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

基本信息

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
项目类别：
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&apos s Disease Alzheimer&apos 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

项目摘要

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 博士将加入耳鼻喉头颈外科系任教约翰霍普金斯大学医学院，她将在那里致力于听力损失和耳科的临床实践。她寻求获得指导职业发展奖，以填补她在护理和培训方面的知识空白。患有阿尔茨海默病的老年人听力损失和沟通障碍的研究她的长期目标是建立一个专门针对痴呆症的独立研究计划。候选人建议为痴呆症患者提供全面的社区听力护理。培训计划，包括教学课程、实践经验、积极参与研讨会和由跨学科导师团队监督的研讨会、专门会议和教程。计划让尼曼博士沉浸在约翰·霍普金斯大学丰富的跨学科研究和临床环境中约翰·霍普金斯大学阿尔茨海默病研究中心、记忆与阿尔茨海默病治疗中心老龄化与健康中心、加劳德大学和研究与教育中心老龄化和技术增强的具体培训目标包括：（1）接受认知老龄化和技术增强方面的培训。对患有 ADRD 的老年人进行神经心理学和临床评估及管理，(2) 完成混合方法培训并将技能应用于拟议的研究，(3) 整合人为因素方法听力保健，(4) 将试验设计和分析课程以及先进的干预技术纳入其中研究，(5) 继续开展负责任的研究行为培训，重点关注弱势群体。拟议研究的具体目标是：（1）以不同的方式描述听力损失和听力护理的特征居住在社区的患有认知障碍的老年人群体，旨在为认知障碍的发展提供信息全面的沟通干预，(2) 通过社区参与的方法开发一种理论驱动的、以用户为中心的沟通干预，集成了低成本、非处方听力技术，以及 (3) 评估上门沟通的可行性、可接受性和初步效果将通过随机对照试点研究进行干预。与约翰霍普金斯大学阿尔茨海默病研究中心（该中心的当地分会）合作进行阿尔茨海默病协会和马里兰艺术学院社会设计中心完成。拟议的研究将确定负担得起的、可获得的听力保健作为一种低风险、低成本的潜力减少痴呆症患者及其家属的破坏性行为和照顾者负担的方法获得该奖项后，候选人将获得技能、知识和技能。成功竞争独立资金并最终为开发提供信息的初步数据新的听力保健模式，扩大了沟通和参与所需工具的使用范围。