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Completed

NCT Number: NCT00875706

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

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

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Key information

Conditions

Dementia Brain Diseases Central Nervous System Diseases Mental Disorders Nervous System Diseases Neurocognitive Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

Boston, Massachusetts, 02130, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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)

Treatment and study plan

Educational intervention

Behavioral

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.

Primary outcomes

  1. Completion of Training Intervention

    Time frame: This outcome was assessed at the end of the 1 year pilot study.

    This outcome measures the number of participants that fully completed the training intervention.

  2. Facility Implementation of Trainings

    Time frame: This outcome was assessed at the end of the 1 year pilot study.

    This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention.

  3. Number of Participants in Pilot Surveys

    Time frame: This outcome was assessed at the end of the 1 year pilot study.

    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.

  4. Number of Participants in Pilot Interviews

    Time frame: This outcome was assessed at the end of the 1 year pilot study.

    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.

Sponsors and collaborators

Lead sponsor

US Department of Veterans Affairs

Fed

Registry information

Official study title

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

Important dates

Study start
2009
Primary completion
2011
Study completion
2011
First posted
Apr 3, 2009
Registry last updated
Apr 24, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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