Feasibility of Implementing Dementia Collaborative Coaching into Routine Care in Nursing Homes.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2024-10-06 DOI:10.1080/07317115.2024.2411281

Natalie F Douglas, Joan Carpenter, Kimberly Van Haitsma, Katherine M Abbott

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引用次数: 0

Abstract

Objectives: The study evaluated the feasibility of implementing Dementia Collaborative Coaching (DCC) into the routine workflow of speech-language pathologists (SLPs) working in nursing homes (NHs). DCC is an intervention delivered by SLPs to train nursing assistants (CNAs) in communication strategies to support people living with dementia (PLWD).

Methods: We assessed the feasibility of identifying eligible PLWD; estimated intervention fidelity; evaluated suitability of outcome measures; and determined the preliminary impact on behavioral and psychological symptoms of distress (BPSD) among PLWD. SLPs completed a semi-structured interview to collect further acceptability data.

Results: Four SLPs in four NHs completed DCC with 10 CNAs and 15 eligible PLWD that they appropriately identified from their caseloads. SLPs conducted 90 DCC sessions with 64% fidelity and billed Medicare for all sessions. The outcome measure of Minimum Data Set item E0200B: Rejection of Care did not vary enough to be useful, but positive changes were noted on the Cohen-Mansfield Agitation Inventory, t(14) = 10.51, p < .001, Cohen's d = 2.76. Interviews further indicated feasibility.

Conclusions: It is feasible to implement DCC into the workflow of SLPs in NHs.

Clinical implications: Given the feasibility and preliminary positive impacts, SLPs could consider implementing DCC in routine care.

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在疗养院的常规护理中实施痴呆症协作辅导的可行性。

研究目的本研究评估了在疗养院（NHs）工作的言语语言病理学家（SLPs）的常规工作流程中实施痴呆症协作辅导（DCC）的可行性。DCC 是一种干预措施，由语言病理学家对护理助理 (CNA) 进行沟通策略培训，以支持痴呆症患者 (PLWD)：我们评估了确定符合条件的痴呆症患者的可行性；估计了干预的忠实性；评估了结果测量的适宜性；并确定了对痴呆症患者的行为和心理痛苦症状（BPSD）的初步影响。SLP完成了一次半结构化访谈，以进一步收集可接受性数据：四家国家医疗机构的四名辅助治疗师与 10 名 CNA 和 15 名符合条件的 PLWD 完成了 DCC。SLPs 进行了 90 次 DCC，忠实度为 64%，并为所有疗程开具了医疗保险账单。最低数据集项目 E0200B "拒绝护理 "的结果测量变化不大，但在科恩-曼斯菲尔德躁动量表（Cohen-Mansfield Agitation Inventory）上发现了积极的变化，t(14) = 10.51，p 结论：在非营利性医疗机构的语言治疗师的工作流程中实施 DCC 是可行的：鉴于其可行性和初步的积极影响，SLP 可以考虑在常规护理中实施 DCC。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.