This project will develop a unique multimedia in-service training package that addresses the training needs of staff serving elderly individuals with visual impairments in long-term care facilities or rehabilitation hospitals. During Phase I, an outline for the multimedia training package, including a training manual and video presentations, will be made for the entire vision loss in-service training package. A training module and video will be produced for one area cane travel. This training package will then be tested at nursing home sites. Evaluation forms will be designed and implemented to evaluate the effectiveness of the tool. A program observation and monitoring checklist will be administered regularly throughout the 6-month period to further evaluate the effectiveness of the in-service training. The innovative aspects of the project are: (1) a multimedia approach, (2) comprehensive coverage of vision loss rehabilitation therapies, (3) use of staff to train staff on an ongoing basis, (4) concentration on the aged, and (5) a monitoring system.Awardee's statement of the potential commercial applications of the research:This training program will have the potential for nationwide application, particularly in light of OBRA requirements for ongoing in-service training for nurse aides. It will fulfill the training needs of staff of long-term care facilities in dealing with the aged visually impaired. The primary potential market for the proposed project is long-term care providers.National Institute on Alcohol Abuse and Alcoholism (NIAAA)