Implementing an Intervention to Foster Meaningful Engagement and Shared Decision-making in Long-term Care: A Mixed Methods Approach
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Quality of Life
- Sponsor
- University of Toronto
- Enrollment
- 110
- Locations
- 1
- Primary Endpoint
- Quality of life- a change is being assessed
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study is a pilot test of an intervention to engage residents and their family and the healthcare team in a collaborative approach to decisions about care planning in long-term care. The intervention includes leadership coaching with the management team, an educational bundle that includes a one-day education session for staff and managers on communication strategies and ways to engage family and residents in care planning and follow-up visits, and a series of resident and family led huddles (brief, 15 minute meetings) to discuss a care related topic with staff to foster proactive communication and information sharing for care planning.
Detailed Description
This study is a pilot test of an intervention to engage residents and their family and the healthcare team in a collaborative approach to decisions about care planning in long-term care. The intervention includes leadership coaching with the management team, an educational bundle that includes a one-day education session for staff and managers on communication strategies and ways to engage family and residents in care planning and follow-up visits, and a series of resident and family led huddles (brief, 15 minute meetings) to discuss a care related topic with staff to foster proactive communication and information sharing and care planning. The study aims are to describe the feasibility and acceptability of the resident and family engagement intervention, and to evaluate the following outcomes: resident quality of life, resident and family satisfaction with care, and staff quality of work life. The investigators aim to recruit 20 staff, the leadership team, and 12 resident-family dyads from four long-term care facilities who will receive the intervention and complete the survey measures. The expected outcome from this study is an increased understanding of how to engage residents and family in care decisions impacting quality of life. Amendment: Due to the COVID-19 pandemic, the anticipated sample size is smaller and as a result, our outcomes will be explored qualitatively through interviews.
Investigators
Dr. Lisa Cranley
Associate Professor
University of Toronto
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •residents with severe cognitive impairment
- •residents who do not speak English
Outcomes
Primary Outcomes
Quality of life- a change is being assessed
Time Frame: Pre-intervention and post-intervention- within 3 months after intervention completion
The dementia quality of life DEMQOL (28-items) and DEMQOL-Proxy (31-items) are measures that assess health-related quality of life of people with dementia. The questions are interviewer-administered to obtain self (person with dementia) and caregiver perspectives. Response options range from 1=a lot to 4=not at all (with higher scores indicating a higher perceived health-related quality of life). A total score is calculated by summing scores from the 28 items (minimum score 28, maximum score 112).
Secondary Outcomes
- Staff quality of work life- a change is being assessed(Pre-intervention and post-intervention- within 3 months after intervention completion)
- Family satisfaction with resident care- a change is being assessed(Pre-intervention and post-intervention- within 3 months after intervention completion)
- Resident satisfaction with care- a change is being assessed(Pre-intervention and post-intervention- within 3 months after intervention completion)