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Louisiana Geriatric Workforce Enhancement Program: Analysis of Learning Outcomes From Dementia Training

机译:路易斯安那州老年劳动力增强计划:痴呆症培训学习成果分析

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摘要

A recent Alzheimer’s Association report noted that by year 2050, the number of Americans diagnosed with Alzheimer’s disease and related dementias (ADRD) will triple to over 15 million. The report referred to primary care as the front line for meeting this demand, yet the nation faces a severe shortage of ADRD trained, primary care professionals (PCPs). Louisiana Geriatric Workforce Enhancement Program (LA-GWEP) addresses this demand. The purpose of this study was to examine preliminary data respective to LA-GWEP effectiveness with interdisciplinary education and training seminars, primarily aimed at medical, nursing, and social work PCPs. Three seminars were conducted in south Louisiana: Seminars 1 and 2 addressed effective communication, verbal and nonverbal, among persons with ADRD and caregivers; Seminar 3 offered basic overview of dementia symptomology, stages, and behaviors. Pre- and post-training session data were collected on-site. Participants completed questionnaires that included a 10-item knowledge assessment and 20-item Dementia Attitudes Scale (DAS). These measures contained Likert response formats; higher scores indicating greater levels of ADRD knowledge, in patient and caregiver contexts. Paired sample t-tests were conducted to observe any significant pre-to-post improvement, Cohen’s d for effect size. Seminar 1 revealed no significant pre-to-post difference: t = -1.019, p = 0.320. Adjusting content from audience feedback, Seminar 2 revealed significant pre-to-post difference: t = -7.516, p < .001, Cohen’s d = 1.2. Seminar 3 yielded significant improvement on DAS scores: t = -2.96, p < .01, Cohen’s d = 0.34. Implications for seminars in future years of LA-GWEP are discussed.
机译:最近的Alzheimer的协会报告指出,到2050年,诊断出患有阿尔茨海默病和相关痴呆症(ADRD)的美国人的人数将三倍到超过1500万。该报告称为初级护理作为满足这一需求的前线,但国家面临着ADRD培训,初级保健专业人士(PCP)的严重短缺。路易斯安那州老年劳动力增强计划(La-GWEP)解决了这一需求。本研究的目的是研究与跨学科教育和培训研讨会相应的初步数据,主要针对医疗,护理和社会工作PCP。在南路南路进行三次研讨会:研讨会1和2涉及ADRD和护理人员的人员有效的沟通,口头和非语言;研讨会3提供了痴呆症状,阶段和行为的基本概述。在现场收集预先和培训后的会话数据。参与者完成了包含10项知识评估和20项痴呆态度(DAS)的调查问卷。这些措施包含了李克特响应格式;在患者和护理人员环境中表明患者和护理人员的更高分数表明更高水平的ADRD知识。进行配对的样品T检验以观察到任何显着的预改善,Cohen的D用于效果大小。研讨会1揭示了显着的预先置地差异:T = -1.019,P = 0.320。调整观众的内容反馈,研讨会2显示出显着的底层差异:T = -7.516,P <.001,COHEN的D = 1.2。研讨会3对DAS分数产生显着改善:T = -2.96,P <.01,COHEN的D = 0.34。讨论了对La-GWEP未来几年的研讨会的影响。

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