1. R-8: Development and Testing of an Informal Personal Assistance Training Program Jessica Dashner, OTD OTR/L David B. Gray, PhD Disability And Community Participation Research Office (DACPRO) 5232 Oakland Ave. St. Louis, MO 63110 dashnerj@wusm.wustl.edu 314-932-1018 dashnerj@wusm.wustl.edu

2. Objectives 1. Design content for an informal PA training program to assist informal care providers and recipients in improving consumers’ experiences in community living. 2. Develop informal PA training program using an iterative process to test and refine the training. 3. Pilot and determine the effectiveness of the informal PA training program.

3. Overview of Project Phase I- Design informal PA training program – Focus groups/ Key informant interviews consumers and providers Phase II- Iteratively develop and test training – 2 Iterations with 10 dyads Phase III- Pilot test the training program and assess the impact and effectiveness – 40 dyads – Individuals newly injured or at risk for institutionalization

4. Products Training Package – Multi-media can be used by ILCs, Rehab Facilities or individuals Fact sheets On-line In person Google Maps- usability of public builidngs Manuscripts

5. Hypotheses 1) Informal PAS consumers attending the education sessions will demonstrate improved health status, increased exercise participation, increased social contacts, higher reported exposure to environmental facilitators in the community, improved satisfaction with PA providers and increased frequency of participation, improved quality of participation in the community and increased level of comfort directing informal care providers. 2) Informal PAS providers attending the education sessions will improve their approach to preparing consumers for community activities, report less difficulty with completing tasks, have fewer injuries and report less stress and an increased level of comfort during assistance activities than individual providers who do not attend the training intervention.

6. Questions/Feedback

7. Example- Transfers Verbal instruction/handout of techniques Video –Sliding Board and Stand PivotSliding Board and Stand Pivot Trial with equipment – Transfer bench, Hoyer lift, Gait belt etc. Demonstrate skills with immediate feedback