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

Study Type Interventional
Study Design Allocation: Non-Randomized;   Masking: None (Open Label);   Primary Purpose: Health Services Research
Condition Dementia
Intervention Behavioral: Educational Intervention
Enrollment 45
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Training Feasibility Data Collection - Survey Data Collection - Interview
Hide Arm/Group Description

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.

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.

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.
Period Title: Overall Study
Started 8 24 13
Completed 7 24 13
Not Completed 1 0 0
Reason Not Completed
Withdrawal by Subject             1             0             0
Arm/Group Title Training Feasibility Data Collection - Survey Data Collection - Interview Total
Hide Arm/Group Description

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.

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. 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 of all reporting groups
Overall Number of Baseline Participants 8 24 13 45
Hide Baseline Analysis Population Description
[Not Specified]
Age, Categorical  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 8 participants 24 participants 13 participants 45 participants
<=18 years NA [1]  NA [1]  NA [1]  NA [2] 
Between 18 and 65 years NA [1]  NA [1]  NA [1]  NA [2] 
>=65 years NA [1]  NA [1]  NA [1]  NA [2] 
[1]
Age was not collected as it was not pertinent to the study.
[2]
Total not calculated because data are not available (NA) in one or more arms.
Sex/Gender, Customized  
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 8 participants 24 participants 13 participants 45 participants
Male NA [1]  4 NA [1]  NA [2] 
Female NA [1]  19 NA [1]  NA [2] 
Unknown NA [1]  1 NA [1]  NA [2] 
[1]
Gender was not collected for this portion of the study as it was not pertinent to the study.
[2]
Total not calculated because data are not available (NA) in one or more arms.
Race/Ethnicity, Customized  
Measure Type: Number
Unit of measure:  Participants
Number Analyzed 8 participants 24 participants 13 participants 45 participants
American Indian/Alaskan Native NA [1]  0 NA [1]  NA [2] 
Asian NA [1]  0 NA [1]  NA [2] 
Black NA [1]  5 NA [1]  NA [2] 
Native Hawaiian/Other Pacific Islander NA [1]  0 NA [1]  NA [2] 
White NA [1]  17 NA [1]  NA [2] 
Unknown NA [1]  2 NA [1]  NA [2] 
[1]
Race/Ethnicity was not collected for this Arm as it was not pertinent to the study.
[2]
Total not calculated because data are not available (NA) in one or more arms.
1.Primary Outcome
Title Completion of Training Intervention
Hide Description This outcome measures the number of participants that fully completed the training intervention.
Time Frame This outcome was assessed at the end of the 1 year pilot study.
Hide Outcome Measure Data
Hide Analysis Population Description
The analysis population includes only participants who started the Train-the-Trainer intervention and therefore only participants in the Training Feasibility Arm/Group were analyzed for this outcome.
Arm/Group Title Training Feasibility Data Collection - Survey Data Collection - Interview
Hide Arm/Group Description:

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.

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.
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.
Overall Number of Participants Analyzed 8 0 0
Measure Type: Number
Unit of Measure: participants
7
2.Primary Outcome
Title Facility Implementation of Trainings
Hide Description This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention.
Time Frame This outcome was assessed at the end of the 1 year pilot study.
Hide Outcome Measure Data
Hide Analysis Population Description
This unit of measure for this outcome measure is at the facility level. There were 4 facilities (8 trainees) in total that began the training intervention.
Arm/Group Title Training Feasibility Data Collection - Survey Data Collection - Interview
Hide Arm/Group Description:

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.

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.
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.
Overall Number of Participants Analyzed 8 0 0
Overall Number of Units Analyzed
Type of Units Analyzed: Facility
4 0 0
Measure Type: Number
Unit of Measure: Facility
Coaching and Supervision Training 3
Direct Care Worker Training 2
3.Primary Outcome
Title Number of Participants in Pilot Surveys
Hide Description 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.
Time Frame This outcome was assessed at the end of the 1 year pilot study.
Hide Outcome Measure Data
Hide Analysis Population Description
Only participants in the Data Collection - Survey group were analyzed for this outcome. The population included trainees and direct care workers.
Arm/Group Title Training Feasibility Data Collection - Survey Data Collection - Interview
Hide Arm/Group Description:

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.

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.
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.
Overall Number of Participants Analyzed 0 24 0
Measure Type: Number
Unit of Measure: participants
24
4.Primary Outcome
Title Number of Participants in Pilot Interviews
Hide Description 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.
Time Frame This outcome was assessed at the end of the 1 year pilot study.
Hide Outcome Measure Data
Hide Analysis Population Description
Only participants in the Data Collection - Interview group were analyzed for this outcome. The population included trainees and direct care workers.
Arm/Group Title Training Feasibility Data Collection - Survey Data Collection - Interview
Hide Arm/Group Description:

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.

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.
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.
Overall Number of Participants Analyzed 0 0 13
Measure Type: Number
Unit of Measure: participants
13
Time Frame [Not Specified]
Adverse Event Reporting Description No serious or other adverse events were collected.
 
Arm/Group Title Training Feasibility Data Collection - Survey Data Collection - Interview
Hide Arm/Group Description

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.

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. 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.
All-Cause Mortality
Training Feasibility Data Collection - Survey Data Collection - Interview
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/--   --/-- 
Hide Serious Adverse Events
Training Feasibility Data Collection - Survey Data Collection - Interview
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   0/0   0/0   0/0 
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Training Feasibility Data Collection - Survey Data Collection - Interview
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   0/0   0/0   0/0 
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Dr. Carol VanDeusen Lukas
Organization: Department of Veterans Affairs
Phone: 857-364-5685
EMail: carol.vandeusenlukas@va.gov
Layout table for additonal information
Responsible Party: VA Office of Research and Development ( US Department of Veterans Affairs )
ClinicalTrials.gov Identifier: NCT00875706    
Other Study ID Numbers: EDU 08-427
First Submitted: April 1, 2009
First Posted: April 3, 2009
Results First Submitted: October 10, 2014
Results First Posted: November 24, 2014
Last Update Posted: April 24, 2015