Changing Talk to Reduce Resistiveness to Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 202
- 试验地点
- 1
- 主要终点
- the effects of the nursing staff communication - change in frequency and duration of resident Resistiveness to Care behaviors.
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Staff:Inclusion criteria for CNAs are:
- •age 18 years old or greater (age of legal consent in Kansas and Missouri), signed informed consent,
- •permanent employment in the NH,
- •primary assignment to a specified unit,
- •and English speaking
- •Staff must have been assigned to care for the resident at least twice weekly in the past month (documented in NH staffing records). This will assure that staff-resident dyads have established relationships and will control effects of variability in contact between dyads during days when data are not being collected.
- •Resident inclusion criteria are:
- •a diagnosis of Alzheimer's disease or related dementia documented in their medical records,
- •documentation of daily RTC over the past week,
- •and ability to hear staff communication (from the most recent MDS).
排除标准
- •for CNAs include:
- •non-English speaking,
- •temporary employment, -and age under 18 years.
- •If more than one CNA volunteers as a partner for a participating resident, a random selection will be made to determine which CNA will participate. Small variations in contact between staff and residents in dyads are anticipated due to PMMA policies for consistent CNA assignment to neighborhoods. Therefore dyads will have repeated contacts.
- •Exclusion criteria for residents include:
- •diagnosis with Huntington's disease,
- •alcohol-related dementias,
- •schizophrenia,
- •manic-depressive disorder,
- •deafness,
- •and mental retardation.
研究组 & 干预措施
Resident
干预措施: Resident (Behavioral)
Staff
干预措施: Staff (Behavioral)
结局指标
主要结局
the effects of the nursing staff communication - change in frequency and duration of resident Resistiveness to Care behaviors.
时间窗: 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.
次要结局
- Calculate the costs of nursing staff communication system(up to 6 months)