An Internet-Based Multimedia Education Prototype to Enhance Late-Stage Dementia Care: Formative Research Results

The goal of this project was to develop a portable, Internet-based multimedia education program (IBME) to provide a more efficient training resource for direct care workers (DCWs) who care for nursing home residents suffering from late-stage dementia. Thirty-four DCWs from 8 nursing homes in 8 states completed 5 posttest open-ended questions and 20 Likert items on the feasibility, strengths, and weaknesses of the IBME prototype. Pre- and post-test surveys also examined whether late-stage dementia care knowledge changed significantly. More than 90% of DCWs "agreed" or "strongly agreed" that the IBME prototype improved DCWs' feelings of competency and everyday care delivery. Open-ended comments offered several suggestions for improvement, including group-based discussion of the modules. Results also indicate that DCWs' late-stage dementia care knowledge significantly increased (P <.001) following completion of the IBME modules. The IBME prototype offers an online, asynchronous training strategy to enhance dementia-pertinent knowledge and skills related to everyday care delivery in nursing homes.