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

This study has been completed.
Information provided by (Responsible Party):
Department of Veterans Affairs Identifier:
First received: April 1, 2009
Last updated: April 18, 2013
Last verified: June 2011

April 1, 2009
April 18, 2013
October 2009
March 2011   (final data collection date for primary outcome measure)
Qualitative Interview Data [ Time Frame: Assessed following training ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00875706 on Archive Site
Quantitative Survey Data [ Time Frame: At Baseline and Follow-up ] [ Designated as safety issue: No ]
Same as current
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 aims to explore the feasibility of an educational intervention to strengthen workplace learning systems in 4 VA Community Living Centers (CLCs). 2 sites will participate in the feasibility study and 2 sites in the pilot study. In the feasibility study portion of the project educational interventions will be implemented, using a train-the-trainer approach to dissemination. Feasibility will be assessed based on both quantitative indicators regarding training time and numbers of participants, and qualitative data derived from telephone interviews with key informants at each site. In the pilot study phase of the project, both quantitative and qualitative data will be collected to assess factors that may have influenced the effectiveness of the intervention implementation and understand the impact the training on knowledge, practice, and working relationships had on those that participated.


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


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.


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.


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

Not Provided
Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Other: 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. This is a 2-day training in which participants both learn and practice skills in effective communication and coaching, specifically tailored to the supervision of DCWs who are learning new skills in managing problem behaviors. 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.
  • Arm 1
    Feasibility Arm - 2 sites will receive the training intervention to determine the feasibility of the train-the trainer approach.
    Intervention: Other: Educational Intervention
  • Arm 2
    Pilot Arm - 2 sites will receive the training intervention as well as take part in all other quantitative and qualitative data collection to validate the methodology proposed for assessing outcomes.
    Intervention: Other: Educational Intervention
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
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. EMS personnel, dietary personnel)
18 Years and older
Contact information is only displayed when the study is recruiting subjects
United States
EDU 08-427
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
June 2011

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