Clinical trial NCT02714452: A Person-centred and Thriving Promoting Care Model for Residential Aged Care
Official title: A Person-centred and Thriving Promoting Care Model for Residential Aged Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Aging
Keywords: Person-centred care
Thriving
Satisfaction with care
Residential aged care
Caring environment
Lead sponsor: Umeå University
Sponsor class: OTHER
Collaborators: name: University of Oslo
name: La Trobe University
First posted: 2016-03-21
Enrollment: 865
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The overall aim of this study is to evaluate the effects, meaning and significance of a person-centred and thriving promoting model for residential aged care in Australia, Norway and Sweden. More specifically, the following research questions will be explored:

1. Can a person-centred and thriving promoting care model increase residents' thriving, and have a positive impact on residents' perception of the caring environment?
2. Can a person-centred and thriving promoting care model increase relatives' satisfaction with care, and have a positive impact on their experience of visiting their relative, and perception of the caring environment?
3. Can a person-centred and thriving promoting care model increase staff's job satisfaction, decrease stress of conscience, and have a positive impact on their perception of the caring environment and person-centred care?
4. What meaning and significance do relatives and staff ascribe to the intervention? The study is designed as a multi-centre, controlled group before-after design with participating sites in Victoria (Australia), Oslo (Norway) and Västerbotten (Sweden). Two residential aged care facilities at each site will be allocated to either intervention or control, in total three intervention and three control facilities divided over the three sites.

Care staff at the intervention facilities will participate in a 12-month education on how to integrate aspects of person-centredness, thriving and a caring environment into daily care practice. Participating staff will work together with their colleagues and members from the research group to create a reflective and creative learning environment that builds on and develops the staff members' clinical experience and skills, and combines it with theoretical and research-based knowledge.

At the control facilities, care staff will participate in a 2-hour lecture on the theoretical and philosophical foundations of person-centredness, thriving and a caring environment, and then continue with practice without further involvement from the research team.

Evaluation data will be collected by study specific questionnaires before the education starts, immediately after the education and at a 6-month follow-up. In addition, focus group interviews and individual interviews will be conducted with a selection of staff members and relatives at the intervention facilities to explore meaning and significance of the intervention.


Eligibility criteria: Inclusion Criteria:

* minimum 18 years of age
* living in the facility for \>1 month by the time of data collection
* visiting the residential aged care facility on a regular basis (\>1/month)
* working in the residential aged care facility on a temporary and or permanent basis (\>1month contract)
* have been working \>1 month in the residential aged care facility by the time of data collection.

Exclusion Criteria:

* newly moved in to the facility
* visiting the facility more seldom than once a month
* working on a short-term contract

Primary outcomes:
measure: Change in The Thriving of Older People Assessment Scale between baseline and follow-up
timeFrame: Change from baseline thriving at 12 and 18 months
measure: Change in relatives' satisfaction with care measured by the Pyramid questionnaire
timeFrame: Change from baseline satisfaction at 12 and 18 months
measure: Change in staff's job satisfaction measured by the The Job satisfaction questionnaire
timeFrame: Change from baseline job satisfaction at 12 and 18 months
Secondary outcomes:
measure: Change in participants' experience of the caring environment measured by The Person-centred Climate Questionnaire
timeFrame: Change from baseline experience at 12 and 18 months
measure: Change in relatives' experienced satisfaction with visiting the nursing home and their relative, measured by Visual Analogue Scales of participants' subjective experiences of 12 statements, ranging from 0 (totally disagree) to 10 (totally agree).
timeFrame: Change from baseline satisfaction at 12 and 18 months
measure: Change in staff's stress of conscience measured by the Stress of Conscience questionnaire
timeFrame: Change from baseline stress of conscience at 12 and 18 months
measure: Change in staff's perception of the person-centredness of care measured by the Person-centred Care Assessment Tool
timeFrame: Change from baseline perception at 12 and 18 months
Other outcomes:
Locations:
city: Umeå
country: Sweden
facility: Umeå University
Study officials:
affiliation: Umeå University
name: David Edvardsson, Professor
role: PRINCIPAL_INVESTIGATOR
References:
citation: Sjogren K, Bergland A, Kirkevold M, Lindkvist M, Lood Q, Sandman PO, Vassbo TK, Edvardsson D. Effects of a person-centred and thriving-promoting intervention on nursing home residents' experiences of thriving and person-centredness of the environment. Nurs Open. 2022 Jul;9(4):2117-2129. doi: 10.1002/nop2.1222. Epub 2022 Apr 29.
citation: Vassbo TK, Bergland A, Kirkevold M, Lindkvist M, Lood Q, Sandman PO, Sjogren K, Edvardsson D. Effects of a person-centred and thriving-promoting intervention on nursing home staff job satisfaction: A multi-centre, non-equivalent controlled before-after study. Nurs Open. 2020 Jul 23;7(6):1787-1797. doi: 10.1002/nop2.565. eCollection 2020 Nov.
citation: Lood Q, Sjogren K, Bergland A, Lindkvist M, Kirkevold M, Sandman PO, Edvardsson D. Effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care in nursing homes: a multi-centre, non-equivalent controlled before-after trial. BMC Geriatr. 2020 Aug 1;20(1):268. doi: 10.1186/s12877-020-01677-7.
citation: Edvardsson D, Sjogren K, Lood Q, Bergland A, Kirkevold M, Sandman PO. A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial. BMC Geriatr. 2017 Jan 17;17(1):22. doi: 10.1186/s12877-016-0404-1.