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）：与痴呆症患者沟通无效是长期护理机构中的一个重大问题，会对居民的功能能力和生活质量产生负面影响。它还会影响员工的压力和负担，从而导致更高的流动率和较差的护理质量。环境是影响沟通质量的关键因素，特别是对于因痴呆症而导致沟通能力受损的人来说。设计不当的沟通环境会对许多群体产生负面影响：痴呆症患者、直接护理人员和护士、治疗师、家庭成员以及设施管理员/所有者。该沟通工具包将是唯一的综合资源，为言语病理学家 (SLP)、职业治疗师 (OT)、物理治疗师 (PT)、护理人员和管理人员提供有关如何评估和修改长期护理环境的信息，以便它支持痴呆症患者的沟通技巧并改善他们的生活质量。该 SBIR 项目的具体目标是： 1) 通过纳入住宅护理环境的其他区域（例如餐厅和活动空间）来扩展沟通工具包。 2) 根据第一阶段的结果和顾问小组的全面评估，完善和修订沟通工具包。 3) 通过衡量更多专业人士样本中认知度、实用性和影响力的积极成果，展示沟通工具包的有效性。该样本将包括与 SLP 合作实施沟通干预的其他专业人员（例如职业治疗师、物理治疗师和护士）。沟通工具包包括沟通环境资源指南和评估工具，以及声光计，用于评估环境对有效沟通的支持程度。一旦扩大并获得咨询小组批准，沟通工具包将通过两轮数据收集进行评估，至少有 90 名卫生专业人员参与。沟通工具包的有效性将通过以下变化进行评估：将通过知识的变化来评估对环境干预措施的认识；信息的效用将通过行为的改变来评估；将通过干预措施的实施来评估沟通工具包的影响；通信工具包的可用性将通过对通信工具包的评估来评估。公共卫生相关性：生活在长期护理机构中的很大一部分人会遇到沟通问题，这些问题通常源于痴呆症，这损害了他们充分参与护理和维持高质量生活的能力。尽管有确凿的经验证据表明适当的环境干预措施可以改善沟通，但对有效沟通的障碍和促进因素的评估并不是正常临床实践的一部分。该沟通工具包将通过提供可纳入功能维护计划、恢复计划、护理人员培训和直接治疗干预的解决方案来指导医疗保健专业人员，从而改善有沟通缺陷的个人的生活。