Education Program for Care Home Staff

Dementia Clinical Trial

Official title:

Effects of a Competency-based Education Program on Care Home Staff's Sense of Competence Related to Dementia Care in Mainland China: A Mixed-methods Approach

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04445077
• Other study ID #: 2019.500
• Status: Recruiting
• Phase: N/A
• Start date: June 2020
• Est. completion date: December 2020

Study information

• Verified date: June 2020
• Source: Chinese University of Hong Kong
• Contact: Yayi ZHAO
• Phone: (852)54263094
• Email: zhaoyayi[@]link.cuhk.edu.hk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The competence of care home staff in dementia care is highly influential to the quality of care that adversely affects both people living with dementia and staff and in Mainland China where knowledge on dementia among care home staff was generally poor and this area is under-researched. This study aims at developing a competency-based culturally-sensitive education program on dementia care for care home staff through literature review, qualitative study. And then a quasi-experiment design without random assignment will be conducted to evaluate the effects of this program on care home staff's sense of competence, knowledge, attitudes, and care approach related to dementia care and staff satisfaction with the intervention. Focus group interviews will be conducted to understand participants' experience about the education program after the intervention. This study is expected to provide an effective way to improve care homes staff's competence in dementia care thereby improve the quality of care.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 144
• Est. completion date: December 2020
• Est. primary completion date: October 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

Care homes:

• having at least 10 people with dementia living in;

• with at least 10 care staff working for people with dementia;

• which do not have any educational activities for staff in dementia three months before the study and staff training plan during the whole study period;

• whose management level agrees to participate.

Care staff:

• working for people with dementia;

• speaking and reading Chinese;

• being willing to participate in the study.

Exclusion Criteria:

• having any educational activities in dementia three months before the study;

• having a training plan during the whole study period.

Related Conditions & MeSH terms

• Dementia

Intervention

Other:
• Dementia Competence Education for care home setting
The intervention is a competency-based education program for care home staff who provide dementia care in Mainland China.
• Printed educational materials
The educational materials will be delivered to the participants in the control group for their self-study.

Locations

Country	Name	City	State
China	????????????????	Nanjing	Jiangsu

Sponsors (1)

Lead Sponsor	Collaborator
Chinese University of Hong Kong

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Participants' experience about the intervention	Focus group interviews which will last around 40-60 minutes will be conducted to understand care home staff's experience and their perceptions towards the program.	Focus group interviews will be conducted within one week after the intervention.
Primary	Change of sense of competence in dementia care	Sense of competence in dementia care will be measured by Sense of Competence in dementia care scale.The total score is 17-68 by adding up the score of each item. Higher scores mean higher level of sense of confidence.	Sense of competence in dementia care changes from baseline to immediately after intervention (2 months).
Primary	Change of Sense of competence in dementia care	Sense of competence in dementia care will be measured by Sense of Competence in dementia care scale.The total score is 17-68 by adding up the score of each item. Higher scores mean higher level of sense of confidence.	Sense of competence in dementia care changes from immediately after intervention to three months after intervention.
Secondary	Change of knowledge on dementia	Knowledge on dementia will be assessed by using Dementia Knowledge Assessment Scale. The total score is 0 to 50 by adding up the scores of all items. Higher score means better knowledge on dementia.	Knowledge on dementia changes from baseline to immediately after intervention (2 months).
Secondary	Change of knowledge on dementia	Knowledge on dementia will be assessed by using Dementia Knowledge Assessment Scale. The total score is 0 to 50 by adding up the scores of all items. Higher score means better knowledge on dementia.	Knowledge on dementia changes from immediately after intervention to three months after intervention.
Secondary	Change of attitude towards dementia care	Attitude towards dementia care will be assessed by using Approaches to Dementia Questionnaire. The total score is 19-95 with higher score indicating the more positive attitudes.	Attitude towards dementia care changes from baseline to immediately after intervention (2 months).
Secondary	Change of attitude towards dementia care	Attitude towards dementia care will be assessed by using Approaches to Dementia Questionnaire. The total score is 19-95 with higher score indicating the more positive attitudes.	Attitude towards dementia care changes from immediately after intervention to three months after intervention.
Secondary	Change of person-centred care approach	Person-centred care approach will be assessed by Person-centred care assessment tools. The total score ranges from 15 to 75 with higher score indicating higher degree of person-centred care provision in the institutions.	Person-centred care approach changes from baseline to immediately after intervention (2 months).
Secondary	Change of person-centred care approach	Person-centred care approach will be assessed by Person-centred care assessment tools. The total score ranges from 15 to 75 with higher score indicating higher degree of person-centred care provision in the institutions.	Person-centred care approach changes from immediately after intervention to three months after intervention.
Secondary	Change of severity of behavioural and psychological symptoms of dementia (BPSD) of residents with dementia	Severity of BPSD of residents with dementia will be assessed by Neuropsychiatric Inventory - Nursing Home Version (NPI-NH). The frequency × severity of each item yielded a composite symptom, and total severity scores which ranges from 1 to 36 reflecting the sum of each item score. Higher scores indicate more severe symptoms. The total score of caregiver distress range from 12 to 60, with higher score indicating more severe distress.	Severity of BPSD of residents with dementia changes from baseline to immediately after intervention (2 months).
Secondary	Change of severity of behavioural and psychological symptoms of dementia (BPSD) of residents with dementia	Severity of BPSD of residents with dementia will be assessed by Neuropsychiatric Inventory - Nursing Home Version (NPI-NH). The frequency × severity of each item yielded a composite symptom, and total severity scores which ranges from 1 to 36 reflecting the sum of each item score. Higher scores indicate more severe symptoms. The total score of caregiver distress range from 12 to 60, with higher score indicating more severe distress.	Severity of BPSD of residents with dementia changes from immediately after intervention to three months after intervention.
Secondary	Care staff's satisfaction	Care staff's satisfaction will be measured with a self-developed, five-point Likert, five-item scale including satisfaction with educational content, teaching form, provider, usefulness and overall evaluation. The total score ranges from 5 to 25, with higher score representing more dissatisfaction on the training.	Care staff's satisfaction will be measured immediately after the intervention in intervention group.