Guerrero Lourdes R, Eldridge Corinne, Tan Zaldy S
Division of Geriatrics, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
California Long-Term Care Education Center, Los Angeles, CA, USA.
Gerontol Geriatr Educ. 2020 Jan-Mar;41(1):121-132. doi: 10.1080/02701960.2019.1658579. Epub 2019 Aug 26.
The In-Home Supportive Services (IHSS) program in California provides direct care for low-income seniors and people with disabilities. Yet, the vast majority of these workers receive little to no training in caring for consumers, especially those with Alzheimer's disease and related dementias (ADRD). We developed and implemented a competency-based training program for IHSS caregivers who provide care for persons with ADRD. The 10-week, 35-hour program consisted of training modules with topics ranging from roles and rights of the care recipient to assisting with personal hygiene, with a focus on managing ADRD-related behaviors. The in-person training was delivered in English and Spanish to two cohorts of 30 IHSS workers each. Fifty-seven participants completed the training program; the majority in both trainings were female (79%) and self-identified as Latina (70%). There were statistically significant gains post-intervention in overall confidence in caregiving skills and knowledge among all participants.
加利福尼亚州的居家支持服务（IHSS）项目为低收入老年人和残疾人提供直接护理。然而，这些工作人员中的绝大多数在照顾消费者方面几乎没有接受过培训，尤其是那些患有阿尔茨海默病及相关痴呆症（ADRD）的患者。我们为为患有ADRD的患者提供护理的IHSS护理人员开发并实施了一项基于能力的培训项目。这个为期10周、共35小时的项目由多个培训模块组成，主题涵盖从受护理者的角色和权利到协助个人卫生等方面，重点是管理与ADRD相关的行为。面对面培训以英语和西班牙语进行，分两批，每批30名IHSS工作人员。57名参与者完成了培训项目；两次培训中的大多数参与者为女性（79%），且自我认定为拉丁裔（70%）。干预后，所有参与者在护理技能和知识的总体信心方面都有统计学上的显著提高。
