Clinical trial NCT06249204: Patient-Centered Dementia Care Practice Coaching Intervention
Official title: Organization-Wide Coaching Intervention of Dementia Care Practice Recommendations: A Cluster Randomized-Control Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dementia
Alzheimer Disease
Keywords: person-centered care
dementia care practice recommendations
coaching
Lead sponsor: Alzheimer's Disease and Related Disorders Association, Inc
Sponsor class: OTHER
Collaborators: name: University of Washington
First posted: 2024-02-08
Enrollment: 449
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study design is a cluster, randomized, no blinded, controlled study.
Primary purpose: OTHER

Brief summary: The goal of this clinical trial is to compare staff outcomes in long-term care communities who participate in the intervention versus those who do not. The main questions it aims to answer are: 1. Is employee satisfaction impacted by the intervention and 2. Is dementia care confidence impacted by the intervention. Participants will include monthly coaching visits for the intervention group and completion of surveys pre, immediately post and three-months post. Researchers will compare the intervention group to the control group to see if the intervention impacted the outcomes.

Detailed description: Over a six-month coaching program period, staff members from care communities work with a coach to assess their current level of adoption of Dementia Care Practice Recommendations (DCPR) (published recommendations by Alzheimer's Association) and prioritize areas of need /focus. Teams meet with the coach virtually or in person for 1 hour each month during the six months. Through an action planning and implementation process, care communities are guided to make organization-wide, measurable changes in the areas of (1) policies and procedures, (2) education and training, and/or (3) care practices to increase and maintain person-centered care practices as outlined in the DCPR. Coaches provide ongoing support to the care community through telephone and email support between meetings. Control group will not receive any coaching intervention but receive monthly email (e.g., newsletter about Alzheimer's Association but not related to outcomes) from coaches for check-in. Alzheimer's Association (AA) hires coaches in study areas based on their skills, experiences, interests and enthusiasm. Each coach identifies and invites long-term care (i.e., nursing home and assisted living) communities using existing relationships between the AA Chapter and those communities. In addition, AA staff will work with a national and/or state-wide networking group /association, as well as the Association's Dementia Care Provider Round Tables. The investigators will also pull the list of nursing homes in the study areas from publicly available data (e.g., Definitive Healthcare). Once each care community is selected and has agreed to participate, DCPR coaches will request that the care community identify 4-6 staff members to serve on a Care Team. The consented care communities are randomly assigned to either a control or intervention group (1: 1 block randomization).

Eligibility criteria: Inclusion Criteria:

* Licensed skilled nursing facilities
* Licensed assisted living facilities
* Located in the state of Ohio

Exclusion Criteria:

* Under the age of 18
* Without documented endorsement for participation from facility leadership

Primary outcomes:
measure: Employee Satisfaction
timeFrame: pre, immediately post, and 3-month post
Secondary outcomes:
measure: Dementia care confidence
timeFrame: pre, immediately post, and 3-month post
measure: Person-centered practices
timeFrame: pre, immediately post, and 3-month post.
Other outcomes:
measure: Staff Turnover
timeFrame: Monthly, from the month pre-intervention to 3 months after completion of the intervention (9 times)
Locations:
city: Chicago
country: United States
facility: Alzheimer's Association
state: Illinois
Study officials:
affiliation: Alzheimer's Association
name: Sam Fazio, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Fazio S, Pace D, Maslow K, Zimmerman S, Kallmyer B. Alzheimer's Association Dementia Care Practice Recommendations. Gerontologist. 2018 Jan 18;58(suppl_1):S1-S9. doi: 10.1093/geront/gnx182. No abstract available.