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R-4: Enhancing Community Participation Washington University in St. Louis David B. Gray, Ph.D. Holly H. Hollingsworth, Ph.D. Jessica L. Dashner, OTD OTR/L MICL Advisory Board Meeting November 18, 2009 Accomplishments Analyzed Data from CDPAS Outcome Measure Survey 100 Participants Analyzed Data from Consumer Training Program Pilot Study 7 Sessions At Paraquad 14 Participants Assisted with development and implementation of PA Training Program CDPAS Outcomes Measure Characteristics of Respondents (CORE): Demographics, health, and overall CDPAS quality Participation Survey (PARTS/PA): Choice, importance, satisfaction, pain and fatigue, difficulty level with and without CDPAS, unmet need, perceptions of safety (in ADLs and IADLs) Survey of Participation and Receptivity in Communities (SPARC): # of visits to specific places in the community Consumer Training Program Supplement to Paraquad’s current program inhome orientation Created to expand the managerial and communication needs of consumers 4 hour, in-person training held at Paraquad Provided to interested consumers who have completed the CDPAS Outcome Measure Participants Compensated $30 to attend training and complete surveys $20 to complete follow up surveys Consumer Training Program: Session Survey completion Presentation Slides Videos Group Activity Consumer Training Survey Skills and Knowledge Test Social Connectivity- Where do you go? Tour EMC Exercise Facility Assistive Technology Reutilization Program Consumer Training Program •CDPAS Program Specific Info •Recruitment of PAs •Interview Process •Training New PAs •Transfer Video •Managing your PA •Communication •Video Clip •Conflict Resolution •Back-up Planning •Emergency Planning •Secondary Conditions •Social Networking Activity •Assistive Technology •Paraquad Programs/Tour Section 1: Consumer Training Content Recruitment Topics to cover when interviewing Where to find? Where to advertise? Job requirements, personal care tasks Tips for training new PA Describe the task step-by-step Demonstrate the task with a family member Section 2: Consumer Training Content Managing PA Communication Direct attendants- not the other way around Appropriate boundaries for relationship Conflict resolution Feedback techniques Avoid playing the blame game Section 3: Consumer Training Content Back up and Emergency Planning Secondary Conditions What to do if PA cannot come to work Respiratory problems, urinary tract infections, and pressure sores Assistive Technology Ex: Wheelchairs, walkers, shower bench, bedside commode Training Program: Group Activity Social Connectivity Activity Social Networking Cognitive Mapping- where do you go? The goal is to share accessible community locations in hopes of increasing community participation PA Training Program •CDPAS Program Specific Info •Person First Language •Expectations/Professional Behaviors •PA Skills, Participation and Health •Assistive Technology •Paraquad Programs/Tour •Transfers •Timesheet Training •Multiple Choice Exam •Hand Washing •Personal Care •Secondary Conditions •Emergency Preparedness •Range of Motion Section 1: PA Training Content CDPAS Program Specific Who is the employer? Paraquad Role Contacts at Paraquad Background Checks Person First Language Expectations/Professional Behaviors Mandated Reporting HIPAA Medicaid Fraud Plan of care Section 2: PA Training Content PA Skills, Participation and Health Hand washing Characteristics of a good attendance and importance of job Personal Care Importance Dressing Techniques Bowel/Bladder Care Secondary Conditions UTI/Bowel impaction Pressure sores Section 3: PA Training Content Assistive Technology Paraquad Programs and Services/Tour Transfers Mobility Devices-types and definition Cushions ADL Devices Video/handouts Hands-on Hoyer lift Timesheets Section 3 Cont.: PA Training Content Range of Motion Definition/purpose Types Techniques Emergency Preparedness Signs of medical emergencies/what to do Information PA needs to know Basic health history Medications Family contacts Section 4: PA Training Content Multiple choice exam Training Content Must pass test to receive $.24/hour pay increase Next Steps Minor modifications to improve and increase sensitivity of surveys (IRB) Continue with Data Analysis Resume Data Collection Train Paraquad staff to administer surveys and training sessions Survey Consumers whose PA receives training Schedule First Consumer/PA Training Session Contact Information David Gray, Ph.D. [email protected] Jessica Dashner, OTD OTR/L [email protected]