Enhancing Care of the Aged and Dying in Prisons
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/28/2018 |
| Start Date: | April 1, 2017 |
| End Date: | April 30, 2019 |
| Contact: | Laura McLaughlin |
| Email: | lmclaughlin@kleinbuendel.com |
| Phone: | 3035654336 |
Enhancing Care of the Aged and Dying in Prisons Phase II
The mission of corrections is to provide custody, control and care for incarcerated
individuals. United States prisons are required by constitutional law to provide adequate
care for growing numbers of older inmates who will likely spend their final days in prison.
This Phase II project focuses on the correct users accessing correct learning strategies in
the correct setting (i.e., interdisciplinary prison staff accessing high quality products
designed to educate and lead practice change initiatives within the walls of prisons), by
continuing research and development of a learning system that promotes an integrated systems
approach to enhancing the care of the aged and dying in prisons.
individuals. United States prisons are required by constitutional law to provide adequate
care for growing numbers of older inmates who will likely spend their final days in prison.
This Phase II project focuses on the correct users accessing correct learning strategies in
the correct setting (i.e., interdisciplinary prison staff accessing high quality products
designed to educate and lead practice change initiatives within the walls of prisons), by
continuing research and development of a learning system that promotes an integrated systems
approach to enhancing the care of the aged and dying in prisons.
The United States has the highest rate of incarceration in the world. There are over 1,821
state and federal prisons housing over 2.3 million prisoners in the United States. The
demographics of the prison population are shifting. Longer sentences and constrained options
for early release compound this trend. The older adult segment of prison populations has more
than tripled since 1990. The health status of aging inmates does not mirror the free-world
population. In fact, prisoners typically present with health issues common to free citizens
who are 10-15 years their senior. Prisoners are wards of that state, that is, the system is
responsible for providing for not only custody and control of offenders, but also their care.
Collectively, these trends have had a profound impact on prison systems: U.S. prisons are
facing sharply increased demands in caring for aged and dying inmates. In response to this
need, Phase I project Enhancing Care for the Aged and Dying in Prisons (ECAD-P) demonstrated
that (1) there is a need and interest for products such as ECAD-P (i.e., corrections
administrators and staff are interested in end-of-life (EOL) care training); (2) trainings
should be short, intensive, engaging, interactive, and contextually sensitive to the specific
environment; and (3) an interactive, media-rich prototype with high acceptability and
usability could be developed. The specification document and commercialization plan indicate
it is possible to develop a full-scale ECAD-P learning system in Phase II and market
potential exists. The technological innovation proposed for the ECAD-P project is well-suited
to the targeted market. Technical merit, feasibility, and market potential of the ECAD-P
Learning System were demonstrated in the Phase I project. The purpose of this Phase II
application is to continue research and development of the ECAD-P learning system with an
emphasis on developing a scalable unit for commercialization and testing scale-up in a larger
number of more diverse contexts. More specifically, the aims of ECAD-P Phase II are to 1)
Develop a full scale media-rich interactive computer-based learning system consisting of six
modules addressing EOL and geriatric care issues in prisons; 2) Conduct in-person usability
testing of the full scale ECAD-P Learning System in state and federal prisons to evaluate the
user interface, ease of use, and perceived barriers in order to optimize the scalable unit
for broader dissemination; and 3) Test scale-up of the full scale ECAD-P Learning System in
12 federal (n=6) and state (n=6) prisons across the nation to evaluate outcomes, usage
patterns, and commercialization opportunities. Continued research and development will permit
the refinement the scalable unit for commercialization. Expanded testing of the learning
system will establish the effectiveness of the learning system and will provide critical
insights relevant to dissemination of the commercial product.
state and federal prisons housing over 2.3 million prisoners in the United States. The
demographics of the prison population are shifting. Longer sentences and constrained options
for early release compound this trend. The older adult segment of prison populations has more
than tripled since 1990. The health status of aging inmates does not mirror the free-world
population. In fact, prisoners typically present with health issues common to free citizens
who are 10-15 years their senior. Prisoners are wards of that state, that is, the system is
responsible for providing for not only custody and control of offenders, but also their care.
Collectively, these trends have had a profound impact on prison systems: U.S. prisons are
facing sharply increased demands in caring for aged and dying inmates. In response to this
need, Phase I project Enhancing Care for the Aged and Dying in Prisons (ECAD-P) demonstrated
that (1) there is a need and interest for products such as ECAD-P (i.e., corrections
administrators and staff are interested in end-of-life (EOL) care training); (2) trainings
should be short, intensive, engaging, interactive, and contextually sensitive to the specific
environment; and (3) an interactive, media-rich prototype with high acceptability and
usability could be developed. The specification document and commercialization plan indicate
it is possible to develop a full-scale ECAD-P learning system in Phase II and market
potential exists. The technological innovation proposed for the ECAD-P project is well-suited
to the targeted market. Technical merit, feasibility, and market potential of the ECAD-P
Learning System were demonstrated in the Phase I project. The purpose of this Phase II
application is to continue research and development of the ECAD-P learning system with an
emphasis on developing a scalable unit for commercialization and testing scale-up in a larger
number of more diverse contexts. More specifically, the aims of ECAD-P Phase II are to 1)
Develop a full scale media-rich interactive computer-based learning system consisting of six
modules addressing EOL and geriatric care issues in prisons; 2) Conduct in-person usability
testing of the full scale ECAD-P Learning System in state and federal prisons to evaluate the
user interface, ease of use, and perceived barriers in order to optimize the scalable unit
for broader dissemination; and 3) Test scale-up of the full scale ECAD-P Learning System in
12 federal (n=6) and state (n=6) prisons across the nation to evaluate outcomes, usage
patterns, and commercialization opportunities. Continued research and development will permit
the refinement the scalable unit for commercialization. Expanded testing of the learning
system will establish the effectiveness of the learning system and will provide critical
insights relevant to dissemination of the commercial product.
Inclusion Criteria:
- 18 years or older
- Employed by a participating state or federal prison
- Able to speak English
- Able to consent
Exclusion Criteria:
- Under 18 years
- Not employed by a participating state or federal prison
- Unable to speak English
- Unable to consent
We found this trial at
2
sites
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University Park, Pennsylvania 16802
Principal Investigator: Janice Penrod, PhD
Phone: 814-863-9734
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