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R-4: Enhancing Community Participation
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  1. 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

  2. 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

  3. 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

  4. Consumer Training Program • Supplement to Paraquad’s current program in-home 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

  5. Consumer Training Program: Session • Survey completion • Consumer Training Survey • Skills and Knowledge Test • Presentation • Slides • Videos • Group Activity • Social Connectivity- Where do you go? • Tour • EMC Exercise Facility • Assistive Technology Reutilization Program

  6. Section 1Section 2 Section 3 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

  7. Section 1: Consumer Training Content • Recruitment • Where to find? Where to advertise? • Topics to cover when interviewing • Job requirements, personal care tasks • Tips for training new PA • Describe the task step-by-step • Demonstrate the task with a family member

  8. Section 2: Consumer Training Content • Managing PA • Direct attendants- not the other way around • Communication • Appropriate boundaries for relationship • Conflict resolution • Feedback techniques • Avoid playing the blame game

  9. Section 3: Consumer Training Content • Back up and Emergency Planning • What to do if PA cannot come to work • Secondary Conditions • Respiratory problems, urinary tract infections, and pressure sores • Assistive Technology • Ex: Wheelchairs, walkers, shower bench, bedside commode

  10. 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

  11. Section 1Section 2 Section 3 Section 4 PA Training Program • CDPAS Program Specific Info • Person First Language • Expectations/Professional Behaviors • PA Skills, Participation and Health • Hand Washing • Personal Care • Secondary Conditions • Emergency Preparedness • Range of Motion • Assistive Technology • Paraquad Programs/Tour • Transfers • Timesheet Training • Multiple Choice Exam

  12. 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

  13. Section 2: PA Training Content • PA Skills, Participation and Health • Hand washing • Importance • Characteristics of a good attendance and importance of job • Personal Care • Dressing Techniques • Bowel/Bladder Care • Secondary Conditions • UTI/Bowel impaction • Pressure sores

  14. Section 3: PA Training Content • Assistive Technology • Mobility Devices-types and definition • Cushions • ADL Devices • Paraquad Programs and Services/Tour • Transfers • Video/handouts • Hands-on • Hoyer lift • Timesheets

  15. 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

  16. Section 4: PA Training Content • Multiple choice exam • Training Content • Must pass test to receive $.24/hour pay increase

  17. 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

  18. Contact Information • David Gray, Ph.D. • graydb@wusm.wustl.edu • Jessica Dashner, OTD OTR/L • dashnerj@wusm.wustl.edu