Improving Mood and Behavior in Assisted Living Residents Through Skills Training for Their Caregivers

This study has been completed.
Information provided by (Responsible Party):
Linda Teri, University of Washington Identifier:
First received: November 16, 2005
Last updated: December 12, 2013
Last verified: December 2013

This study will develop a treatment program to reduce mood and behavior problems in assisted living residents who have dementia.

Condition Intervention Phase
Alzheimer Disease
Behavioral: Skills training for the care of dementia patients
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Improving Affect and Behavior in Assisted Living Residents

Resource links provided by NLM:

Further study details as provided by University of Washington:

Primary Outcome Measures:
  • Skills to effectively deal with resident behavioral problems

Secondary Outcome Measures:
  • Resident depression, anxiety, behavioral problems, and quality of life

Estimated Enrollment: 90
Study Start Date: January 2004
Study Completion Date: December 2006
Primary Completion Date: December 2006 (Final data collection date for primary outcome measure)
Detailed Description:

Assisted living is rapidly becoming one of the most common methods of caring for older adults with dementia in long-term care. Over half of assisted living residents have dementia and many exhibit affective and behavioral problems related to the condition; residents' care and quality of life may suffer as a result of these problems. Despite the seriousness of this condition, interventions to teach direct care staff how to care for these residents are limited. This study will develop a program for teaching assisted living staff how to deal with the issues of patients with dementia and reduce mood and behavioral problems among this population.

Caregivers will be randomly assigned to attend skills training sessions as two 4-hour workshops, four 30 minute individual training sessions, or two 30 minute in-services. Training will focus on dementia, depression and anxiety, the incidence of behavior problems, and skills and techniques for alleviating care challenges associated with behavior problems. Caregivers will complete self-report scales and questionnaires at the beginning and at the end of the study; these measures will assess job satisfaction, reactions to resident behavioral problems, and job skills. Residents will also be recruited for this study; they will complete questionnaires about their depressive episodes, anxiety, behavioral problems, and quality of life at the beginning and at the end of the study.


Ages Eligible for Study:   21 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Inclusion Criteria for Assisted Living Staff

  • Work in the assisted living residence for at least 6 months prior to study entry
  • Work in the assisted living residence at least 5 days a week, for at least 4 hours a day on day or afternoon-evening shifts
  • Provide direct care for at least 1 assisted living resident
  • Agree to attend all training sessions and complete assessment forms
  • Able to speak, read, and understand English at a 6th grade level

Inclusion Criteria for Assisted Living Residents:

  • Diagnosis of dementia
  • Identified by caregiving staff as having mood or behavioral problems
  • Have lived at the assisted living residence for at least 3 months prior to study entry
  • Have a family member with power of attorney

Exclusion Criteria for Assisted Living Residents:

  • Plan to receive medication for affective or behavioral problems during the study
  • History of alcohol or drug abuse
  • Have attempted suicide within 1 year prior to study entry
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00255866

United States, Arkansas
University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States, 72205
United States, Illinois
Rush University School of Nursing
Chicago, Illinois, United States, 60612
Sponsors and Collaborators
University of Washington
Principal Investigator: Linda Teri, PhD University of Washington
  More Information

No publications provided

Responsible Party: Linda Teri, Principal Investigator, University of Washington Identifier: NCT00255866     History of Changes
Other Study ID Numbers: R21 MH69651, R21MH069651, DSIR 82-SEDR
Study First Received: November 16, 2005
Last Updated: December 12, 2013
Health Authority: United States: Federal Government

Keywords provided by University of Washington:
Assisted Living Facilities

Additional relevant MeSH terms:
Alzheimer Disease
Brain Diseases
Central Nervous System Diseases
Delirium, Dementia, Amnestic, Cognitive Disorders
Mental Disorders
Nervous System Diseases
Neurodegenerative Diseases
Tauopathies processed this record on August 27, 2015