E-training of Inmate Peer Caregivers for Enhancing Geriatric and End-of-life Care in Prisons - Phase II

为加强监狱老年和临终关怀而对囚犯同伴照顾者进行电子培训 - 第二阶段

基本信息

批准号：
10010022
负责人：
Susan Jayne Loeb
金额：
$ 99.7万
依托单位：
KLEIN BUENDEL, INC.
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-01 至 2022-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10010022
关键词：
Address Adult Age Budgets Caregivers Caring Computers Death Rate Discipline of Nursing E-learning Education Effectiveness Elderly Ensure Environment Focus Groups Funding Future Glean Goals Health Health Care Costs Health Status Human Resources Imprisonment Information Technology Knowledge acquisition Laws Learning Libraries Logistics Long-Term Care Mental Health Mission Modeling Modification Nature Outcome Pattern Persons Phase Population Prisoner Prisons Research Security Small Business Technology Transfer Research Standardization Stretching System Tablets Technology Testing Time Training Training Activity United States Woman aged aging in place caregiver education caregiving commercialization design end of life end of life care evidence base impression insight interest learning materials meetings men mindfulness multidisciplinary peer peer support phase 1 study phase 2 study physical conditioning preference programs prototype public health relevance research and development response scale up systematic review tool trend usability

项目摘要

There are over 1,719 United States (US) state and federal prisons with over 2.3 million prisoners. In 2017, more than 20% of sentenced prisoners were age 50 or older. The health status of older inmates is often parallel with free-living people who are far older (e.g., 10-15 years). Older prisoners disproportionately contribute to the steeply rising correctional healthcare costs and their death rate is 10 times that of younger prisoners. Corrections budgets are stretched as they strive to meet the care needs of aged and dying prisoners. Carefully selected and vetted inmates offer an abundant human resource that is poised to contribute in important ways to augment prison staff in meeting growing care needs of older and dying inmates. However, the lack of standardized, evidence-based, training that is geared toward this target audience is a current barrier to ensuring high quality inmate caregiving. In response to this need, our Phase I project E-training of Inmate Peer Caregivers for Enhancing Geriatric and End-of-Life Care in Prisons demonstrated that inmate access to technology is growing and inmates can be successful e-learners. Specifically, we learned: (1) there is a need and interest for products such as our Inmates Care computer-based learning (CBL); (2) trainings should be engaging, interactive, and contextually sensitive to the specific environment, target user, and security constraints, while at the same time being mindful of emerging trends in regard to technology use by inmates (e.g., availability of tablets for purchase and use in many states); and finally, (3) that interactive, media-rich prototype modules with high acceptability and usability could be developed. The specifications document and commercialization plan indicated it is possible to develop a full-scale Inmates Care learning system in Phase II and a Technology Niche Analyses® revealed market potential exists. The purpose of this Phase II application is to continue research and development of the Inmates Care learning system with an emphasis on developing a scalable unit for commercialization and testing scale-up in a larger number of more diverse state prisons. More specifically, the aims of this Phase II study are to: 1) Develop a full scale media-rich interactive computer-based learning system Inmates Care, that consists of six modules aimed at augmenting the highly variable face-to- face inmate caregiving programs in state prisons with standardized, evidence-based training to prepare inmates in assisting with EOL and geriatric care; and one Training Overview and Rollout module that prepares staff to use Inmates Care as a tool for inmate peer caregiver training; 2) Conduct in-person usability testing of the full-scale Inmates Care program in two rounds in state prisons to evaluate logistics, inmate and staff impressions, user interface, ease of use, and perceived barriers in order to optimize the scalable unit for broader dissemination (n=30); and 3) Test scale-up of the full-scale Inmates Care program in state prisons across the nation to evaluate knowledge acquisition outcomes, usage patterns, and commercialization opportunities (n=288).

美国有超过 1,719 所州和联邦监狱，关押着超过 230 万名囚犯，2017 年这一数字还更多。超过 20% 的被判刑囚犯年龄在 50 岁或以上。老年囚犯的健康状况往往与此类似。年龄较大（例如 10 至 15 岁）的自由生活者的贡献比例过高。惩教医疗费用急剧上升，他们的死亡率是年轻囚犯的 10 倍。由于努力满足老年和垂死囚犯的护理需求，惩教预算捉襟见肘。经过挑选和审查的囚犯提供了丰富的人力资源，有望做出重要贡献增加监狱工作人员以满足老年和垂死囚犯日益增长的护理需求。针对这一目标受众的标准化、基于证据的培训是当前确保为了满足这一需求，我们的第一阶段项目是囚犯同伴电子培训。加强监狱老年和临终关怀的看护者证明，囚犯能够获得具体来说，我们了解到：（1）有一个。对我们的 Inmates Care 计算机学习 (CBL) 等产品的需求和兴趣 (2) 培训应该；对特定环境、目标用户和安全性具有吸引力、互动性和上下文敏感性限制因素，同时注意囚犯使用技术的新趋势（例如，许多州都可以购买和使用平板电脑）；最后，(3) 交互式、媒体丰富。可以开发具有高可接受性和可用性的原型模块。商业化计划表明有可能在第二阶段开发一个全面的囚犯护理学习系统技术利基分析®揭示了存在的市场潜力该第二阶段应用的目的是。继续研究和开发囚犯护理学习系统，重点是开发可扩展的单元，用于在更多、更多样化的州立监狱中进行商业化和扩大测试规模。具体来说，第二阶段研究的目标是： 1）开发一个全面的基于计算机的富媒体交互式学习系统 Inmates Care，由六个模块组成，旨在增强高度可变的面对面交流面对州立监狱的囚犯护理计划，接受标准化、循证培训，以做好准备协助囚犯进行生命终止和老年护理；以及一个培训概述和推出模块，用于做好准备工作人员使用 Inmates Care 作为囚犯同伴照顾者培训的工具； 2) 对囚犯进行现场可用性测试；在州立监狱进行两轮全面的囚犯护理计划，以评估后勤、囚犯和工作人员印象、用户界面、易用性和感知障碍，以便优化可扩展单元更广泛的传播（n=30）；以及 3) 在州立监狱中测试扩大全面囚犯护理计划在全国范围内评估知识获取成果、使用模式和商业化机会（n=288）。