ASSESSMENT PROTOCOL TO IDENTIFY ENVIRONMENTAL BARRIERS TO COMMUNICATION

识别通信环境障碍的评估方案

基本信息

批准号：
7386154
负责人：
MARGARET P CALKINS
金额：
$ 10万
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 2008-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7386154
关键词：
Address Affect Aggressive behavior Agitation Area Bathing Behavior Caring Classification Client Clinical Communication Communication impairment Dementia Dependence Development Eating Effectiveness Ensure Environment Evaluation Goals Health Impairment Individual International Intervention Knowledge Language Life Link Long-Term Care Manuals Marketing Measurement Modeling Modification Numbers Pathologist Performance Phase Physical environment Play Pre-Post Tests Protocols documentation Provider Purpose Quality of life Recommendation Resources Role Sampling Self Care Small Business Funding Mechanisms Small Business Innovation Research Grant Speech Speech Pathologist Speech-Language Pathology Sterile coverings Structure Testing Therapeutic Training World Health Organization base behavior change commercialization contextual factors disability environmental intervention improved innovation size success tool

项目摘要

DESCRIPTION (provided by applicant): Dementia affects both expressive and receptive language abilities. As a result, communication is a major problem in many long term care facilities, contributing to increased dependence in a variety of self care activities. Recent studies suggest that contextual factors play an important role in communication performance and in providing effective care for individuals with communication disorders. Although the SLP scope of practice promotes improved quality of life by reducing environmental barriers to communication, environmental assessment and intervention are not part of routine clinical practice. Not surprisingly, therefore, no physical environment assessment tools or resources exist specifically to determine environmental barriers and facilitators to communication in residential care environments. The goals of this SBIR project are: 1) To develop a new and innovative Communication Toolkit-Environmental Interventions for Dementia that will enable speech-language pathologists (SLPs) to identify environmental barriers and facilitators and recommend effective environmental interventions to improve communication of individuals with dementia in long-term care settings; 2) To demonstrate the effectiveness of the toolkit; and 3) To develop a marketing plan to ensure the success of Phase III. The toolkit will include: 1) a training module with video, 2) an assessment protocol, 3) measurement tools, and 4) user manual. The first 3 months of the Phase I will be spent developing the Communication Toolkit for bedroom/ bathroom spaces and having it reviewed by the Advisory panel. The remaining 3 months will focus on evaluating the Communication Toolkit in several ways. First, a sample of 30 SLPs will complete the Training Module, and knowledge gain will be assessed through the administration of pre and post tests. Second, a smaller subset of SLPs will be trained to use the Assessment Protocol, and changes in their behavior (i.e., the number of environmental interventions they recommend in their care plans) will be assessed. Phase II will extend the scope of the Communication Toolkit to include other areas of long-term care facilities. Three basic activities are planned for Phase II. Together, the four components of the Communication Toolkit-Environmental Interventions for Dementia will significantly expand the capacity of SLPs to reduce environmental barriers to communication with care recipients.

描述（由申请人提供）：痴呆症会影响语言表达能力和接受能力。因此，沟通是许多长期护理机构的一个主要问题，导致人们对各种自我护理活动的依赖性增加。最近的研究表明，情境因素在沟通表现以及为患有沟通障碍的个人提供有效护理方面发挥着重要作用。尽管 SLP 的实践范围通过减少沟通的环境障碍来促进生活质量的提高，但环境评估和干预并不是常规临床实践的一部分。因此，毫不奇怪，没有专门用于确定寄宿护理环境中沟通的环境障碍和促进因素的物理环境评估工具或资源。该 SBIR 项目的目标是： 1) 开发一种新的创新沟通工具包——痴呆症环境干预措施，使言语病理学家 (SLP) 能够识别环境障碍和促进因素，并推荐有效的环境干预措施，以改善痴呆症患者的沟通。长期护理机构中的痴呆症； 2）证明工具包的有效性； 3) 制定营销计划以确保第三阶段的成功。该工具包将包括：1) 带视频的培训模块，2) 评估协议，3) 测量工具，以及 4) 用户手册。第一阶段的前 3 个月将用于开发卧室/浴室空间的沟通工具包，并由顾问小组进行审查。剩下的 3 个月将重点以多种方式评估沟通工具包。首先，30 个 SLP 样本将完成培训模块，并通过前后测试的管理来评估知识获取。其次，一小部分 SLP 将接受使用评估协议的培训，并将评估他们行为的变化（即他们在护理计划中建议的环境干预措施的数量）。第二阶段将扩大沟通工具包的范围，以包括长期护理机构的其他领域。第二阶段计划开展三项基本活动。沟通工具包（痴呆症环境干预措施）的四个组成部分将共同显着扩大 SLP 的能力，以减少与护理对象沟通的环境障碍。