Staff Training in Assisted-Living Residences: Evaluating Treatment Implementation

2.50
Hdl Handle:
http://hdl.handle.net/10755/157805
Type:
Presentation
Title:
Staff Training in Assisted-Living Residences: Evaluating Treatment Implementation
Abstract:
Staff Training in Assisted-Living Residences: Evaluating Treatment Implementation
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:McKenzie, Glenise, PhD, RN
P.I. Institution Name:OHSU, School of Nursing
Title:Assistant Professor
Contact Address:1250 Siskiyou Blvd, Ashland, OR, 97520, USA
Contact Telephone:541-552-8643
Co-Authors:Kenneth C. Pike, PhD, Research Scientist; Linda Teri, PhD, Professor
Purpose: This paper is a report of an evaluation of treatment implementation of a multi-modal approach to training direct care workers (DCW) in dementia care strategies for residents of assisted living (AL) settings. Background: Effective approaches for improving dementia care in AL are increasingly important given a high prevalence of cognitive impairment, depression and behavioral symptoms in older adults. The importance of effective training programs for DCW in AL is highlighted by reports of inadequate dementia training, limited communication systems and limited supervision of DCW. Evaluation of treatment implementation is critical for credible and reliable interventions and for planning successful translation of evidence based treatment programs into the context of practice settings. There are limited reports on treatment implementation in general and none addressing the issue in AL settings. Design and Methods:  Forty-four DCW in 8 AL settings in 3 states participated in Staff Training in Assisted-living Residences (STAR) an evidence based training program. Multi-modal dementia care strategies were taught to DCW by trained interventionists with the goal of augmenting skills of DCW who approach, interact and care for residents with dementia. Comprehensive treatment implementation components were assessed utilizing observations and surveys of interventionists and AL supervisors and self-report of DCW. Results: Findings indicate that the program was delivered as intended in diverse AL settings and DCW understood and were able to clearly demonstrate new skills.  Furthermore successful enactment of STAR strategies in "real life" was reflected by self-report and observations of DCW successfully using strategies aimed at improving the affect and behaviors of residents with dementia.  Implications: AL will continue to grow as an option for individuals with cognitive impairment, therefore identifying and developing effective intervention strategies will only become more important. Translation of evidence based interventions in AL will be strengthened by research and adaptations informed by comprehensive evaluations of treatment implementation.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleStaff Training in Assisted-Living Residences: Evaluating Treatment Implementationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157805-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Staff Training in Assisted-Living Residences: Evaluating Treatment Implementation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McKenzie, Glenise, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">OHSU, School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1250 Siskiyou Blvd, Ashland, OR, 97520, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">541-552-8643</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mckenzig@ohsu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kenneth C. Pike, PhD, Research Scientist; Linda Teri, PhD, Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This paper is a report of an evaluation of treatment implementation of a multi-modal approach to training direct care workers (DCW) in dementia care strategies for residents of assisted living (AL) settings.&nbsp;Background: Effective approaches for improving dementia care in AL are increasingly important given a high prevalence of cognitive impairment, depression and behavioral symptoms in older adults. The importance of effective training programs for DCW in AL is highlighted by reports of inadequate dementia training, limited communication systems and limited supervision of DCW. Evaluation of treatment implementation is critical for credible and reliable interventions and for planning successful translation of evidence based treatment programs into the context of practice settings. There are limited reports on treatment implementation in general and none addressing the issue in AL settings. Design and Methods:&nbsp; Forty-four DCW in 8 AL settings in 3 states participated in Staff Training in Assisted-living Residences (STAR) an evidence based training program. Multi-modal dementia care strategies were taught to DCW by trained interventionists with the goal of augmenting skills of DCW who approach, interact and care for residents with dementia. Comprehensive treatment implementation components were assessed utilizing observations and surveys of interventionists and AL supervisors and self-report of DCW. Results: Findings indicate that the program was delivered as intended in diverse AL settings and DCW understood and were able to clearly demonstrate new skills.&nbsp; Furthermore successful enactment of STAR strategies in &quot;real life&quot; was reflected by self-report and observations of DCW successfully using strategies aimed at improving the affect and behaviors of residents with dementia.&nbsp; Implications: AL will continue to grow as an option for individuals with cognitive impairment, therefore identifying and developing effective intervention strategies will only become more important. Translation of evidence based interventions in AL will be strengthened by research and adaptations informed by comprehensive evaluations of treatment implementation.</td></tr></table>en_GB
dc.date.available2011-10-26T20:13:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:13:18Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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