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- W2896533460 abstract "Mounting empirical evidence supports making interprofessional team-based care the standard of practice for dementia. Few health professional training programs offer interprofessional clinical rotations to prepare trainees for roles in collaborative care practice. Our objective is to describe the implementation and evaluation of an interprofessional team training experience focused on the early identification and detection of Alzheimer's disease and related disorders (ADRD). Trainees from social work (SW; n=6), nurse practitioner (NP; n=2), and psychiatry residency (MD; n=10) programs completed an average of 96 hours of clinical training in team-based approaches to the assessment of ADRD at the University of Pittsburgh Alzheimer Disease Research Center. Pre and post rotation surveys evaluated trainees’ attitudes toward interprofessional teamwork and geriatrics, and perceived skillfulness in assessment and intervention for early stage ADRD. A subset of trainees (n=4) participated in a focus group designed to provide in-depth feedback. Analyses of surveys showed little change in attitudes toward teamwork and geriatrics, both of which were high at baseline. Perceived skillfulness in ADRD care increased among NP and MD trainees, with statistically significant gains for 13/15 items measured including: “evaluating signs and symptoms of dementia noting pertinent positives and negatives” (t=-6.71; df=5; p=.001); “differentiating between normal and abnormal changes associated with aging” (t=-3.16; df=5; p=.025); and “recognizing the presence of co-morbidities, their impact on presenting health problems, and the risk for iatrogenesis” (t=-5.00; df=5; p=.004). Perceived skillfulness also increased among SW trainees with significant gains in 10/12 items, including: “assisting caregivers to reduce stress levels and maintain mental and physical health” (t=-3.87; df=5; p=.012) and “providing anticipatory guidance and counseling to individuals and families” (t=-2.71; df=5; p=.042). Focus group analysis reinforced findings of positive interprofessional and clinical skill development which trainees attributed to the logistics of the setting, including mentorship. Trainees voiced confidence about implementing newly acquired clinical skills in future care settings, but were less clear on how to transfer interprofessional team collaboration to other settings. Interprofessional training may promote skillfulness in core competencies for ADRD care. Additional exposure to exemplar interprofessional teams may increase confidence that teamwork skills transfer to practice." @default.
- W2896533460 created "2018-10-26" @default.
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- W2896533460 date "2018-07-01" @default.
- W2896533460 modified "2023-10-16" @default.
- W2896533460 title "O4‐03‐05: INTERPROFESSIONAL TEAM TRAINING FOR EARLY IDENTIFICATION OF ADRD" @default.
- W2896533460 doi "https://doi.org/10.1016/j.jalz.2018.06.2925" @default.
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