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Education Program for Care Home Staff

Not Applicable
Conditions
Dementia
Interventions
Other: Dementia Competence Education for care home setting
Other: Printed educational materials
Registration Number
NCT04445077
Lead Sponsor
Chinese University of Hong Kong
Brief Summary

The competence of care home staff in dementia care is highly influential to the quality of care that adversely affects both people living with dementia and staff and in Mainland China where knowledge on dementia among care home staff was generally poor and this area is under-researched. This study aims at developing a competency-based culturally-sensitive education program on dementia care for care home staff through literature review, qualitative study. And then a quasi-experiment design without random assignment will be conducted to evaluate the effects of this program on care home staff's sense of competence, knowledge, attitudes, and care approach related to dementia care and staff satisfaction with the intervention. Focus group interviews will be conducted to understand participants' experience about the education program after the intervention. This study is expected to provide an effective way to improve care homes staff's competence in dementia care thereby improve the quality of care.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
144
Inclusion Criteria

Care homes:

  • having at least 10 people with dementia living in;
  • with at least 10 care staff working for people with dementia;
  • which do not have any educational activities for staff in dementia three months before the study and staff training plan during the whole study period;
  • whose management level agrees to participate.

Care staff:

  • working for people with dementia;
  • speaking and reading Chinese;
  • being willing to participate in the study.
Exclusion Criteria
  • having any educational activities in dementia three months before the study;
  • having a training plan during the whole study period.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupDementia Competence Education for care home settingThe education will be delivered weekly with 60-90 minutes per lecture for eight lectures. Multiple teaching methods will be used, including lectures, structured handouts, video, role play, case study and discussion. During the study period, the research team will provide ongoing support and consultation through electronic communication and bimonthly field visits.
Control groupPrinted educational materialsPrinted materials will be given to the participants in the control group for their self-study.
Primary Outcome Measures
NameTimeMethod
Change of Sense of competence in dementia careSense of competence in dementia care changes from immediately after intervention to three months after intervention.

Sense of competence in dementia care will be measured by Sense of Competence in dementia care scale.The total score is 17-68 by adding up the score of each item. Higher scores mean higher level of sense of confidence.

Change of sense of competence in dementia careSense of competence in dementia care changes from baseline to immediately after intervention (2 months).

Sense of competence in dementia care will be measured by Sense of Competence in dementia care scale.The total score is 17-68 by adding up the score of each item. Higher scores mean higher level of sense of confidence.

Secondary Outcome Measures
NameTimeMethod
Change of knowledge on dementiaKnowledge on dementia changes from immediately after intervention to three months after intervention.

Knowledge on dementia will be assessed by using Dementia Knowledge Assessment Scale. The total score is 0 to 50 by adding up the scores of all items. Higher score means better knowledge on dementia.

Change of attitude towards dementia careAttitude towards dementia care changes from immediately after intervention to three months after intervention.

Attitude towards dementia care will be assessed by using Approaches to Dementia Questionnaire. The total score is 19-95 with higher score indicating the more positive attitudes.

Change of person-centred care approachPerson-centred care approach changes from immediately after intervention to three months after intervention.

Person-centred care approach will be assessed by Person-centred care assessment tools. The total score ranges from 15 to 75 with higher score indicating higher degree of person-centred care provision in the institutions.

Care staff's satisfactionCare staff's satisfaction will be measured immediately after the intervention in intervention group.

Care staff's satisfaction will be measured with a self-developed, five-point Likert, five-item scale including satisfaction with educational content, teaching form, provider, usefulness and overall evaluation. The total score ranges from 5 to 25, with higher score representing more dissatisfaction on the training.

Change of severity of behavioural and psychological symptoms of dementia (BPSD) of residents with dementiaSeverity of BPSD of residents with dementia changes from immediately after intervention to three months after intervention.

Severity of BPSD of residents with dementia will be assessed by Neuropsychiatric Inventory - Nursing Home Version (NPI-NH). The frequency × severity of each item yielded a composite symptom, and total severity scores which ranges from 1 to 36 reflecting the sum of each item score. Higher scores indicate more severe symptoms. The total score of caregiver distress range from 12 to 60, with higher score indicating more severe distress.

Trial Locations

Locations (1)

朗诗常青藤养老服务有限公司睿城站

🇨🇳

Nanjing, Jiangsu, China

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