Training and Coaching to Promote High Performance in Veteran Affairs (VA) Nursing Home Care

Dementia Clinical Trial

Official title:

Training and Coaching to Promote High Performance in VA Nursing Home Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00875706
• Other study ID #: EDU 08-427
• Status: Completed
• Phase: N/A
• First received: April 1, 2009
• Last updated: April 6, 2015
• Start date: October 2009
• Est. completion date: March 2011

Study information

• Verified date: August 2014
• Source: VA Office of Research and Development
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

This study aimed to explore the feasibility of an educational intervention to strengthen workplace learning systems in four VA Community Living Centers (CLCs).

Description:

Background:

The study explored the feasibility of an educational intervention to strengthen workplace-learning systems in four VA Community Living Centers (CLCs).

Objectives:

Specific aims were to 1) conduct a feasibility study to assess whether the educational intervention is practical to implement as designed and 2) conduct a pilot study to validate the methodology proposed for assessing outcomes of this educational intervention.

Methods:

A multi-level intervention targeting the translation of workplace learning into practice was implemented. The Direct Care Worker (DCW) intervention targeted both clinical knowledge and effective communication. The Coaching Supervision training addressed management and supervision practices for nurses, combined with effective communication. Four CLCs received both interventions, administered by the Paraprofessional Health Institute (PHI), using a train-the-trainer approach over the course of four 3-day sessions. Quantitative and qualitative data were collected to assess factors influencing effectiveness of implementation and to understand the impact of the trainings on participants.

Status:

The study has been completed with educational interventions implemented and qualitative and quantitative data collected.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 45
• Est. completion date: March 2011
• Est. primary completion date: March 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• VA Employees: psychologists, nurse-managers and front-line nursing care staff assigned to CLCs will be included

Exclusion Criteria:

• Those not working in the CLC,

• Those working in the CLC but not involved in the training intervention that is the focus of the study (e.g. Environment Management Service personnel, dietary personnel)

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Dementia

Intervention

Behavioral:
• Educational Intervention
The intervention consists of two (2) different types of training, both to be delivered through a train-the-trainer approach. The first of these is coaching-supervision training for nurse managers and other supervisory personnel in the CLC units. The second component is a one-day training for DCWs on communication and managing problem behaviors associated with dementia. These two trainings build on validated training models that have been developed by PHINational, but will be adapted and customized to include VA-developed clinical content on the management of problem behaviors associated with dementia.

Locations

Country	Name	City	State
United States	VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA	Boston	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
VA Office of Research and Development

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Completion of Training Intervention	This outcome measures the number of participants that fully completed the training intervention.	This outcome was assessed at the end of the 1 year pilot study.	No
Primary	Facility Implementation of Trainings	This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention.	This outcome was assessed at the end of the 1 year pilot study.	No
Primary	Number of Participants in Pilot Surveys	This outcome measures the number of participants that completed the survey during the pilot in order to assess the feasibility of conducting a larger study.	This outcome was assessed at the end of the 1 year pilot study.	No
Primary	Number of Participants in Pilot Interviews	This outcome measures the number of participants that participated in interviews that were conducted during the pilot in order to assess the feasibility of conducting a larger study.	This outcome was assessed at the end of the 1 year pilot study.	No