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

Purpose

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.

Condition	Intervention
Dementia	Other: Educational Intervention

Study Type:	Interventional
Study Design:	Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research
Official Title:	Training and Coaching to Promote High Performance in VA Nursing Home Care

Resource links provided by NLM:

MedlinePlus related topics: Dementia Nursing Homes

U.S. FDA Resources

Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:

Qualitative Interview Data [ Time Frame: Assessed following training ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Quantitative Survey Data [ Time Frame: At Baseline and Follow-up ] [ Designated as safety issue: No ]

Estimated Enrollment:	340
Study Start Date:	October 2009
Study Completion Date:	March 2011
Primary Completion Date:	March 2011 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Arm 1 Feasibility Arm - 2 sites will receive the training intervention to determine the feasibility of the train-the trainer approach.	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 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.	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.

Arms

Assigned Interventions

Arm 1

Feasibility Arm - 2 sites will receive the training intervention to determine the feasibility of the train-the trainer approach.

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 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.

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.

Detailed Description:

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.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

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)

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00875706

Locations

United States, Massachusetts
VA New England Health Care System
Boston, Massachusetts, United States, 02130

Sponsors and Collaborators

Department of Veterans Affairs

Investigators

Principal Investigator:

Carol VanDeusen-Lukas, EdD

VA New England Health Care System

More Information

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
Last Updated:	April 18, 2013
Health Authority:	United States: Federal Government

Keywords provided by Department of Veterans Affairs:

Nursing Homes
Implementation of innovative programs
Nursing staff
Nurses' aides
Educational models

Additional relevant MeSH terms:

Dementia
Brain Diseases
Central Nervous System Diseases

Nervous System Diseases
Delirium, Dementia, Amnestic, Cognitive Disorders
Mental Disorders

ClinicalTrials.gov processed this record on May 23, 2013