Video Feedback Intervention in Nursing Home Residents With Dementia and Severe Challenging Behavior.

Dementia Clinical Trial

Official title:

Leren Zien Wat Werkt: Video Interventie Ouderenzorg (VIO) Bij cliënten Met Dementie en Ernstig Probleemgedrag in Verpleeghuizen.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05658666
• Other study ID #: 111972
• Status: Recruiting
• Start date: December 13, 2022
• Est. completion date: June 1, 2024

Study information

• Verified date: August 2022
• Source: Radboud University Medical Center
• Contact: Debby Gerritsen
• Phone: +31243618181
• Email: debby.gerritsen[@]radboudumc.nl
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to evaluate how, under what circumstances and for whom the video feedback intervention works for (the caregivers of) people with dementia and severe challenging behavior in a nursing home setting.

Description:

This mixed multiple case study focuses on the evaluation of a video feedback intervention for (the caregivers of) people with dementia and challenging behavior. The video feedback intervention focuses on understanding the person with dementia, increasing the sense of competence in caregivers and improving their communication skills when interacting with the person with dementia. This realist evaluation aims to investigate what outcomes the intervention generates, for whom and in which contexts. Participants will receive care as usual.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 25
• Est. completion date: June 1, 2024
• Est. primary completion date: June 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Nursing home resident

• Dementia

• Severe challenging behavior

• Video feedback intervention is started by health care professionals as part of usual care

Exclusion Criteria:

• N/A

Related Conditions & MeSH terms

• Challenging Behavior
• Dementia
• Nursing Home Resident

Intervention

Behavioral:
• Video feedback intervention (in Dutch: Video Interventie Ouderenzorg)
The video feedback trainer assesses the interaction between the person with dementia and the caregiver and acquires agreement from the caregiver on the goals of the intervention. Caregivers are trained during several feedback sessions using personal video footage of interaction between the person with dementia and the caregiver. The feedback focuses on basic interaction and attunement principles, and the team feeling competent. Recording starts with a nondemanding situation, enabling the caregiver to become aware of the principles they already apply and to learn how these principles can be used in more demanding situations. Subsequently, video footage is recorded in 1 to 3 situations, depending on the progress, of increasing difficulty, with about 4 weeks between 2 recordings. After each recording, a 1-hour feedback session is held. The intervention concludes with separate, 30-minute sessions for the formal and informal caregivers evaluating the intervention.

Locations

Country	Name	City	State
Netherlands	Expertise Centrum VIO de Wever, behandelcentrum de Hazelaar	Tilburg	Noord-Brabant

Sponsors (2)

Lead Sponsor	Collaborator
Radboud University Medical Center	ZonMw: The Netherlands Organisation for Health Research and Development

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Professional caregiver measures: Changes in quality of communication with the person with dementia	self-developed items	5 months
Other	Professional caregiver measures: changes in quality of relationship with the person with dementia	self-developed items	5 months
Other	Professional caregiver measures: changes in emotional strain	self-developed items	5 months
Other	Loved ones measures: Changes in quality of communication with the person with dementia	self-developed items	5 months
Other	Loved ones measures: Changes in quality of relationship with the person with dementia	self-developed items	5 months
Other	Loved ones measures: Changes in emotional strain	self-developed items	5 months
Other	Loved ones measures: Changes in life satisfaction	self-developed items	5 months
Other	Care team measures: changes in succesful communication with the person with dementia	succesful communication scheme	5 months
Other	Care team measures: changes in attunement with the person with dementia	relational attunement scheme	5 months
Other	Care team measures: Changes in sense of competence of the care team as a whole	Analysis team learning scale	5 months
Primary	Changes in sense of competence of the professional caregiver	Sense of competence in dementia care scale (SCIDS)	5 months
Secondary	Professional caregiver measures: changes in strain in dementia work	Strain in dementia care scale (SDC)	5 months
Secondary	Professional caregiver measures: changes in safety in team participation	Team climate inventory (TCI)	5 months
Secondary	Loved ones measures: changes in sense of competence	Short sense of competence questionnaire (SSCQ)	5 months
Secondary	Person with dementia: changes in frequency of psychopathology	Neuropsychiatric inventory nursing home (NPI-NH)	5 months
Secondary	Person with dementia: changes in severity of psychopathology	Neuropsychiatric inventory nursing home (NPI-NH)	5 months
Secondary	Person with dementia: changes in frequency of agitated behaviors	Cohen Mansfield Agitation Inventory (CMAI)	5 months
Secondary	Person with dementia: changes in quality of life	Quality of life - Alzheimer Disease Scale (QOL-AD)	5 months
Secondary	Person with dementia: changes in social well-being	Revised index for social engagement (RISE)	5 months