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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
Results First Received: October 10, 2014  
Study Type: Interventional
Study Design: Allocation: Non-Randomized;   Masking: Open Label;   Primary Purpose: Health Services Research
Condition: Dementia
Intervention: Behavioral: Educational Intervention

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Training Feasibility

4 sites (8 individuals) received the training intervention to determine the feasibility of the train-the trainer approach.

The educational intervention is included in this arm.

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.

Data Collection - Survey

Survey data collection tools were piloted to assess feasibility of survey administration and development for use in a long-term care setting. These tools were piloted in sites where the educational intervention was administered.

The survey was a modified version of the Care Coordination Survey which was originally validated in a hospital setting (citation below). The survey pertains to work context factors that shape practice, including staffing and resources, communication and IT, participation in decision-making, relationships with supervisors, professional empowerment, and relational coordination. Modifications were made for use of the survey in a VA Community Living Centers.

Weinberg, D., J. Perloff, D. Cooney-Miner, and E. Glaser, Supporting work and workers: Validation of a hospital work organization survey for professional and paraprofessional workers. 2008.

Data Collection - Interview Interview data collection tools were piloted to assess feasibility of interview administration and development of the interview protocol for future studies. These tools were piloted in sites where the educational intervention was administered.

Participant Flow:   Overall Study
    Training Feasibility     Data Collection - Survey     Data Collection - Interview  
STARTED     8     24     13  
COMPLETED     7     24     13  
NOT COMPLETED     1     0     0  
Withdrawal by Subject                 1                 0                 0  



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
No text entered.

Reporting Groups
  Description
Training Feasibility

4 sites (8 individuals) received the training intervention to determine the feasibility of the train-the trainer approach.

The educational intervention is included in this arm.

Data Collection - Survey Survey data collection tools were piloted to assess feasibility of survey administration and development of the survey for future studies. These tools were piloted in sites where the educational intervention was administered.
Data Collection - Interview Interview data collection tools were piloted to assess feasibility of interview administration and development of the interview protocol for future studies. These tools were piloted in sites where the educational intervention was administered.
Total Total of all reporting groups

Baseline Measures
    Training Feasibility     Data Collection - Survey     Data Collection - Interview     Total  
Number of Participants  
[units: participants]
  8     24     13     45  
Age  
[units: participants]
       
<=18 years     NA [2]   NA [2]   NA [2]   NA [1]
Between 18 and 65 years     NA [2]   NA [2]   NA [2]   NA [1]
>=65 years     NA [2]   NA [2]   NA [2]   NA [1]
Gender, Customized  
[units: participants]
       
Male     NA [3]   4     NA [3]   NA [1]
Female     NA [3]   19     NA [3]   NA [1]
Unknown     NA [3]   1     NA [3]   NA [1]
Race/Ethnicity, Customized  
[units: participants]
       
American Indian/Alaskan Native     NA [4]   0     NA [4]   NA [1]
Asian     NA [4]   0     NA [4]   NA [1]
Black     NA [4]   5     NA [4]   NA [1]
Native Hawaiian/Other Pacific Islander     NA [4]   0     NA [4]   NA [1]
White     NA [4]   17     NA [4]   NA [1]
Unknown     NA [4]   2     NA [4]   NA [1]
[1] Total not calculated because data are not available (NA) in one or more arms.
[2] Age was not collected as it was not pertinent to the study.
[3] Gender was not collected for this portion of the study as it was not pertinent to the study.
[4] Race/Ethnicity was not collected for this Arm as it was not pertinent to the study.



  Outcome Measures
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1.  Primary:   Completion of Training Intervention   [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]

2.  Primary:   Facility Implementation of Trainings   [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]

3.  Primary:   Number of Participants in Pilot Surveys   [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]

4.  Primary:   Number of Participants in Pilot Interviews   [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]


  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats
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Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


Results Point of Contact:  
Name/Title: Dr. Carol VanDeusen Lukas
Organization: Department of Veterans Affairs
phone: 857-364-5685
e-mail: carol.vandeusenlukas@va.gov


No publications provided


Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00875706     History of Changes
Other Study ID Numbers: EDU 08-427
Study First Received: April 1, 2009
Results First Received: October 10, 2014
Last Updated: November 20, 2014
Health Authority: United States: Federal Government