reach ii caregiver network
Contents
1. the message to the CR via the speakerphone feature of the screenphone The interventionist will work with the CG to develop the messages This may also include music or stories B Interventionist Network Main Menu This menu presents the main features of the system Each of the features are linked to a set of corresponding submenus The main features include e Messages Reminders Call Caregiver Support Groups REACH Messages This feature will allow interventionists to send receive and monitor messages To listen to messages they must select listen from the messages submenus The interventionist will be informed of the number of messages that they have received They can then listen to their messages and save or delete them The send message option is appropriate for messages that are not time dependent This is different from the reminder function If the interventionist leaves a message using the reminder function the system will automatically call the caregiver at a pre appointed time and deliver the reminder information The interventionist can monitor messages they sent to the caregivers using the monitor message function This function will list messages sent to a particular person and identify messages that have not been retrieved A message that has not been retrieved will only appear on the list for 30 days Messages can be sent to an individual or to a group Reminders This feature will allow interventionists2. Respite 5 Respite All messages Press 1 to save All messages Go Back Help Press to cancel Go Back Help NIA NINR REACH Il All Rights Reserved V1 0 06 19 02 Please enter you PIN Your PIN Welcome to the REACH Caregiver network your help card Main Menu Messages Resource Guide Information Tips Family Respite 5 digit is on Help Welcome to the REACH Caregiver Network Please 5 di Spanis Please wait while I place your call Press Press to cancel to cancel at any time Enter Your git PIN h Version Please Wait Placing a call to the National Chapter of the Alzheimer s Association NIA NINR REACH II All Rights Reserved V1 0 Press 1 for messages 2 to access caregiver resources 3 for information and tips 4 for family respite Press to return to the previous menu for help Resource Guid 1 Alzheimer s Assoc 2 Community Services 3 Legal Financial 4 0ther Services Help Alzheimer s Assoc National Chapter Greater Miami Broward County Palm Beach 06 19 02 This feature allows you to connect to various community services such as the Alzheimer s Association Press 1 to contact the Alzheimer s association 2 to contact a community support group 3 to contact a legal or financial group 4 to access some other servic
3. All Rights Reserved V1 0 Henry One Time Reminder 1 One Time Enter the date of 2 Daily Reminder for FA Henry mm dd Press 1 to Continue Press to cancel One Time Reminder Enter the time of Reminder for Henry hh mm 24 hours Press 1 to Continue Press to cancel Record your reminder to Henry after the beep Press 1 to send Press to cancel 06 19 02 21 Jo te Reminders nn Tracy Mary He nry Adrienne Mo Go NIA NINR REACH Il All Rights Reserved V1 0 nica Back Help Mary 1 One Time 2 Daily Go Back Help Daily Reminder Enter the time of Reminder for Mary hh mm 24 hours Press 1 to Continue Press to cancel Record your reminder to Mary after the beep Press 1 to send Press to cancel 06 19 02 22 Main Menu Messages Reminders Call Caregiver Support Groups Go Back Help NIA NINR REACH Il All Rights Reserved V1 0 Support Groups Call Reminder Go Back Help Call 05 20 18 00 05 25 12 00 06 03 15 30 06 15 12 00 Go Back Help SP 06 03 15 30 Billy Mia Michelle sank Miami Marcia Memp Gail Birming Mark Birming Go Back Help 06 19 02 23 Support Groups 1 Call 2 Reminder NIA NINR REACH Il All Rights Reserved V1 0 Reminder EG 05 20 SP 05 25 18 123 00 00 SP 06 03 15 30 EG 06 15 12 00 06 19 02 On
4. Back Help N Family Respite Listen Create Delete Go Back Help Allows you to listen create and delete special messages for your loved one Listen Respite Respite Respite Respite Respite All messages DWNH NnoOBWwNE on Go Back Help Create your message to caregiver after the beep Press 1 to save Press to cancel Select Message to Delete Respite Respite Respite Respite Respite All messages Go Back Help DWNH NnoOBWNE on each Il Resources For Enhancing Alzheimer s Caregiver Health REACH II Caregiver Network User Help Card Toll Free Phone Number 1 866 559 1971 Name PIN How to Use the Network 1 Access the network by dialing 1 866 559 1971 and entering your five digit PIN 2 Select a feature by pressing the number next to the feature using keypad on the screen phone 3 You will be guided through the network by visual and voice prompts 4 You can cancel your choice and return to the previous menu at any time by pressing or access help by pressing or contacting the help staff Naini Menn Presents the main Messages Allows you to hea
5. Groups Legal Issues Financial Supp Go Back Help NIA NINR REACH Il All Rights Reserved V1 0 Main Menu Messages Resource Guide Information Tips Family Respite Help Resource Guid Alzheimer Nat Alzheimer Loc AAA Community Serv Other Services Go Back Help Other Services Care Management Homemaking Transportation Meals Shopping Assistive Dev Go Back Help 06 19 02 11 Caregiving Tips Wandering Incontinence Repeated Ques Dressing Bathing Safety Driving Go Back Help NIA NINR REACH Il All Rights Reserved V1 0 Main Menu 1 Messages 2 Resource Guid 3 Information Tips 4 Family Respite Help Information Tips About Alzheimer Caregiving Tips Communication Healthy Living Grief and Loss Environment Go Back Help Communication Access Resources Health Care Prof Family Friends Your Loved one Socializing Go Back Help 06 19 02 Healthy Living Your Health Eating Exercise Pleasant Events Sleeping Better Stress Management Go Back Help 12 Main Menu Messages Resource Guid Information Tips Family Respite Help Family Respite Listen Create Delete Go Back Help Listen Select Create Message to Respite your message to Respite Respite caregiver Respite Respite after Respite Respite the beep Respite
6. Support Groups This feature will be used by the interventionist facilitator to conduct on on line support groups The support groups will be initiated during month two of the intervention Groups will be formed using a NIA NINR REACH Il All Rights Reserved V1 0 6 1 02 rolling protocol and will consist of 4 6 caregivers Once a group has six members then the additional groups will be formed as caregivers are recruited Based on the information provided by the caregiver during the initial home visit regarding language and meeting time preference morning vs evening the group coordinator at the Miami site will enroll the caregiver in an available group The groups will meet on a monthly basis The intent is to have each caregiver participate in five support group sessions The groups will be closed and national across site and will be in English or Spanish The sites will share responsibility for conducting the groups and each site will conduct 12 groups over the intervention period It is anticipated that on average there will be 15 groups running consecutively The Miami and Palo Alto sites will conduct all of the Spanish groups The group will consist of a facilitator and up to six caregivers The groups will interact using a conference call format and will meet for 60 minutes The general structure of each meeting will be 1 an initial 10 minute check in 2 a 15 minute educational component that will include a presentation and discussi
7. is provided with a 5 digit pin number This number will be printed on their help card The system will prompt them to enter their pin number Once they have done so the Main Menu will appear in their preferred language Spanish or English Available features are presented in menus that are arranged in a hierarchal fashion menus are linked to submenus Users will be prompted to select the feature that they wish to access by pressing the number corresponding to the desired feature using the numeric keypad on the screen phone The user is guided through the system by visual and corresponding voice prompts Help is available by pressing the key contacting technical help using the system the user help card and the user manual The features available on the system are described below A Caregiver Network Main Menu This menu presents the main features of the system Each of the features are linked to a set of corresponding submenus The features listed on the Main Menu include e Messages e Resource Guide NIA NINR REACH Il All Rights Reserved V1 0 6 1 02 e Information Tips e Family Respite Messages This feature will allow caregivers to send and receive messages To listen to their messages they must select listen from the messages submenus They will be informed of the number of messages that they have received They can then listen to their messages and save or delete them Caregivers can also use this feature
8. the user by a user ID and will include frequency of use features selected individuals contacted e g interventionist length of call time and date of call use of help feature and incorrect access attempts Specifically for each contact operationalized as a call if gt 60 seconds data will be collected on the 1 initiator of the call 2 individual vs group 4 call participants 5 feature s accessed 6 duration of contact per feature and 7 time and date of contact Data will be retrieved and NIA NINR REACH Il All Rights Reserved V1 0 6 1 02 stored by the Coordinating Center on a weekly basis A back up of the data will reside at the University of Miami Subjective data regarding the usability and utility of the network will be gathered via the project evaluation form This will be administered to the interventionists and caregivers at the 6 month assessment User Training The caregivers will be trained to use the system by their interventionist during the first at home intervention session The interventionist will use a detailed training manual see Appendix D Caregivers will be given a general introduction to the purpose and function of the system They will then observe a demonstration of how to use the system followed by hands on practice A part task approach will be used where each feature is demonstrated and practiced Five practice trials will be provided for each feature Following practice the caregive
9. to send messages to a caregiver at a pre appointed time and date This can be done on a one time or daily basis and the times can be changed The system will automatically contact the caregiver at the scheduled time The system will make three attempts within a 90 minute window if the first reminder is not received Reminders can be made for an individual or group Interventionists also use this feature to delete reminders or monitor the status of reminders delivered but not received There is a maximum of six reminders per caregiver at any one point in time Caregivers will be prompted to press 1 using the numeric keypad when they have received a reminder This will inform the system that the reminder has been successfully delivered Call Caregiver This feature is used by the interventionist for delivery of the intervention The names of the caregivers assigned to the interventionists will be listed on a submenu Caregivers are automatically contacted by the system when selected If the interventionist has been assigned to more than six caregivers the submenu will scroll For these sessions the interventionist does not go the caregiver s home If appropriate family members may attend the session using the conference feature If this option is chosen it must be pre arranged with the technical staff The system will be used for 5 intervention sessions for 60 minutes session A delivery assessment form will be completed for all sessions
10. 355 9207 3 Second session e Review the basic features operation of the network e Have the caregiver practice using a few features e Reinforce the importance of using the system e Complete the Family Respite Enrollment Form and fax it to Miami 305 355 9207 NIA NINR REACH Il All Rights Reserved V1 0 6 1 02 REACH Il Caregiver Network Caregiver Component Welcome to the REACH II Caregiver Network Please Enter Your 5 digit PIN Spanish Version Main Menu 1 Messages 2 Resource Guid 3 Information Tips 4 Family Respite Messages j Information Ti Family Respite 1 Listen Alzheimer Nat About Alzheimer Listen 2 Send Alzheimer Loc Caregiving Tips Create AAA Communication Delete Community Serv Healthy Living Other Services Grief and Loss Environment Go Back Help Go Back Help NIA NINR REACH Il All Rights Reserved V1 0 06 19 02 Listen to Messages NIA NINR REACH Il All Rights Reserved V1 0 Main Menu 1 Messages 2 Resource Guid 3 Information Tips 4 Family Respite Help Messages 1 Listen 2 Send Send a Message Interventionist Technical Staff Group leader Go Back Help 06 19 02 Record your message to interventionist after the beep Press 1 to send Press to cancel 10 Community Services Respite Care Res Care Hospice Serv Support
11. N number Create a message for the caregiver Assemble the screen phone installation protocol and set time and date Test the screen phone and make sure the phone works properly Review the installation checklist 2 First session e Review the information on the caregiver information sheet e Provide a brief overview of the network see caregiver training pg 1 e Ask the caregiver where they would like the screen phone installed Emphasize that it should be located in a place that is convenient and relatively free of distractions Follow installation protocol i The phone must be close to a power outlet or the display will not work e Demonstrate and provide an overview of the basics of the screen phone i Connect the phone ii Explain the components of screen phone e TheLCD display screen e Volume controls adjust if the caregiver is hard of hearing e Speakerphone key e Demonstrate that the screen phone works like a regular phone e Train the caregiver on use of the network using the caregiver training manual e Have the caregiver use the system on their own and complete the caregiver network training observation checklist e Administer the training questionnaire e Provide the caregiver with the card and review the contents of the card Be sure to show them where their PIN number is located e Explain how to get help if they encounter problems using the network e Complete Support Group Enrollment Form and fax it to Miami 305
12. REACH CAREGIVER NETWORK THE COMPUTER TELEPHONE INTEGRATION SYSTEM CTIS Overview of the REACH Caregiver Network The REACH Caregiver Network is an integral component of the intervention The intent of the network is to enhance communication access to information and resources and support The network will also provide a mechanism to maintain the continuity of treatment gains after the intervention sessions as it provides a structure for reinforcement of strategies skills introduced in the sessions and continued access to information services and support The network is intended for use by both caregivers and interventionists With respect to the caregivers the network will provide 1 access to resources 2 social support 3 information educational material and 4 respite The interventionist will use the network to 1 send reminders messages 2 deliver the intervention 3 reinforce the information strategies introduced in the intervention and 4 information referral The network involves the use of the computer integrated telephone system CTIS that marries computer and telephone technology screen phones Available features are presented in menus in a hierarchal fashion menus are linked to submenus Menu options are selected using the numeric keypad on the screenphone Users are guided through menus with visual and voice prompts The menu screens for the caregiver and the interventionist are provided in the Appendix Spanish versions of t
13. a submenu related to that resource will appear Information Tips This feature consists of short educational dialogs 5 10 minutes on various topics It will be used to provide information and reinforce the educational component of the intervention Caregivers access this feature from the main menu and then access the particular topic of interest from the submenus The topics and content can be changed The dialogues are pre recorded Topics that are included on this menu are About Alzheimer s Caregiving Tips Communication Grief and Loss Healthy Living e Future Planning Caregiving Tips and Healthy Living are linked to submenus that provide information on specific topics within these categories e g wandering nutrition Family Respite Family members or friends or the caregiver can develop messages vignettes for the care recipient To create a messages are created a family member calls the network and records the message In order to have access to the system a family member will be assigned with a temporary Pin number The interventionist will submit an enrollment form for that family member to the technical staff NIA NINR REACH Il All Rights Reserved V1 0 6 1 02 The family member s access will be restricted to the respite feature Messages can be changed and the length of the message can vary e g 5 mins 30 mins The system can store up to five messages The caregiver accesses the message of interest and plays
14. content of the interaction They will also keep a record of reasons for nonattendance among group members The facilitator will be trained and certified in 1 the use of the system 2 conducting telephone support groups 3 dementia and caregiving and 4 the education intervention materials REACH This feature will be used by the interventionists for the monthly cross site intervention calls One interventionist will be responsible for initiating the call Each site will be added in a serial fashion using the numeric keypad Use of the System Intended Dose Interventionists will use the system for five intervention sessions They or a facilitator will also use the system for support group meetings In addition they will be instructed to use the system to send messages reminders Caregivers will participate in five on line intervention sessions and five on line support group sessions They will also be encouraged to use the other features of the system throughout the intervention period Features of the system e g resource guide will be an integral component of the intervention However given that an outcome measure is system use the only scheduled uses of the system are the intervention sessions and support group sessions The other features will be used at the discretion of the caregivers System Data System use data will be automatically collected by the system in real time on a per call basis This data will be linked to
15. e Time Reminder Enter the date of Reminder for The group mm dd Press 1 to Continue Press to cancel One Time Reminder Enter the time of Reminder for The group hh mm 24 hours Press 1 to Continue Press to cancel Record your reminder to The group after the beep Press 1 to send Press to cancel 24 each Il Resources For Enhancing Alzheimer s Caregiver Health REACH Il Caregiver Network Interventionist Facilitator Help Card Toll Free Phone Number 1 866 559 1971 Name PIN How to Use the Network 1 Access the network by dialing 1 866 559 1971 and entering your five digit PIN 2 Select a feature by pressing the number next to the feature using keypad on the screen phone 3 You will be guided through the network by visual and voice prompts 4 You can cancel your choice and return to the previous menu at any time by pressing or access help by pressing or contacting the help staff Main Menu Messages Reminders Call Caregiver Support Groups Help Presents the main features of the network These features are linked to other menus Messages 1 Listen 2 Send 3 Monitor Reminders Create Cancel Monitor Go Back Help Call Caregiver Abbey Carol Carmen Bob Henry Theresa Go Back Help Support Groups I Call 2 Reminder Go Back Help Messages Listen Send 3 Monitor G
16. e such as help with transportation This feature will provide you with direct access to national and local chapters of the Alzheimer s Association Press 1 to contact the National Chapter of the Alzheimer s association 2 to contact the Greater Miami Chapter 3 to contact the Broward Chapter 4 to contact the Greater Palm Beach area Chapter Press to return to the previous menu for help 14 REACH Il Caregiver Network Messages Listen Send Monitor NIA NINR REACH Il All Rights Reserved V1 0 Interventionist Component Welcome to the REACH II Caregiver Network Please Enter Your Reminders Create Cancel Monitor 5 digit PIN Main Menu Messages Reminders Call Caregiver Support Groups Help Abbey Carol Carmen Bob Henry Theresa Go Back 06 19 02 Call Caregiver Le 2 Support Groups Call Reminder 16 Main Menu Messages Listen Reminders Send Call Caregiver Monitor Support Groups Help Go Back Listen to Messages 5 New Messages Play Delete Go Back Help NIA NINR REACH Il All Rights Reserved V1 0 Go Back Messages Help Send a Message Caregiver Technical Staff REACH Caregiver John Tracy Mary Henry Adrienne Monica 06 19 02 Monitor Messages John Tracy Mary Henry Adrienne Monica Go Back Help Tracy 1 04 15 not r
17. eceiv 2 04 18 not receiv 3 04 19 not receiv 17 NIA NINR REACH Il All Rights Reserved V1 0 Send a Message Caregiver Technical Staff REACH Go Back Help Caregiver John Tracy Mary Henry Adrienne Monica Go Back Help Record your message to John after the beep Press 1 to send Press to cancel 06 19 02 18 NIA NINR REACH Il All Rights Reserved V1 0 Send a Message Caregiver Technical Staff REACH Go Back Help REACH Birmingham Memphis Miami Palo Alto Philadelphia Pittsburgh Go Back Help Record your message to The Palo Alto site after the beep Press 1 to send Press to cancel 06 19 02 19 Main Menu Messages Reminders Call Caregiver Support Groups Help Create Reminders John Tracy Mary Henry Adrienne Monica Go Back Henry Go Back Reminders Create Cancel Monitor Cancel Reminders John Tracy Mary Henry Adrienne Monica Go Back Help John Go Back Monitor Reminders John Tracy Mary Henry Adrienne Monica Tracy One Time Daily 8 00 Deliv not confir Daily Daily 18 00 1 Daily 8 00 Daily 21 00 2 04 18 20 00 3 04 19 15 00 Go Back Help NIA NINR REACH Il All Rights Reserved V1 0 06 19 02 Create Reminders John Tracy Mary Henry Adrienne Monica Go Back Help NIA NINR REACH Il
18. he caregiver menus are also provided Description of the CTIS System The CTIS is an information network based on computer telephone technology that consists of a general purpose computer equipped with a CTIS line interface digitization and conferencing hardware and specially designed software The CTIS system integrates telephone and computer technology to deliver voice and text information to the end user through standard POTS Plain Old Telephone System lines The essential components of the system include a base computer consisting of telephony and conferencing hardware and software and screenphones at the end users premise The system allows users to send and receive messages place and receive calls leave and get reminders and conference with multiple persons In addition users will be able to access various resources such as contacting agencies and accessing useful information The base system will reside at the University of Miami School of Medicine where a Pentium IV computer with an Intel Dialogic D 82JCT U PBX integration board will be used to interface with a Siemens HICOM 300E switch PBX The system will operate on software developed in Visual Basic 6 0 using Parity Software s CT ADE toolkit to run on Microsoft Windows 2000 System databases will be maintained in Access 2000 Users will be able to access the system by dialing in on a 800 line and using an access code 5 digit PIN The D 82 board will allow for simultaneous acce
19. o Back Help Allows you to hear messages send delete and monitor messages Listen to Messages 5 New Messages Play Delete Go Back Help Send a Message Caregiver Technical Staff REACH Monitor Messages John Tracy Mary Henry Adrienne Monica Go Back Help Reminders Create Cancel Monitor Go Back Help Allows you to create cancel and monitor reminders Create Reminders John Tracy Mary Henry Adrienne Monica Go Back Help Cancel Reminders John Tracy Mary Henry Adrienne Monica Go Back Help NUP WHE Monitor Reminders John Tracy Mary Henry Adrienne Monica Go Back Help Information Tips About Alzheimer Caregiving Tips Communication Healthy Living Grief and Loss Environment Go Back Help tou PB WN FP Provides information and tips on various topics related to taking care of yourself and your loved one Caregiving Tips Wandering Incontinence Repeated Ques Dressing Bathing Safety Driving Go Back Help NOS WN HE Communication 1 Access Resources 2 Health Care Prof 3 Family Friends 4 Your Loved one 5 Socializing Go Back Help Healthy Living 1 Your Health 2 Eating Exercise 3 Pleasant Events 4 Sleeping Better 5 Stress Management Go
20. on of specific topics and 3 a 30 35 minute support component that will be free form and will consist of a loosely structured interactional format that encourages CGs to share issues problems concerns and potential solutions Upon agreement caregivers will also be encouraged to share phone numbers so that they can leave messages for each other outside of the group The content of educational component will be consistent across groups see description of Social Support component of the Intervention The facilitator will initiate the call using the support group menu option of the interventionist component of the CTIS system The language meeting date and time of the groups assigned to the interventionist facilitator will appear on a submenu If a group is selected the names of group members will appear on a subsequent submenu This information will be updated as subsequent group sessions are scheduled via the group facilitator Group participants are added to a meeting in a serial fashion The system automatically contacts the caregiver when their name is selected Caregivers will receive a reminder the day prior to the call and be asked to contact their interventionist if they will be unavailable to participate in the group or will be at a different telephone number The facilitator will be asked to complete a discussion group log Appendix following the sessions which includes information on attendees time and length of the call and general
21. r Resource Guide Allows you to Messages features of the i histen messages send and 1 Alzheimer Nat access information Resource Guide E zheimer 3 3 Information Tips network These ee ae delete messages DEA about and directly 4 Family Respite features are linked 4 Community Serv contact various 5 Other Services P to other menus types of community Help Go Back Help Go Back Help services Messages 1 Listen 2 Send Listen to Messages Community Services Go Back Help 1 Play Respite Care 2 Delete Res Care Hospice Serv Resource Guide Support Groups Go Back Help Legal Issues Financial Supp Go Back Help Alzheimer Nat Alzheimer Loc AAA Community Serv Other Services Oe WN FB Go Back Help Send a Message 1 Interventionist Technical Staff Other Services 3 Group leader N Information Tips Care Management Homemaking Transportation Meals Shopping Assistive Dev Go Back Help About Alzheimer Caregiving Tips Communication Healthy Living Go Back Help Grief and Loss Environment Go Back Help Record Family Respite your message to interventionist 1 Listen after 2 Create the beep 3 Delete Press 1 to send Press to cancel Go Back Help
22. r will be asked to use the features to perform a set of sample tasks They will be observed by the interventionist who will complete an observation checklist to help ensure that the caregiver had sufficient knowledge of the system They will be provided with feedback and training assistance until they are able to complete the tasks It is anticipated that training will be brief as the system is easy to use Refresher training will occur during the second intervention session Caregivers will also be provided with a streamlined easy to use user help card In addition they will have access to technical help staff The interventionists will be trained and certified in the user of the system by the technical staff The same general training protocol outlined for the caregivers will be followed They will also receive a user s help card NIA NINR REACH Il All Rights Reserved V1 0 6 1 02 REACH CAREGIVER NETWORK IMPLEMENTATION PROTOCOL 1 Priorto the first session e Review the Caregiver Training Manual e Enroll the caregiver into the network by faxing the completed caregiver enrollment form to the technical staff at UM 305 355 9207 This must be done at least 3 working days in advance e The technical staff will provide your site coordinator with a PIN number for the caregiver e The coordinator must confirm that they have received the PIN number via email to clee med miami edu Prepare a help cared for the caregiver with their PI
23. ss to 8 incoming lines Outgoing calls and conferences will be handled through the PBX A back up system will also be maintained Users will interact with the base system using CIDCO Model CST2100 screenphones see Figure below The screenphones include a handset and a base unit with a display screen user buttons and speakerphone The phones will communicate with the base system using BellCore ADSI protocols The visual interface of the telephone consists of a screen capable of displaying 9 lines with 18 characters of text on each line Information on the screen can also be scrolled using one of 4 directional scroll buttons Users interact with the telephone using either the standard telephone keys 1234567890 Voice and text information will be provided to the user simultaneously in either English or Spanish depending on the user s language preference NIA NINR REACH Il All Rights Reserved V1 0 6 1 02 Network Operation and Features Caregivers are enrolled in the network by the technical support staff following randomization to the intervention condition The interventionist must complete the caregiver information form Appendix and transmit the information to the technical staff at the University of Miami Caregivers will then be assigned a five digit Pin Caregiver information may be changed using the change of information form Appendix Interventionists and group facilitators will also be enrolled in the system and provided wi
24. th a five digit Pin To become enrolled they must also complete an enrollment form Appendix and transmit this form to the technical staff at the University of Miami If the facilitator is not an interventionist they will only have access to the message and support group features of the interventionist component of the network A master list of names and corresponding Pin numbers will be maintained in a secure place by the technical staff The screenphones will be placed in the caregiver s home during the initial intervention session see Implementation protocol Appendix They will be trained and receive practice using the system and provided with a user help card Appendix Caregivers will also be informed about the on line support groups and asked to indicate their preference with respect to meeting time morning vs evening and language English vs Spanish This information will be entered onto the Support Group Form Appendix which will then be sent to the group coordinator at the Univeristy of Miami The operation and features of the system will be reviewed during the second home visit Technical help is also available on the system Use of the system will be reinforced throughout the intervention The system will remain in the caregiver s home for the entire 6 month intervention period Interventionists will also be provided with screenphones A user accesses the network by dialing a toll free 1 800 number For security reasons each user
25. to send a message to their interventionist the technical staff or their support group leader The message function is different from the reminder function If the interventionist leaves a message using the reminder function the system will automatically call the caregiver at a pre appointed time and deliver the reminder information Caregivers will be prompted to press 1 using the numeric keypad when they have received a reminder This will inform the system that the reminder has been successfully delivered Resource Guide This feature provides information on various resources community agencies and services It also provides easy access to key resources such as the National and Local Chapters of the Alzheimer s Association and the Area Agency on Aging This feature is listed on the main menu and if selected a submenu will appear that lists the categories of services resources The caregiver then selects the resource of interest and if appropriate a short message describing the nature of that resource e g respite care and how to access resources of this type in the community will be played Resources that are included on this menu are e Alzheimer s Association National and Local e Area Agency on Aging e Community Services e g Respite Care e Other Services Direct links are provided to the local and national Alzheimer s Association and the Area Agency on Aging If the community services or other services are selected
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