. Such interventions have the potential to improve quality of care, enhance resident safety and quality-of-life and reduce behavioral disorder associated with social isolation in general, in future crises, as well as during the current pandemic.

7。摘要/摘要 拟议的是赠款，居民对老年人虐待（R-REM）的行政补充 辅助生活中的痴呆症护理干预。提议的补充地址共同相关的行为 通过添加互联体验，以及横截面（n = 400）和纵向（n = 200）的社会成果 进行持续评估的模块。家长研究是一项群集随机试验，以评估创新性 员工干预辅助居民（ALRS），并解决了比较有效性的目标 治疗阿尔茨海默氏病和相关疾病患者的行为障碍的治疗方法 （ADRD）。拟议的补充旨在评估社会疏远要求的目标 影响ALR中脆弱的老年人的护理和福祉，包括轻度认知的人 障碍和adrd。一线人员非常适合为干预研究提供信息，并有助于 有意义的合作者促进最佳实践，包括旨在保持居民参与的最佳实践， 例如技术干预措施，以加强与音乐，艺术和社交参与的联系 家庭。拟议的研究解决了以下具体目的： 目标1（A1）。描述恐惧，孤独，参与孤立的恐惧的经历 技术，护理满意度和环境质量。 主要目的（A2）。在横截面和纵向上检查相关相关的多元效应 居民在焦虑，抑郁和抑郁和 行为，控制个人特征，例如认知，合并症和身体机能。 假设：与共同相关的经验将对负面结果唯一贡献；这些效果将会 通过技术和其他干预措施来减轻（介导）以减少孤立和孤独感。 目标3（A3）。根据居民的增长，评估与共同相关经历的员工的影响 行为积极进取，员工压力，伯恩，倦怠以及积极的照顾者经历。 社会隔离是由于Covid-19造成的社会距离限制在辅助生活和其他此类环境中 可能会增加行为不良，认知，心理和健康结果的风险。识别隔离 - 减少干预措施并检查其在改善广告结果中的潜在中介作用是 重要的是，并对未来的这种灾难性事件具有影响。结果可能适用于Over ALR的120万居民，其中许多人有很大的护理需求和与痴呆有关的行为。 拟议项目是开发方法和干预措施的重要步骤，以改善和 防止ALR中的社会隔离。这种干预措施有可能提高护理质量，增强 居民安全和生活质量，并减少与一般社会隔离相关的行为障碍， 未来的危机以及当前大流行期间。