Assessment Protocol to Identify Environmental Barriers to Communication

识别通信环境障碍的评估协议

基本信息

批准号：
8270899
负责人：
MARGARET P CALKINS
金额：
$ 9.51万
依托单位：
IDEAS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-12-01 至 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8270899
关键词：
Activities of Daily Living Address Administrator Adult Affect Aggressive behavior Aging Agitation Agreement Alzheimer&apos s Disease Area Awareness Bathing Behavior Care given by nurses Caregiver Burden Caregivers Caring Classification Communication Communication impairment Comprehension Consult Consultations Data Collection Dementia Dependence Development Diagnostic Distress Doctor of Philosophy Eating Education Effectiveness Elderly Eligibility Determination Environment Environmental Risk Factor Evaluation Family Family Caregiver Family member Frustration Future Goals Health Health Occupations Health Personnel Health Professional Healthcare Individual Insurance Intention International Intervention Journals Knowledge Language Language Disorders Lead Life Light Link Long-Term Care Long-Term Care Nursing Maintenance Marketing Measures Mission Modeling Nurses Nursing Homes Nursing Staff Occupational Therapist Outcome Participant Pathologist Pattern Peer Review Performance Phase Physical environment Play Pre-Post Tests Protocols documentation Provider Published Comment Publishing Qualitative Evaluations Quality of Care Quality of life Reading Reporting Research Resources Review Literature Role Sampling Self Care Self Efficacy Services Small Business Innovation Research Grant Societies Solid Solutions Source Specialist Speech Sterile coverings Stress Structure Testing Therapeutic Time Training Visit Work World Health Organization base beneficiary caregiver education clinical practice commercialization contextual factors design disability environmental intervention experience improved innovation instrument meetings meter profession allied to medicine resource guides satisfaction skills social sound stem symposium technological innovation tool treatment planning usability web site

项目摘要

DESCRIPTION (provided by applicant): Ineffectual communication with people with dementia is a significant problem in long-term care settings that negatively impacts residents' functional abilities and quality of life. It also influences staff stress and burden which can result in higher turnover and poorer quality care. The environment is a key factor affecting the quality of communication, especially for individuals with impaired communication skills as a result of dementia. A poorly designed communication environment has negative consequences for many groups: residents with dementia, direct care staff and nurses, therapists, family members, and facility administrators/owners. The Communication Toolkit will be the only comprehensive resource that provides information to speech-language pathologists (SLPs), occupational therapists (OTs), physical therapist (PTs), nursing staff, and administration about how to assess and modify the long term care environment so that it is supports the communication skills of people with dementia and improves their quality of life. The specific aims of this SBIR project are: 1) To expand the Communication Toolkit by incorporating additional areas of the residential care environment such as the dining room and activity spaces. 2) To refine and revise the Communication Toolkit per results of Phase I and thorough evaluation by the Advisory Panel. 3) To demonstrate the effectiveness of the Communication Toolkit by measuring positive outcomes in awareness, utility and impact in a larger sample of professionals. This sample will include other professions who work with SLPs to implement communication interventions (e.g. occupational therapists, physical therapists, and nurses). The Communication Toolkit includes the Communication Environment Resource Guide and Assessment Instrument, along with sound and light meters to assess how well the environment supports effective communication. Once expanded and approved by the Advisory Panel, the Communication Toolkit will be evaluated in two waves of data collection, with at least 90 health professionals. The efficacy of the Communication Toolkit will be assessed through the following changes: Awareness of environmental interventions will be assessed by change in knowledge; Utility of information will be assessed by change in behavior; Impact of the Communication Toolkit will be assessed by implementation of interventions; Usability of the Communication Toolkit will be assessed by evaluation of the Communication Toolkit. PUBLIC HEALTH RELEVANCE: Significant proportions of individuals living in long-term care settings experience communication problems, often stemming from dementia, which impairs their ability participate fully in their care and maintain a high quality of life. Although there is solid empirical evidence that appropriate environmental interventions can improve communication, assessment of barriers and facilitators to effective communication is not part of normal clinical practice. The Communication Toolkit will guide health care professions by providing solutions that can be incorporated into functional maintenance plans, restorative plans, caregiver training, and direct treatment interventions, improving the lives of individuals with communication deficits.

描述（由申请人提供）：在长期护理环境中，与痴呆症患者的无效交流是一个重大问题，对居民的功能能力和生活质量产生负面影响。它还影响员工的压力和负担，这可能导致更高的营业额和质量较差的护理。环境是影响沟通质量的关键因素，尤其是对于痴呆症患者沟通技巧受损的人。设计较差的沟通环境对许多群体产生负面影响：痴呆症，直接护理人员和护士，治疗师，家庭成员和设施管理员/所有者的居民。沟通工具包将是唯一向语音语言病理学家（SLP），职业治疗师（OTS），物理治疗师（PTS），护理人员以及管理如何评估和修改长期护理环境的政府的唯一综合资源，以支持痴呆症的人的沟通能力并改善生活质量。该SBIR项目的具体目的是：1）通过合并住宅护理环境（例如餐厅和活动空间）来扩展通信工具包。 2）根据第一阶段的结果来完善和修改通信工具包，并由咨询小组进行彻底评估。 3）通过在更大的专业人员样本中衡量意识，实用性和影响方面的积极成果来证明交流工具包的有效性。该样本将包括与SLP合作实施交流干预措施（例如职业治疗师，物理治疗师和护士）的其他职业。通信工具包包括《通信环境资源指南》和评估工具，以及声音和轻度仪表，以评估环境对有效沟通的支持程度。一旦通过咨询小组扩展和批准，通信工具包将与至少90名卫生专业人员进行两次数据收集评估。通信工具包的功效将通过以下更改进行评估：环境干预措施的认识将通过知识变化评估；信息实用性将通过行为变化来评估；通信工具包的影响将通过实施干预来评估；通信工具包的可用性将通过评估通信工具包进行评估。公共卫生相关性：生活在长期护理环境中的个人的大量比例经历了沟通问题，通常是由于痴呆症而造成的，这会损害他们的能力，从而充分参与他们的护理并保持高质量的生活。尽管有坚实的经验证据表明，适当的环境干预可以改善沟通，但对有效沟通的障碍和促进者的评估并不是正常临床实践的一部分。沟通工具包将通过提供可以将解决方案纳入功能维护计划，恢复性计划，看护人培训和直接治疗干预措施，改善沟通不足个人的生活，来指导医疗保健专业。