Online Training & Certification for Competency in Dementia Friendly Hospital Care

Study Overview
=================
Brief Summary
-----------------
This research study will evaluate the CARES Dementia-Friendly Hospitals online training and certification program for Allied Health Workers (nursing assistants, dietary aides, housekeeping employees, hospital transporters, lab/x-ray techs, and unit secretaries) who work in a hospital or medical center. Participants who sign up for this study will complete two 1-hour assessments (on day 1 and day 45). Participants will be randomly assigned into either an immediate group (where Participants complete the online training as part of the research study) or a control group (where Participants receive access to the online training at the end of the study). The online training and certification will take Participants approximately 6 hours to complete. To participate, Participants must be an allied health worker working at a hospital or medical center, have access to a computer/tablet/smart phone with Internet access, be comfortable reading and speaking in English, and age 21 or older. Deadline to begin the study: January 31, 2020

Detailed Description
-----------------
This randomized control trial (RCT) will evaluate the CARES Dementia-Friendly Hospitals online training and certification program. The study will allow up to 400 Allied Health Workers (nursing assistants, dietary aides, housekeeping employees, hospital transporters, lab/x-ray techs, and unit secretaries) to enroll as research participants from a minimum of 12 hospitals in three different states. RESEARCH STUDY IMMEDIATE AND CONTROL GROUP STUDY REQUIREMENTS Participants will be randomly assigned into the immediate training group a the control group. Immediate training group participants will complete a consent form, an intake evaluation, and have one month to complete the training. At day 45, they will complete an a follow-up evaluation (identical to the intake evaluation). Control group participants will complete a consent form and an intake evaluation. At day 45, they will complete an a follow-up evaluation (identical to the intake evaluation). Once the study is completed, each Control participant will be giving full access to the CARES Dementia-Friendly Hospitals online training program (at no cost). MEASURES INCLUDED IN THE PRE- AND POST-EVALUATIONS The pre- and post-evaluations include assessments on knowledge, attitude, sense of competency, burnout, job satisfaction, and job productivity, all measured with reliable and valid published scales. TIME TO COMPLETE THE STUDY: The study will take immediate participants approximately 8 hours to complete. The study will take control participants approximately 2 hours to complete (each will be given voluntary access to the 6-hour program at the end of the study, although this is not a study requirement). POTENTIAL RISKS: There are no anticipated associated risks to participants if they sign up for this study. This is an educational program focusing on dementia-friendly hospital strategies. COSTS: There is no cost to participate in this study. INCLUSION REQUIREMENTS: Participants must be an allied health worker currently working in a hospital or medical center to participate in this study. Participants must have access to a computer/tablet/smart phone with access to the Internet. Participants must be comfortable reading and speaking in English. Participants must be age 21 or older. ENROLLMENT DEADLINE: January 31, 2020. THANK YOU: Thank you for the interest in this research study. Participation is encouraged from urban, suburban, mid-sized, and rural hospital and medical center staff members.

Official Title
-----------------
Online Training & Certification for Competency in Dementia Friendly Hospital Care

Conditions
-----------------
Knowledge, Attitudes, Practice, Burnout, Caregiver, Job Satisfaction

Intervention / Treatment
-----------------
* Behavioral: CARES Dementia-Friendly Hospitals Online Training and Certification Program


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Participant is an allied health worker currently working in a hospital or medical center to participate in this study. Participant has access to a computer/tablet/smart phone with access to the Internet. Participant is comfortable reading and speaking in English. Participant is age 21 or older. Exclusion Criteria: Participant is not an allied health worker currently working in a hospital or medical center to participate in this study. Participant does not have access to a computer/tablet/smart phone with access to the Internet. Participant is not comfortable reading and speaking in English. Participant is not age 21 or older.

Ages Eligible for Study
-----------------
Minimum Age: 21 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Wait-list RCT
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate<br>Immediate participants receive the intervention (online training and certification exam) during the study. | Behavioral: CARES Dementia-Friendly Hospitals Online Training and Certification Program<br>* The CARES Dementia-Friendly Hospitals Online Training program is a 4-course, 16-module, video-based training program for hospital staff members. The CARES Dementia-Friendly Hospitals Online Certification Program is a 100-point certification exam evaluating knowledge from the online training protocol.<br>|
| Experimental: Control<br>Control participants do not receive the intervention (online training and certification exam) during the study. However, they do receive access to the intervention program (at no cost) at the conclusion of the study. | Behavioral: CARES Dementia-Friendly Hospitals Online Training and Certification Program<br>* The CARES Dementia-Friendly Hospitals Online Training program is a 4-course, 16-module, video-based training program for hospital staff members. The CARES Dementia-Friendly Hospitals Online Certification Program is a 100-point certification exam evaluating knowledge from the online training protocol.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 32-Item Knowledge Gain Pre-Post Exam | Investigator-developed Knowledge Exam | through study completion, an average of 45 days. | 
| 17-Item Sense of Competence In Dementia Care Staff Questionnaire | Schepers, A. K., Orrell, M., Shanahan, N., & Spector, A. (2012). Sense of competence in dementia care staff (SCIDS) scale: development, reliability, and validity. International psychogeriatrics, 24(7), 1153-1162. | through study completion, an average of 45 days. | 
| 19-Item Approaches to Dementia Questionnaire | Lintern, T., & Woods, B. (1996). Approaches to dementia questionnaire. University of Wales, Bangor, UK. | through study completion, an average of 45 days. | 
| 20-Item Job Satisfaction Questionnaire | Weiss, D. J., Dawis, R. V., & England, G. W. (1967). Manual for the Minnesota satisfaction questionnaire. Minnesota studies in vocational rehabilitation. | through study completion, an average of 45 days. | 
| 26-Item Dementia Questionnaire | McKenzie, G. L., Teri, L., Salazar, M. K., Farran, C. J., Beck, C., & Paun, O. (2011). Relationship between system-level characteristics of assisted living facilities and the health and safety of unlicensed staff. AAOHN Journal, 59(4), 173-180. | through study completion, an average of 45 days. | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Alzheimer's Disease, Dementia, Online Training and Certification, Allied Health Workers, Patient Care, Person-Centered Care, Improved Care