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随着智力和发育障碍人士年龄的增长:实施和评估 ECHO 项目以进行痴呆症教育。

Growing older with intellectual and developmental disabilities: Implementing and evaluating a project ECHO for dementia education.

机构信息

Rhode Island Geriatric Education Center, University of Rhode Island, Kingston, USA.

Virginia Geriatric Education Center, Virginia Commonwealth University, Richmond, USA.

出版信息

Gerontol Geriatr Educ. 2024 Apr-Jun;45(2):180-196. doi: 10.1080/02701960.2023.2168269. Epub 2023 Feb 1.

Abstract

The needs of the rapidly expanding population of adults growing older with intellectual and developmental disabilities (IDD) and their families span both the IDD and the aging service systems. The use of Project ECHO (Extension for Community Healthcare Outcomes) for professional education can bridge gaps and span boundaries between them at the macro, meso, and micro levels. A series of 10 ECHO sessions over 12 months was developed, incorporating key content on IDD and AD/ADRD for 145 providers in over 20 agencies. Impacts were assessed by a follow-up survey sent to participants after each program. The evaluation included quantitative assessment of ECHO features and a retrospective pre- and posttest of knowledge acquisition; a separate item assessed intention to apply information. Qualitative data were collected from open-ended items. The case presentation and discussion were the most effective ECHO components. Knowledge acquisition was significant for all sessions; most important uses included providing better care to clients/patients, training staff, and educating family and/or caregivers. Participants were aligned with two distinct groups, one with a predominant knowledge focus, the other with an emphasis on networking. Project ECHO can bridge gaps and span boundaries between the IDD and aging care systems at multiple levels, improving interprofessional collaboration and care by addressing both knowledge and networking needs of providers.

摘要

随着智障和发育障碍(IDD)成年人人口的快速增长以及他们的家庭的需求,跨越了 IDD 和老龄化服务系统。使用 ECHO 项目(扩展社区医疗保健成果)进行专业教育可以在宏观、中观和微观层面上弥合差距并跨越两者之间的界限。在 12 个月内开展了一系列 10 次 ECHO 会议,为 20 多个机构的 145 名提供者提供了关于 IDD 和 AD/ADRD 的关键内容。每次计划结束后,通过向参与者发送后续调查来评估影响。评估包括对 ECHO 特征的定量评估和知识获取的回顾性前测和后测;另一个单独的项目评估了应用信息的意图。定性数据来自开放式项目。案例介绍和讨论是最有效的 ECHO 组成部分。所有会议的知识获取都很显著;最重要的用途包括为客户/患者提供更好的护理、培训员工以及教育家庭和/或照顾者。参与者分为两个截然不同的群体,一个以知识为主要关注点,另一个则强调网络。ECHO 项目可以在多个层面上弥合 IDD 和老龄化护理系统之间的差距并跨越界限,通过满足提供者的知识和网络需求来改善跨专业合作和护理。

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