Effects of a Competency-based Education Program on Care Home Staff's Sense of Competence Related to Dementia Care in Mainland China: A Mixed-methods Approach
试验速览
- 阶段
- 不适用
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- Change of Sense of competence in dementia care
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •having any educational activities in dementia three months before the study;
- •having a training plan during the whole study period.
研究组 & 干预措施
Intervention group
The 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.
干预措施: Dementia Competence Education for care home setting (Other)
Control group
Printed materials will be given to the participants in the control group for their self-study.
干预措施: Printed educational materials (Other)
结局指标
主要结局
Change of Sense of competence in dementia care
时间窗: Sense 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 care
时间窗: Sense 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.
次要结局
- Change of knowledge on dementia(Knowledge on dementia changes from immediately after intervention to three months after intervention.)
- Change of attitude towards dementia care(Attitude towards dementia care changes from immediately after intervention to three months after intervention.)
- Change of person-centred care approach(Person-centred care approach changes from immediately after intervention to three months after intervention.)
- Care staff's satisfaction(Care staff's satisfaction will be measured immediately after the intervention in intervention group.)
- Change of severity of behavioural and psychological symptoms of dementia (BPSD) of residents with dementia(Severity of BPSD of residents with dementia changes from immediately after intervention to three months after intervention.)
- Change of knowledge on dementia(Knowledge on dementia changes from baseline to immediately after intervention (2 months).)
- Change of attitude towards dementia care(Attitude towards dementia care changes from baseline to immediately after intervention (2 months).)
- Change of person-centred care approach(Person-centred care approach changes from baseline to immediately after intervention (2 months).)
- Change of severity of behavioural and psychological symptoms of dementia (BPSD) of residents with dementia(Severity of BPSD of residents with dementia changes from baseline to immediately after intervention (2 months).)
研究者
Yayi ZHAO
Principal Investigator
Chinese University of Hong Kong