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

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00875706
First received: April 1, 2009
Last updated: November 20, 2014
Last verified: November 2014

April 1, 2009
November 20, 2014
October 2009
March 2011   (final data collection date for primary outcome measure)
  • Completion of Training Intervention [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ] [ Designated as safety issue: No ]
    This outcome measures the number of participants that fully completed the training intervention.
  • Facility Implementation of Trainings [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ] [ Designated as safety issue: No ]
    This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention.
  • Number of Participants in Pilot Surveys [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ] [ Designated as safety issue: No ]
    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.
  • Number of Participants in Pilot Interviews [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ] [ Designated as safety issue: No ]
    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.
Qualitative Interview Data [ Time Frame: Assessed following training ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT00875706 on ClinicalTrials.gov Archive Site
Not Provided
Quantitative Survey Data [ Time Frame: At Baseline and Follow-up ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Training and Coaching to Promote High Performance in Veteran Affairs (VA) Nursing Home Care
Training and Coaching to Promote High Performance in 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).

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.

Interventional
Not Provided
Allocation: Non-Randomized
Masking: Open Label
Primary Purpose: Health Services Research
Dementia
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.
  • Training Feasibility

    4 sites will receive the training intervention to determine the feasibility of the train-the trainer approach.

    The educational intervention is included in this arm.

    Intervention: Behavioral: Educational Intervention
  • Data Collection - Survey
    Survey data collection tools will be piloted to assess feasibility of survey administration and development of the survey for future studies. This tools were piloted in sites where the educational intervention was administered.
    Intervention: Behavioral: Educational Intervention
  • Data Collection - Interview
    Interview data collection tools will be piloted to assess feasibility of interview administration and development of the interview protocol for future studies. This tools were piloted in sites where the educational intervention was administered.
    Intervention: Behavioral: Educational Intervention
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
45
March 2011
March 2011   (final data collection date for primary outcome measure)

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)
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00875706
EDU 08-427
No
Department of Veterans Affairs
Department of Veterans Affairs
Not Provided
Principal Investigator: Carol VanDeusen-Lukas, EdD VA New England Health Care System
Department of Veterans Affairs
November 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP