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

基本信息

批准号：
10167461
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
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-15 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10167461
关键词：
Activities of Daily Living Address Administrative Supplement Adult Affect Age Aggressive behavior Aging Alzheimer&apos s Disease Anxiety Area Arts Assisted Living Facilities Behavior Behavior Disorders Behavior Therapy Behavioral COVID-19 Caregivers Caring Characteristics Cluster randomized trial Cognition Cognitive Data Dementia Discipline of Nursing Disease Distress Doctor of Philosophy Elder Abuse Elderly Engineering Event Family Feeling Fright Future Geriatrics Gerontology Goals Grant Impaired cognition Individual Injury Intervention Intervention Studies Living Arrangement Loneliness Long-Term Care Measurement Mediating Medicine Mental Depression Mental Health Minority Mood Disorders Movement Music New York Nursing Homes Obesity Outcome Parents Personal Satisfaction Physical Function Population Positioning Attribute Professional Role Psychology Quality of Care Quality of life Randomized Reporting Respondent Risk Role Safety Services Smoking Social Distance Social isolation Stress Technology Time Training Treatment Effectiveness United States National Academy of Sciences Vulnerable Populations Work adverse outcome behavioral health behavioral study burnout comorbidity compare effectiveness coronavirus disease dementia care experience improved innovation interest mild cognitive impairment mortality risk multidisciplinary pandemic disease parent project physical conditioning physical inactivity prevent psychologic rapid growth recruit residence response satisfaction social social engagement social relationships staff intervention statistics treatment as usual trend

项目摘要

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.总结/摘要拟议对居民对居民虐待老年人 (R-REM) 补助金进行行政补充辅助生活中的痴呆症护理干预措施拟议的补充解决了与新冠病毒相关的行为问题。通过添加 Covid 经历来获得横向 (n=400) 和纵向 (n=200) 的社会结果母研究是一项评估创新的整群随机试验。工作人员对辅助生活住宅 (ALR) 的干预，并实现比较有效性的目标治疗阿尔茨海默病及相关疾病患者行为障碍的治疗方法（ADRD）。拟议的补充解决了评估社交距离要求的目标。影响 ALR 中弱势老年人的护理和福祉，包括患有轻度认知障碍的个人前线工作人员非常适合为干预研究提供信息并充当推动最佳实践的有意义的合作者，包括旨在保持居民参与的最佳实践，例如通过技术干预来加强与音乐、艺术和社会参与的联系拟议的研究旨在解决以下具体目标：目标 1 (A1)。描述与新冠病毒相关的恐惧、孤独、参与缓解隔离的经历。技术、护理满意度和环境质量。主要目标 (A2)。横向和纵向研究新冠病毒相关的多变量影响。居民的经历（社会孤立、孤独、恐惧、压力）对焦虑、抑郁和抑郁结果的影响行为，控制个人特征，如认知、共病和身体机能。假设：与新冠病毒相关的经历将独特地导致这些影响；通过技术和其他干预措施来缓解（介导）以减少孤立和孤独感。目标 3 (A3) 评估冠状病毒相关经历对哮喘住院医师的影响。行为攻击、员工压力、负担、倦怠以及积极的护理人员体验。由于辅助生活和其他此类环境中的 COVID-19 社交距离限制而导致的社交隔离可能会增加不良行为、认知、心理和健康结果的风险。减少干预并检查其在改善不良后果方面的潜在中介作用是重要，并且对未来此类灾难性事件具有影响，结果可能适用于过去。 120 万 ALR 居民，其中许多人有显着的护理需求和痴呆相关行为。拟议的项目是制定改善和干预措施的重要一步防止 ALR 中的社会孤立。此类干预措施有可能提高护理质量，增强护理质量。居民安全和生活质量，并减少与社会孤立相关的行为障碍，未来的危机以及当前的大流行期间。