Adapting and Testing the Care Partner Hospital Assessment Tool (CHAT) for Use in Dementia Care

调整和测试护理合作伙伴医院评估工具 (CHAT) 以用于痴呆症护理

基本信息

批准号：
10571459
负责人：
Beth Fields
金额：
$ 13.31万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-12-01 至 2027-11-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10571459
关键词：
Acceleration Address Adherence Administrator Adult Aging Alzheimer&apos s Disease Alzheimer&apos s disease patient Alzheimer&apos s disease related dementia Assessment tool Biometry Caregivers Caring Clinical Clinical Trials Clinical Trials Design Cognitive Collaborations Complement Conduct Clinical Trials Consensus Data Decision Support Model Delirium Development Development Plans Eligibility Determination Ensure Environment Ethics Event Exclusion Family Caregiver Family member Feeling Friends Future Goals Health Healthcare Systems Hospitalization Hospitals Impaired cognition Institution Intervention Knowledge Leadership Long-Term Care for Elderly Measures Medical Mental Depression Mentors Mentorship Modeling Morbidity - disease rate Outcome Pathway interactions Patient-Focused Outcomes Patients Policies Preparation Process Randomized Randomized, Controlled Trials Readiness Recommendation Reporting Research Risk Role Safety Science Scientist Senior Scientist Standardization Statistical Data Interpretation Stress System Testing Training United States National Institutes of Health Work acute care adverse outcome care delivery career career development caregiving dementia care dementia caregiving design efficacy evaluation efficacy trial experience falls flexibility hospital care hospital patient care hospital readmission hospitalization rates human centered design improved iterative design pilot test post intervention preference primary outcome programs prototype randomized, clinical trials recruit satisfaction screening screening, brief intervention, referral, and treatment skills standardized care support tools treatment as usual usability videoconference

项目摘要

PROJECT SUMMARY/ABSTRACT This K23 application proposed a career development plan to help Dr. Beth Fields establish an independent research program that focuses on optimizing hospital-based care and outcomes for patients living with Alzheimer’s disease and related dementias (ADRD) and their family member or friend care partners. She will train under the mentorship of a transdisciplinary group of senior scientists with research expertise in participatory human-centered design, conduct of clinical trials, and clinical ADRD care. She will continue working with her current mentors, Drs. Farrar-Edwards, Werner, and Shah, and Mr. Hetzel, all of whom have experience mentoring trainees. This will be complemented by content and mentoring expertise from Drs. Schulz and Gilmore-Bykovskyi. Collectively, this team will provide an outstanding training environment that will allow Dr. Fields to fill critical gaps in her knowledge and skill set relating to the study of hospital-based care processes and outcomes for patients living with ADRD and their care partners. Her training goals are to develop skills in (1) participatory human-centered design principles, (2) hospital-based ADRD care delivery, (3) clinical trial design and statistical analysis, (4) ethical and regulatory standards in ADRD research, and (5) professional skills in team science and scientific leadership. Achieving these goals will strengthen her scholarly activities, establish important collaborations, and acquire critical data that will ensure her successful transition to independence. To this end, Dr. Fields’ proposed research plan builds directly on her prior work developing and validating the Care Partner Hospital Assessment Tool (CHAT). Guided by the widely used and effective decision-support model of Screening, Brief Intervention and Referral to Treatment (SBIRT), the CHAT applies a sequential screening and referral pathway that 1) identifies care partners and their preferences for inclusion in the patients’ hospital care and 2) tailors referrals to address their stated preferences and unmet needs for post-discharge preparedness. The SBIRT model was designed to adapt flexibly to different health conditions and contexts, thus enabling the adaptation of the CHAT to facilitate the inclusion and preparation of care partners of patients living with ADRD. Therefore, the purpose of this proposal is to adapt CHAT for care partners of hospitalized patients living with ADRD (CHAT-AD) and evaluate its feasibility and potential efficacy in a pilot randomized clinical trial. Findings from this study, in combination with the career development plan, will enable Dr. Fields to launch an independent program of research that aims to (1) improve hospital-based care processes and outcomes for patients living with ADRD and their care partners, and (2) elucidate the essential caregiving role that so many care partners of patients living with ADRD assume.

项目概要/摘要此 K23 申请提出了职业发展计划，以帮助 Beth Fields 博士建立独立性研究计划的重点是优化患有该病的患者的医院护理和结果阿尔茨海默病和相关痴呆症 (ADRD) 及其家人或朋友护理伙伴她会。在具有参与式研究专业知识的跨学科高级科学家小组的指导下进行培训她将继续与她一起开展以人为本的设计、临床试验和临床 ADRD 护理。现任导师 Farrar-Edwards 博士、Werner 博士和 Shah 博士以及 Hetzel 先生，他们都有丰富的经验舒尔茨和舒尔茨博士的内容和指导专业知识将对此进行补充。总的来说，该团队将提供出色的培训环境，使 Dr. Gilmore-Bykovskyi。填补与医院护理流程研究相关的知识和技能方面的关键空白的领域她的培训目标是培养 ADRD 患者及其护理伙伴的技能和结果。参与式以人为本的设计原则，(2) 以医院为基础的 ADRD 护理服务，(3) 临床试验设计和统计分析，(4) ADRD 研究的道德和监管标准，以及 (5) ADRD 研究的专业技能团队科学和科学领导力的实现将加强她的学术活动，建立。重要的合作，并获取关键数据，以确保她成功过渡到独立。为此，菲尔兹博士提出的研究计划直接建立在她之前开发和验证护理的工作基础上合作医院评估工具（CHAT）以广泛使用且有效的决策支持模型为指导。筛查、简短干预和转诊治疗 (SBIRT)，CHAT 采用顺序筛查和转诊途径：1) 确定护理伙伴及其参与患者医院护理的偏好 2) 定制转介，以满足他们陈述的偏好和未满足的出院后准备需求。 SBIRT 模型旨在灵活适应不同的健康状况和环境，从而使对 CHAT 进行调整，以促进 ADRD 患者的护理伙伴的融入和准备。因此，本提案的目的是为住院患者的护理伙伴调整 CHAT ADRD (CHAT-AD) 并在试点随机临床试验中评估其可行性和潜在功效。这项研究结合职业发展计划，将使菲尔兹博士能够推出独立的研究计划旨在 (1) 改善活着的患者的医院护理流程和结果与 ADRD 及其护理伙伴合作，(2) 阐明许多护理伙伴的基本护理作用 ADRD 患者假设。