Computer-based Learning to Enhance ADRD Care in Prison: Just Care for Dementia

基于计算机的学习可增强监狱中 ADRD 护理：只关注痴呆症

• 批准号: 10483628
• 负责人: Susan Jayne Loeb
• 金额: $ 30万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10483628
• 关键词: Address; Age; Aging; Alzheimer' s disease related dementia; Alzheimer' s disease risk; Awareness; Businesses; Caregivers; Caring; Characteristics; Chronic Disease; Collaborations; Computers; Dementia; Development; Discrimination; Disease; E-learning; Education; Educational Technology; Effectiveness; Elderly; Ensure; Environment; Ethics; Ethnic Origin; Face; Focus Groups; Funding; General Population; Health; Healthcare; Home; Human Resources; Imprisonment; Incidence; Individual; Intervention; Knowledge; Laws; Learning; Learning Module; Life; Mental Health; Minority Groups; Mission; Morbidity - disease rate; National Institute on Aging; Paper; Persons; Phase; Preparation; Prevalence; Prisons; Race; Research; Role; Services; Small Business Technology Transfer Research; Social Security; Standardization; System; Technology; Testing; Training; Training Activity; Training Programs; Traumatic Brain Injury; United States; Woman; age related; aged; aging demographic; base; burden of illness; caregiving; commercialization; community living; dementia care; dementia risk; design; end of life care; ethnic minority; evidence base; experience; health disparity; high risk; innovative technologies; interest; learning materials; legal implication; low socioeconomic status; meetings; men; multidisciplinary; peer; prison population; programs; prototype; racial minority; research and development; response; scale up; skills; social; usability

Project Summary/Abstract U.S. prison systems face sharply increased demands in caring for older people living in prisons. Alzheimer's Disease and related dementias (ADRD) are age-related diseases. Prison populations are over- represented by minority populations who experience disparities in prevalence and incidence of dementia. Prison health, social, and security staff perceive they lack the skills and knowledge essential for identifying dementia and supporting people who are incarcerated and living with ADRDs. This unmet need may be due to a lack of standardized, feasible, and acceptable ADRD education programs that are tailored specifically for those managing and caring for people in the restrictive environment of prisons. Some prisons engage carefully vetted incarcerated people to be peer caregivers, assisting staff with care for people with ADRD. Training programs in prisons are often home grown and lack consistency, which points to a need for evidence based, current, and readily accessible training for both prison staff and peer caregivers that is focused on care of people who are living with ADRD in prison. In response to this need, this Phase I STTR project, titled Computer-based Learning to Enhance ADRD Care in Prison: Just Care for Dementia, will demonstrate the scientific merit and feasibility of developing media rich learning modules to train both multidisciplinary prison staff and peer caregivers on topics related to ADRD care. The specific aims of the project are to: (1) transform best practices in ADRD care into media-rich, highly interactive, computer-based educational module prototypes to prepare corrections staff and peer caregivers to meet the growing care needs of people who are incarcerated and living with ADRD; and (2) conduct in-person usability testing of the learning module prototypes with corrections staff and peer caregivers to evaluate the user interface, ease of use, and perceived barriers in order to refine the product and optimize implementation in prison settings. In collaboration with an advisory board comprised of people with expertise in prison healthcare, training and technology, dementia in prisons, and experience with previous incarceration, we will plan and develop discussion guides and then conduct focus groups with two groups of prison stakeholders: interdisciplinary corrections staff and inmates who serve as peer caregivers at a men's and a women's prison. Focus groups will permit us to ensure that design and technology plans match what is allowable for training in prison settings and will isolate essential ADRD content for development of the comprehensive training program. Finally, we will create and evaluate prototypes of media rich, interactive computer-based learning modules for corrections staff and peer caregivers. At the end of Phase I, we will have: a specifications document for the design of modules that at once fits with the technology available in corrections settings; is permissible to be used by people who are incarcerated; represents the critical learning needs of corrections staff and peer caregivers for providing ADRD care; and further develop our collaborative relationships in preparation for commercialization of the product.

项目概要/摘要 美国监狱系统在照顾监狱中的老年人方面面临着急剧增加的需求。阿尔茨海默氏症 疾病及相关痴呆（ADRD）是与年龄相关的疾病。监狱人口比例过高 痴呆症患病率和发病率存在差异的少数群体。监狱卫生、社会、 安保人员认为他们缺乏识别痴呆症和支持痴呆症所必需的技能和知识 被监禁并患有 ADRD 的人。这种未满足的需求可能是由于缺乏标准化、 专为管理和护理人员量身定制的可行且可接受的 ADRD 教育计划 对于在监狱的限制性环境中的人们。一些监狱关押经过仔细审查的囚犯 成为同伴照顾者，协助工作人员照顾 ADRD 患者。监狱中的培训项目通常是 本土发展且缺乏一致性，这表明需要基于证据的、最新的且易于获取的 为监狱工作人员和同伴看护者提供培训，重点是照顾患有 ADRD 的人 监狱。为了满足这一需求，第一阶段 STTR 项目名为“基于计算机的学习以增强 ADRD” 监狱护理：关爱痴呆症，将展示开发媒体的科学价值和可行性 丰富的学习模块，可针对 ADRD 相关主题对多学科监狱工作人员和同伴看护人员进行培训 关心。该项目的具体目标是：(1) 将 ADRD 护理的最佳实践转变为媒体丰富、高度 基于计算机的交互式教育模块原型，帮助惩教人员和同伴看护者做好准备 满足被监禁者和 ADRD 患者日益增长的护理需求； (2) 亲自进行 与惩教人员和同伴看护者一起对学习模块原型进行可用性测试，以评估 用户界面、易用性和感知障碍，以便改进产品并优化实施 监狱设置。与由监狱医疗保健专业人士组成的咨询委员会合作， 培训和技术、监狱中的痴呆症以及之前的监禁经验，我们将计划和 制定讨论指南，然后与两组监狱利益相关者进行焦点小组讨论： 跨学科惩教人员和在男子和女子监狱担任同伴看护的囚犯。 焦点小组将使我们能够确保设计和技术计划符合培训所允许的内容 监狱环境，并将隔离重要的 ADRD 内容，以制定综合培训计划。 最后，我们将创建并评估基于媒体的交互式计算机学习模块的原型 惩教人员和同伴看护者。在第一阶段结束时，我们将拥有： 一份规范文件 模块的设计应立即适应惩戒环境中可用的技术；是允许的 被监禁的人使用；代表惩教人员和同侪的关键学习需求 提供 ADRD 护理的护理人员；并进一步发展我们的合作关系，为 产品的商业化。