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Using an interactive video simulator to improve certified nursing assistants’ dressing assistance and nursing home residents’ dressing performance: a pilot study

机译：使用交互式视频模拟器改善经过认证的护理助理的穿衣辅助和护理院居民的穿衣性能：一项试点研究

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This pilot study examined the initial effects and estimated effect size of a computer-based simulation education program on certified nursing assistants’ level of assistance when dressing nursing home residents with dementia, and on residents’ dressing performance. Nine dyads, assigned to either the experimental or control group, completed the study. Both groups received a traditional 1-hour education module delivered by a research assistant. The experimental group was then instructed to undertake an additional 2-hour intervention using a video simulator that enabled nursing assistants to practice level of assistance skills. The appropriateness of dressing assistance from nursing assistants and residents’ dressing performance were measured before and 6 weeks after the intervention. The results showed that the two groups did not significantly differ in either appropriate levels of dressing assistance (p=.36) or residents’ dressing performance (p=.25). A lack of effort by some assistants to properly assist residents and low statistical power may explain the lack of significance. The effect sizes of the experimental intervention on appropriate levels of dressing assistance and resident dressing performance were .69 and .89, respectively. Incorporating a strategy to improve motivation should be considered in future studies.
机译：这项先导研究检查了基于计算机的模拟教育程序的初步效果和估计效果大小，该程序对合格的护理助手在为老年痴呆症患者住宿时为痴呆症患者提供的援助水平以及对患者的穿衣表现产生影响。分配给实验组或对照组的9个二元组完成了研究。两组都接受了研究助理提供的传统的1小时教育模块。然后指示实验小组使用视频模拟器进行另外2小时的干预，该视频模拟器使护理助理能够练习辅助技能水平。在干预之前和之后的6周，对护理助手的敷料辅助的适当性和居民的敷料表现进行了测量。结果显示，两组在适当的穿衣辅助水平（p = .36）或居民的穿衣表现（p = .25）方面均无显着差异。一些助手缺乏为居民提供适当帮助的努力，而统计能力却很低，这可以解释其重要性的不足。实验干预对适当的敷料辅助水平和居民敷料性能的影响大小分别为0.69和.89。在未来的研究中应考虑采用改善动机的策略。

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