Video Feedback Intervention in Nursing Home Residents With Dementia and Severe Challenging Behavior.

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to evaluate how, under what circumstances and for whom the video feedback intervention works for (the caregivers of) people with dementia and severe challenging behavior in a nursing home setting.

Detailed Description
-----------------
This mixed multiple case study focuses on the evaluation of a video feedback intervention for (the caregivers of) people with dementia and challenging behavior. The video feedback intervention focuses on understanding the person with dementia, increasing the sense of competence in caregivers and improving their communication skills when interacting with the person with dementia. This realist evaluation aims to investigate what outcomes the intervention generates, for whom and in which contexts. Participants will receive care as usual.

Official Title
-----------------
Leren Zien Wat Werkt: Video Interventie Ouderenzorg (VIO) Bij cliënten Met Dementie en Ernstig Probleemgedrag in Verpleeghuizen.

Conditions
-----------------
Dementia, Nursing Home Resident, Challenging Behavior

Intervention / Treatment
-----------------
* Behavioral: Video feedback intervention (in Dutch: Video Interventie Ouderenzorg)


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Nursing home resident Dementia Severe challenging behavior Video feedback intervention is started by health care professionals as part of usual care Exclusion Criteria: N/A
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

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

Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: Video feedback intervention (in Dutch: Video Interventie Ouderenzorg)|The video feedback trainer assesses the interaction between the person with dementia and the caregiver and acquires agreement from the caregiver on the goals of the intervention. Caregivers are trained during several feedback sessions using personal video footage of interaction between the person with dementia and the caregiver. The feedback focuses on basic interaction and attunement principles, and the team feeling competent. Recording starts with a nondemanding situation, enabling the caregiver to become aware of the principles they already apply and to learn how these principles can be used in more demanding situations. Subsequently, video footage is recorded in 1 to 3 situations, depending on the progress, of increasing difficulty, with about 4 weeks between 2 recordings. After each recording, a 1-hour feedback session is held. The intervention concludes with separate, 30-minute sessions for the formal and informal caregivers evaluating the intervention.|

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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in sense of competence of the professional caregiver | Sense of competence in dementia care scale (SCIDS) | 5 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Professional caregiver measures: changes in strain in dementia work | Strain in dementia care scale (SDC) | 5 months | 
| Professional caregiver measures: changes in safety in team participation | Team climate inventory (TCI) | 5 months | 
| Loved ones measures: changes in sense of competence | Short sense of competence questionnaire (SSCQ) | 5 months | 
| Person with dementia: changes in frequency of psychopathology | Neuropsychiatric inventory nursing home (NPI-NH) | 5 months | 
| Person with dementia: changes in severity of psychopathology | Neuropsychiatric inventory nursing home (NPI-NH) | 5 months | 
| Person with dementia: changes in frequency of agitated behaviors | Cohen Mansfield Agitation Inventory (CMAI) | 5 months | 
| Person with dementia: changes in quality of life | Quality of life - Alzheimer Disease Scale (QOL-AD) | 5 months | 
| Person with dementia: changes in social well-being | Revised index for social engagement (RISE) | 5 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Video Feedback Intervention, Dementia, Challenging behavior, Nursing home