Changing Talk to Reduce Resistiveness to Care
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|ClinicalTrials.gov Identifier: NCT01324219|
Recruitment Status : Completed
First Posted : March 28, 2011
Last Update Posted : February 13, 2017
The investigators are interested in reducing problem behaviors of nursing home residents with dementia that make providing care difficult. The investigators call these behaviors resistiveness to care. Previous research has found that resistiveness to care occurs more frequently when staff use certain types of communication. An inservice program will be provided to all nursing staff in your nursing home to teach staff about communication practices to reduce resistiveness to care. The research study will see whether changing communication will reduce resident resistiveness to care. If effective, the communication training may then be used to improve care in other facilities.
By doing this study, researchers hope to learn if changing communication practices will reduce resistiveness to care in nursing home residents with dementia.
|Condition or disease||Intervention/treatment||Phase|
|Dementia||Behavioral: Staff Behavioral: Resident||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||202 participants|
|Intervention Model:||Crossover Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||Changing Talk to Reduce Resistiveness to Care|
|Study Start Date :||March 2011|
|Actual Primary Completion Date :||June 2014|
|Actual Study Completion Date :||June 2016|
|Active Comparator: Staff||
Your participation will involve participating in video recordings of nursing care for a participating resident for 2-hour periods on 8 to 10 days. Communication training will be provided to staff in participating nursing homes during paid work hours regardless of their participation in the video recordings. The nursing home you work in may be randomly selected to receive the communication training at the start of the study or after a 3-month delay.
Your participation will involve participating in video recordings of nursing care for 2-hour periods on 8 to 10. Communication training will be provided to staff in participating facilities during paid work hours regardless of their participation in the video recordings. Your nursing home may be randomly selected to receive the communication training at the start of the study or after a 3-month delay.
- the effects of the nursing staff communication - change in frequency and duration of resident Resistiveness to Care behaviors. [ Time Frame: up to 6 months ]Test the effects of the CHAnging Talk (CHAT) nursing staff communication intervention on reducing the frequency and duration of resident Resistiveness to Care (RTC) behaviors.
- Calculate the costs of nursing staff communication system [ Time Frame: up to 6 months ]Calculate the costs of CHAT using traditional methods and assess its cost-effectiveness with innovative Data Envelopment Analysis.
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): NCT01324219
|United States, Kansas|
|University of Kansas Medical Center|
|Kansas City, Kansas, United States, 66160|
|Principal Investigator:||Kristine Williams, RN, PhD, APRN, FNP-BC||University of Kansas School of Nursing|