Developing a Distance Education System to Train Savvy Caregiver Program Interventionists: Extending Access and Capacity in Community-Based Delivery of Evidence-Based Interventions

开发远程教育系统来培训精明的护理人员计划干预人员：扩大以社区为基础提供循证干预措施的机会和能力

• 批准号: 9977115
• 负责人: Ken W Hepburn
• 金额: $ 50.26万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9977115
• 关键词: Address; Adopted; Adverse effects; Alzheimer' s Disease; Businesses; Caregivers; Caring; Certification; Cognitive; Collaborations; Communities; Control Groups; Coping Behavior; Dementia; Development; Disease; Distance Education; Educational Curriculum; Educational process of instructing; Effectiveness; Evidence based intervention; Family Caregiver; Family member; Feedback; Future; Geography; Goals; Grant; Guidelines; Individual; Instruction; Knowledge; Lead; Manuals; Mental Depression; Methods; Monitor; Online Systems; Outcome; Participant; Performance; Personal Satisfaction; Persons; Phase; Population; Process; Protocols documentation; Readiness; Research; Research Personnel; Site; Slide; Specialist; Surveys; System; Testing; Training; Training Programs; Waiting Lists; Work; base; caregiving; community living; cost; design; effectiveness testing; evidence base; experience; field study; formative assessment; innovation; member; multidisciplinary; procedure cost; programs; prototype; psychoeducation; public health relevance; recruit; response; satisfaction; scale up; skills; social; therapy development; volunteer

This application, submitted in response to RFA-AG-18-030, seeks support for a four-year Stage I intervention development project. We propose to develop a web-based system that uses distance education methods along with manuals and protocols to train, certify, and monitor the performance of interventionists to deliver the Savvy Caregiver program (Savvy), an evidence-based dementia family caregiver psychoeducation program.1 Savvy employs a well-established mechanism of action based in Social Cognitive theory2-5 to promote caregivers' solution-focused coping behaviors through the acquisition of appropriate knowledge, skills, and outlook and the enhancement of caregiving mastery. Well-trained Savvy interventionists who faithfully embrace the program's core principles and its curriculum and are able to adapt program terms, concepts, and even delivery processes to fit the culture and values of caregiver participants are the key to scaling Savvy up to make it widely available to the growing number of dementia family caregivers in the U.S. The proposed system will replace the need for costly – and scarce – in-person interventionist training, and enable organizations – large or small; community-based or statewide – to offer Savvy to their ever more diverse constituents. The system will provide guidelines and materials for administering Savvy, a program to train and certify staff or volunteer interventionists to lead and locally tailor Savvy, and a process by which to monitor the fidelity of interventionists' performance. The training program will prepare interventionists in the core principles and teaching and coaching strategies of Savvy and also prepare them to collaborate with their sponsoring organization and participating caregivers in adapting the terms and concepts of Savvy in ways that are sensitive to and appropriate for the local values and culture of the community. An investigative team of caregiver specialists, educators, and cultural adaptation specialists, supported by a diverse panel of experienced advisors, will undertake a three-phase project, the goal of which is to establish the readiness of the system for a future Stage III or IV trial that can lead the way to broader use and dissemination of Savvy. Using processes employed in prior work that entail iterative development, review, refinement, re-review, and finalization, we will, in Aim 1, develop a prototype web-based system for Savvy interventionist training and certification and an accompanying performance fidelity monitoring process. In Aim 2, we will conduct a formative evaluation of the prototype web-based system. Once the system is deemed ready, we will, in Aim 3, conduct a field test of the system implemented in six culturally and/or organizationally diverse sponsoring agencies. The Aim 3 test will principally assess the effectiveness of the system in training interventionists who maintain fidelity to Savvy core principles but it will also assess the preliminary efficacy of programs led by system-trained interventionists in producing anticipated outcomes in caregiver participants – reduced depression and burden and enhanced caregiving mastery.

本申请是针对 RFA-AG-18-030 提交的，寻求对为期四年的第一阶段干预的支持 我们建议开发一个基于网络的系统，该系统使用远程教育方法。 通过手册和协议来培训、认证和监控干预人员的表现，以提供 Savvy Caregiver 计划 (Savvy)，一项基于证据的痴呆症家庭护理人员心理教育计划。1 Savvy 采用基于社会认知理论2-5 的完善的行动机制来促进 护理人员通过获取适当的知识、技能和方法来采取以解决方案为中心的应对行为 训练有素的精明干预主义者忠实地拥抱护理。 该计划的核心原则及其课程，并且能够适应计划术语、概念，甚至 适应护理人员参与者的文化和价值观的交付流程是扩大 Savvy 规模的关键 使其广泛适用于美国越来越多的痴呆症家庭护理人员 拟议的系统 将取代昂贵且稀缺的现场干预培训的需要，并使组织能够 大型或小型；基于社区或司法——为日益多样化的选民提供精明的服务。 系统将提供管理 Savvy 的指南和材料，Savvy 是一项培训和认证员工的计划，或 志愿者干预主义者领导并在当地定制 Savvy，以及监控忠诚度的流程 培训计划将为干预人员提供核心原则和培训。 Savvy 的教学和辅导策略，并帮助他们做好与赞助商合作的准备 组织和参与护理人员以以下方式调整 Savvy 的术语和概念： 敏感并适合当地社区的价值观和文化的调查团队。 护理专家、教育工作者和文化适应专家，并得到多元化专家小组的支持 经验丰富的顾问将开展一个三阶段项目，其目标是建立 该系统用于未来的 III 期或 IV 期试验，可以为 Savvy 的更广泛使用和传播铺平道路。 使用先前工作中采用的流程，需要迭代开发、审查、细化、重新审查和 最终确定后，我们将在目标 1 中开发一个基于网络的原型系统，用于精明的干预培训和 在目标 2 中，我们将进行认证和随附的性能保真度监控流程。 一旦系统被认为准备就绪，我们将在目标 3 中对基于网络的系统原型进行形成性评估。 对在六个文化和/或组织不同的赞助商中实施的系统进行现场测试 Aim 3 测试将主要评估该系统在培训干预人员方面的有效性。 保持对精明核心原则的忠诚，但它还将评估由 经过系统培训的干预人员在护理人员参与者中产生预期结果 – 减少 抑郁和负担以及增强的护理掌握能力。