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

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ClinicalTrials.gov Identifier: NCT00875706
Recruitment Status : Completed
First Posted : April 3, 2009
Results First Posted : November 24, 2014
Last Update Posted : April 24, 2015
Sponsor:
Information provided by (Responsible Party):
VA Office of Research and Development ( US Department of Veterans Affairs )

Tracking Information
First Submitted Date  ICMJE April 1, 2009
First Posted Date  ICMJE April 3, 2009
Results First Submitted Date  ICMJE October 10, 2014
Results First Posted Date  ICMJE November 24, 2014
Last Update Posted Date April 24, 2015
Study Start Date  ICMJE October 2009
Actual Primary Completion Date March 2011   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: November 20, 2014)
  • Completion of Training Intervention [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]
    This outcome measures the number of participants that fully completed the training intervention.
  • Facility Implementation of Trainings [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]
    This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention.
  • Number of Participants in Pilot Surveys [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]
    This outcome measures the number of participants that completed the survey during the pilot in order to assess the feasibility of conducting a larger study.
  • Number of Participants in Pilot Interviews [ Time Frame: This outcome was assessed at the end of the 1 year pilot study. ]
    This outcome measures the number of participants that participated in interviews that were conducted during the pilot in order to assess the feasibility of conducting a larger study.
Original Primary Outcome Measures  ICMJE
 (submitted: April 2, 2009)
Qualitative Interview Data [ Time Frame: Assessed following training ]
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE
 (submitted: April 2, 2009)
Quantitative Survey Data [ Time Frame: At Baseline and Follow-up ]
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Training and Coaching to Promote High Performance in Veteran Affairs (VA) Nursing Home Care
Official Title  ICMJE Training and Coaching to Promote High Performance in VA Nursing Home Care
Brief Summary This study aimed to explore the feasibility of an educational intervention to strengthen workplace learning systems in four VA Community Living Centers (CLCs).
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.

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Non-Randomized
Masking: None (Open Label)
Primary Purpose: Health Services Research
Condition  ICMJE Dementia
Intervention  ICMJE Behavioral: 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.
Study Arms  ICMJE
  • Training Feasibility

    4 sites will receive the training intervention to determine the feasibility of the train-the trainer approach.

    The educational intervention is included in this arm.

    Intervention: Behavioral: Educational Intervention
  • Data Collection - Survey
    Survey data collection tools will be piloted to assess feasibility of survey administration and development of the survey for future studies. This tools were piloted in sites where the educational intervention was administered.
    Intervention: Behavioral: Educational Intervention
  • Data Collection - Interview
    Interview data collection tools will be piloted to assess feasibility of interview administration and development of the interview protocol for future studies. This tools were piloted in sites where the educational intervention was administered.
    Intervention: Behavioral: Educational Intervention
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: November 20, 2014)
45
Original Estimated Enrollment  ICMJE
 (submitted: April 2, 2009)
340
Actual Study Completion Date  ICMJE March 2011
Actual Primary Completion Date March 2011   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

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. Environment Management Service personnel, dietary personnel)
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT00875706
Other Study ID Numbers  ICMJE EDU 08-427
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Current Responsible Party VA Office of Research and Development ( US Department of Veterans Affairs )
Original Responsible Party VanDeusen-Lukas, Carol - Principal Investigator, Department of Veterans Affairs
Current Study Sponsor  ICMJE US Department of Veterans Affairs
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Carol VanDeusen-Lukas, EdD VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
PRS Account VA Office of Research and Development
Verification Date August 2014

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