Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

A Person-centred and Thriving Promoting Care Model for Residential Aged Care

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02714452
Recruitment Status : Completed
First Posted : March 21, 2016
Last Update Posted : October 11, 2018
Sponsor:
Collaborators:
University of Oslo
La Trobe University
Information provided by (Responsible Party):
David Edvardsson, Umeå University

Brief Summary:

The overall aim of this study is to evaluate the effects, meaning and significance of a person-centred and thriving promoting model for residential aged care in Australia, Norway and Sweden. More specifically, the following research questions will be explored:

  1. Can a person-centred and thriving promoting care model increase residents' thriving, and have a positive impact on residents' perception of the caring environment?
  2. Can a person-centred and thriving promoting care model increase relatives' satisfaction with care, and have a positive impact on their experience of visiting their relative, and perception of the caring environment?
  3. Can a person-centred and thriving promoting care model increase staff's job satisfaction, decrease stress of conscience, and have a positive impact on their perception of the caring environment and person-centred care?
  4. What meaning and significance do relatives and staff ascribe to the intervention? The study is designed as a multi-centre, controlled group before-after design with participating sites in Victoria (Australia), Oslo (Norway) and Västerbotten (Sweden). Two residential aged care facilities at each site will be allocated to either intervention or control, in total three intervention and three control facilities divided over the three sites.

Care staff at the intervention facilities will participate in a 12-month education on how to integrate aspects of person-centredness, thriving and a caring environment into daily care practice. Participating staff will work together with their colleagues and members from the research group to create a reflective and creative learning environment that builds on and develops the staff members' clinical experience and skills, and combines it with theoretical and research-based knowledge.

At the control facilities, care staff will participate in a 2-hour lecture on the theoretical and philosophical foundations of person-centredness, thriving and a caring environment, and then continue with practice without further involvement from the research team.

Evaluation data will be collected by study specific questionnaires before the education starts, immediately after the education and at a 6-month follow-up. In addition, focus group interviews and individual interviews will be conducted with a selection of staff members and relatives at the intervention facilities to explore meaning and significance of the intervention.


Condition or disease Intervention/treatment Phase
Aging Behavioral: Person-centred care Not Applicable

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 865 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: A Person-centred and Thriving Promoting Care Model for Residential Aged Care
Actual Study Start Date : March 2016
Actual Primary Completion Date : April 2018
Actual Study Completion Date : April 2018

Arm Intervention/treatment
Intervention
Person-centred care
Behavioral: Person-centred care
Person-centred and thriving promoting care

No Intervention: Control
Conventional care



Primary Outcome Measures :
  1. Change in The Thriving of Older People Assessment Scale between baseline and follow-up [ Time Frame: Change from baseline thriving at 12 and 18 months ]
    Data will be collected from residents at both intervention and control facilities by either self-rating or proxy-rating surveys at baseline and at 12 and 18 months follow-up

  2. Change in relatives' satisfaction with care measured by the Pyramid questionnaire [ Time Frame: Change from baseline satisfaction at 12 and 18 months ]
    Data will be collected from relatives at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up

  3. Change in staff's job satisfaction measured by the The Job satisfaction questionnaire [ Time Frame: Change from baseline job satisfaction at 12 and 18 months ]
    Data will be collected from staff at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up


Secondary Outcome Measures :
  1. Change in participants' experience of the caring environment measured by The Person-centred Climate Questionnaire [ Time Frame: Change from baseline experience at 12 and 18 months ]
    Data will be collected from residents, relatives and staff at both intervention and control facilities by either self-rating or proxy-rating surveys at baseline and at 12 and 18 months follow-up

  2. Change in relatives' experienced satisfaction with visiting the nursing home and their relative, measured by Visual Analogue Scales of participants' subjective experiences of 12 statements, ranging from 0 (totally disagree) to 10 (totally agree). [ Time Frame: Change from baseline satisfaction at 12 and 18 months ]
    Data will be collected from relatives at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up. Group level data will be aggregated using mean values of the participants' ratings.

  3. Change in staff's stress of conscience measured by the Stress of Conscience questionnaire [ Time Frame: Change from baseline stress of conscience at 12 and 18 months ]
    Data will be collected from staff at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up

  4. Change in staff's perception of the person-centredness of care measured by the Person-centred Care Assessment Tool [ Time Frame: Change from baseline perception at 12 and 18 months ]
    Data will be collected from staff at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up



Information from the National Library of Medicine

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, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • minimum 18 years of age
  • living in the facility for >1 month by the time of data collection
  • visiting the residential aged care facility on a regular basis (>1/month)
  • working in the residential aged care facility on a temporary and or permanent basis (>1month contract)
  • have been working >1 month in the residential aged care facility by the time of data collection.

Exclusion Criteria:

  • newly moved in to the facility
  • visiting the facility more seldom than once a month
  • working on a short-term contract

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02714452


Locations
Layout table for location information
Sweden
Umeå University
Umeå, Sweden, SE-90187
Sponsors and Collaborators
Umeå University
University of Oslo
La Trobe University
Investigators
Layout table for investigator information
Principal Investigator: David Edvardsson, Professor Umeå University
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Layout table for additonal information
Responsible Party: David Edvardsson, Professor, Umeå University
ClinicalTrials.gov Identifier: NCT02714452    
Other Study ID Numbers: 2014-4016
First Posted: March 21, 2016    Key Record Dates
Last Update Posted: October 11, 2018
Last Verified: October 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by David Edvardsson, Umeå University:
Person-centred care
Thriving
Satisfaction with care
Residential aged care
Caring environment