NRC: Improving Healthcare for Cognitively Impaired Elders and Their Caregivers
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Physician Confidence in Dementia Care Skills
研究概览
简要总结
An multi-stage mixed-method design will be employed to obtain both qualitative and quantitative data to address two study aims: (1) Evaluate and refine the delivery Reducing Disabilities in Alzheimer's Disease (RD- AD) training to advanced practice nurses and (2) Evaluate and refine the implementation of RD-AD by advanced practice nurses in their medical settings.
详细描述
Two waves of APNs (25 each wave/total 50) will receive RDAD training and be queried pre and post- training using both qualitative and quantitative procedures to determine: (1) Is RDAD training successfully received by advanced practice nurses? (2) Do they report it as relevant to improving the care they deliver to persons with Alzheimer's Disease and Related Dementias (ADRD)? (3) Does RDAD training of advanced practice nurses improve their level of knowledge about ADRD, their skills in providing ADRD care, and their level of confidence in providing this care?
A subset of advanced practice nurses (5 per wave, total of 10) will be recruited to implement RDAD as part of their ongoing care of persons with ADRD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Licensed by the Washington state Department of Health as an Advanced Registered Nurse Practitioner (ARNP),
- •Hold a board certification as a Gerontological Nurse Practitioner, Adult Nurse Practitioner, or Family Nurse Practitioner,
- •Work at least half time (0.50 FTE) in a clinical setting (primary care, internal medicine, sub-specialty, medical home), with a panel consisting of over 25% of patients over 65 years of age,
- •Have no expectation for termination over the course of the study; and
- •Agree to participate in all phases of the RDAD translational program.
排除标准
- 未提供
研究组 & 干预措施
RDAD training to APNs
Half-day workshop to provide APNs with all skills necessary to conduct RDAD in their clinical settings. A subset of the trained APNs will implement RDAD as part of their ongoing care of persons with ADRD.
干预措施: RDAD Training (Behavioral)
结局指标
主要结局
Physician Confidence in Dementia Care Skills
时间窗: Change from baseline score at 2 months
A 12-item self-report measure (administered to ARNPs) designed to measure perception of ability to address the care needs of patients with ADRD.
Sense of Competence in Dementia
时间窗: Change from baseline score at 2 months
A 17-item questionnaire covering 4 domains: job satisfaction, attitude towards dementia, work experience, and level of dementia knowledge.
Dementia Attitudes Scale
时间窗: Change from baseline score at 2 months
A 20-item scale to measures attitudes towards dementia with a two-factor structure; "dementia knowledge" and "social comfort".
次要结局
- Focus Group Questions(At 2 months)
- Implementation Questions(At 2 months)
研究者
Linda Teri
Professor, School of Nursing
University of Washington