Trial Outcomes & Findings for Training and Coaching to Promote High Performance in Veteran Affairs (VA) Nursing Home Care (NCT NCT00875706)
NCT ID: NCT00875706
Last Updated: 2015-04-24
Results Overview
This outcome measures the number of participants that fully completed the training intervention.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
45 participants
Primary outcome timeframe
This outcome was assessed at the end of the 1 year pilot study.
Results posted on
2015-04-24
Participant Flow
Participant milestones
| Measure |
Training Feasibility
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.
|
Data Collection - Survey
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.
|
Data Collection - Interview
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 Study
STARTED
|
8
|
24
|
13
|
|
Overall Study
COMPLETED
|
7
|
24
|
13
|
|
Overall Study
NOT COMPLETED
|
1
|
0
|
0
|
Reasons for withdrawal
| Measure |
Training Feasibility
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.
|
Data Collection - Survey
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.
|
Data Collection - Interview
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 Study
Withdrawal by Subject
|
1
|
0
|
0
|
Baseline Characteristics
Training and Coaching to Promote High Performance in Veteran Affairs (VA) Nursing Home Care
Baseline characteristics by cohort
| Measure |
Training Feasibility
n=8 Participants
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.
|
Data Collection - Survey
n=24 Participants
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.
|
Data Collection - Interview
n=13 Participants
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
n=45 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
NA Participants
n=99 Participants
|
NA Participants
n=107 Participants
|
NA Participants
n=206 Participants
|
NA Participants
n=7 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
NA Participants
n=99 Participants
|
NA Participants
n=107 Participants
|
NA Participants
n=206 Participants
|
NA Participants
n=7 Participants
|
|
Age, Categorical
>=65 years
|
NA Participants
n=99 Participants
|
NA Participants
n=107 Participants
|
NA Participants
n=206 Participants
|
NA Participants
n=7 Participants
|
|
Sex/Gender, Customized
Male
|
NA participants
n=99 Participants
|
4 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Sex/Gender, Customized
Female
|
NA participants
n=99 Participants
|
19 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Sex/Gender, Customized
Unknown
|
NA participants
n=99 Participants
|
1 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Race/Ethnicity, Customized
American Indian/Alaskan Native
|
NA participants
n=99 Participants
|
0 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Race/Ethnicity, Customized
Asian
|
NA participants
n=99 Participants
|
0 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Race/Ethnicity, Customized
Black
|
NA participants
n=99 Participants
|
5 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Race/Ethnicity, Customized
Native Hawaiian/Other Pacific Islander
|
NA participants
n=99 Participants
|
0 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Race/Ethnicity, Customized
White
|
NA participants
n=99 Participants
|
17 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
|
Race/Ethnicity, Customized
Unknown
|
NA participants
n=99 Participants
|
2 participants
n=107 Participants
|
NA participants
n=206 Participants
|
NA participants
n=7 Participants
|
PRIMARY outcome
Timeframe: This outcome was assessed at the end of the 1 year pilot study.Population: 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.
This outcome measures the number of participants that fully completed the training intervention.
Outcome measures
| Measure |
Training Feasibility
n=8 Participants
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.
|
Data Collection - Survey
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.
|
Data Collection - Interview
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.
|
|---|---|---|---|
|
Completion of Training Intervention
|
7 participants
|
—
|
—
|
PRIMARY outcome
Timeframe: This outcome was assessed at the end of the 1 year pilot study.Population: 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.
This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention.
Outcome measures
| Measure |
Training Feasibility
n=4 Facility
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.
|
Data Collection - Survey
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.
|
Data Collection - Interview
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.
|
|---|---|---|---|
|
Facility Implementation of Trainings
Coaching and Supervision Training
|
3 Facility
|
—
|
—
|
|
Facility Implementation of Trainings
Direct Care Worker Training
|
2 Facility
|
—
|
—
|
PRIMARY outcome
Timeframe: This outcome was assessed at the end of the 1 year pilot study.Population: Only participants in the Data Collection - Survey group were analyzed for this outcome. The population included trainees and direct care workers.
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.
Outcome measures
| Measure |
Training Feasibility
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.
|
Data Collection - Survey
n=24 Participants
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.
|
Data Collection - Interview
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.
|
|---|---|---|---|
|
Number of Participants in Pilot Surveys
|
—
|
24 participants
|
—
|
PRIMARY outcome
Timeframe: This outcome was assessed at the end of the 1 year pilot study.Population: Only participants in the Data Collection - Interview group were analyzed for this outcome. The population included trainees and direct care workers.
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.
Outcome measures
| Measure |
Training Feasibility
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.
|
Data Collection - Survey
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.
|
Data Collection - Interview
n=13 Participants
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.
|
|---|---|---|---|
|
Number of Participants in Pilot Interviews
|
—
|
—
|
13 participants
|
Adverse Events
Training Feasibility
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Data Collection - Survey
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Data Collection - Interview
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Carol VanDeusen Lukas
Department of Veterans Affairs
Phone: 857-364-5685
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place