Communication is fundamental for dementia care across long-term services and support (LTSS) settings. Education increasing nursing home (NH) staff awareness of person-centered communication has reduced staff elderspeak communication and reduced resistiveness to care of residents with dementia. The current study tested the Changing Talk Online (CHATO) education with adult day services (ADS) staff to identify strategies for adaptation for other LTSS settings. Three dementia-specific ADS sites participated in the CHATO education program. Participants completed knowledge assessment, communication ratings, and confidence ratings on providing care pre- and post-CHATO; a program evaluation; and rated their intention to use skills in practice. Findings were compared to an earlier study of CHATO in NHs. Focus groups evaluated feasibility, applicability, and directions for tailoring. Mean scores on the Changing Talk Scale knowledge test increased by 15 percentage points (p < 0.001). Confidence in providing dementia care scores also increased (p = 0.037). The mean Modified Diffusion of Innovation scale score was 2.2, similar to that in NHs, indicating intent to use skills; and program evaluation was positive. Focus group participants reported CHATO was valuable and recommended incorporating scenarios specific to ADS care. [Research in Gerontological Nursing, 16(2), 85-94.].

中文翻译：

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提升 Elderspeak 意识：为成人日间服务人员调整 Changing Talk 在线交流教育。

沟通对于长期服务和支持 (LTSS) 环境中的痴呆症护理至关重要。提高疗养院 (NH) 工作人员以人为本的沟通意识的教育减少了工作人员与长辈交流，并减少了对痴呆症居民护理的抵触情绪。当前的研究测试了成人日间服务 (ADS) 工作人员的 Changing Talk Online (CHATO) 教育，以确定适应其他 LTSS 设置的策略。三个特定于痴呆症的 ADS 站点参与了 CHATO 教育计划。参与者完成了关于在 CHATO 前后提供护理的知识评估、沟通评级和信心评级；项目评估；并评估他们在实践中使用技能的意愿。将研究结果与 NHs 中 CHATO 的早期研究进行了比较。焦点小组评估可行性、适用性、和剪裁方向。Changing Talk Scale 知识测试的平均分数增加了 15 个百分点 (p < 0.001)。提供痴呆症护理分数的信心也增加了 (p = 0.037)。平均改良的创新扩散量表得分为 2.2，与 NHs 相似，表明有意使用技能；项目评价是积极的。焦点小组参与者报告说 CHATO 很有价值，并建议结合特定于 ADS 护理的场景。[老年护理研究, 16(2), 85-94.]。项目评价是积极的。焦点小组参与者报告说 CHATO 很有价值，并建议结合特定于 ADS 护理的场景。[老年护理研究, 16(2), 85-94.]。项目评价是积极的。焦点小组参与者报告说 CHATO 很有价值，并建议结合特定于 ADS 护理的场景。[老年护理研究, 16(2), 85-94.]。