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This study aimed to explore the feasibility of an educational intervention to strengthen workplace learning systems in four VA Community Living Centers (CLCs).
Background:
The study explored the feasibility of an educational intervention to strengthen workplace-learning systems in four VA Community Living Centers (CLCs).
Objectives:
Specific aims were to 1) conduct a feasibility study to assess whether the educational intervention is practical to implement as designed and 2) conduct a pilot study to validate the methodology proposed for assessing outcomes of this educational intervention.
Methods:
A multi-level intervention targeting the translation of workplace learning into practice was implemented. The Direct Care Worker (DCW) intervention targeted both clinical knowledge and effective communication. The Coaching Supervision training addressed management and supervision practices for nurses, combined with effective communication. Four CLCs received both interventions, administered by the Paraprofessional Health Institute (PHI), using a train-the-trainer approach over the course of four 3-day sessions. Quantitative and qualitative data were collected to assess factors influencing effectiveness of implementation and to understand the impact of the trainings on participants.
Status:
The study has been completed with educational interventions implemented and qualitative and quantitative data collected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Training Feasibility | Other | 4 sites will receive the training intervention to determine the feasibility of the train-the trainer approach. The educational intervention is included in this arm. |
|
| Data Collection - Survey | Other | Survey data collection tools will be piloted to assess feasibility of survey administration and development of the survey for future studies. This tools were piloted in sites where the educational intervention was administered. |
|
| Data Collection - Interview | Other | Interview data collection tools will be piloted to assess feasibility of interview administration and development of the interview protocol for future studies. This tools were piloted in sites where the educational intervention was administered. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Educational Intervention | Behavioral | The intervention consists of two (2) different types of training, both to be delivered through a train-the-trainer approach. The first of these is coaching-supervision training for nurse managers and other supervisory personnel in the CLC units. The second component is a one-day training for DCWs on communication and managing problem behaviors associated with dementia. These two trainings build on validated training models that have been developed by PHINational, but will be adapted and customized to include VA-developed clinical content on the management of problem behaviors associated with dementia. |
| Measure | Description | Time Frame |
|---|---|---|
| Completion of Training Intervention | This outcome measures the number of participants that fully completed the training intervention. | This outcome was assessed at the end of the 1 year pilot study. |
| Facility Implementation of Trainings | This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention. | This outcome was assessed at the end of the 1 year pilot study. |
| Number of Participants in Pilot Surveys | This outcome measures the number of participants that completed the survey during the pilot in order to assess the feasibility of conducting a larger study. | This outcome was assessed at the end of the 1 year pilot study. |
| Number of Participants in Pilot Interviews | This outcome measures the number of participants that participated in interviews that were conducted during the pilot in order to assess the feasibility of conducting a larger study. | This outcome was assessed at the end of the 1 year pilot study. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carol VanDeusen-Lukas, EdD | VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA | Boston | Massachusetts | 02130 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Training Feasibility | 4 sites (8 individuals) received the training intervention to determine the feasibility of the train-the trainer approach. The educational intervention is included in this arm. Educational Intervention: The intervention consists of two (2) different types of training, both to be delivered through a train-the-trainer approach. The first of these is coaching-supervision training for nurse managers and other supervisory personnel in the CLC units. The second component is a one-day training for DCWs on communication and managing problem behaviors associated with dementia. These two trainings build on validated training models that have been developed by PHINational, but will be adapted and customized to include VA-developed clinical content on the management of problem behaviors associated with dementia. |
| FG001 | Data Collection - Survey | Survey data collection tools were piloted to assess feasibility of survey administration and development for use in a long-term care setting. These tools were piloted in sites where the educational intervention was administered. The survey was a modified version of the Care Coordination Survey which was originally validated in a hospital setting (citation below). The survey pertains to work context factors that shape practice, including staffing and resources, communication and IT, participation in decision-making, relationships with supervisors, professional empowerment, and relational coordination. Modifications were made for use of the survey in a VA Community Living Centers. Weinberg, D., J. Perloff, D. Cooney-Miner, and E. Glaser, Supporting work and workers: Validation of a hospital work organization survey for professional and paraprofessional workers. 2008. |
| FG002 | Data Collection - Interview | Interview data collection tools were piloted to assess feasibility of interview administration and development of the interview protocol for future studies. These tools were piloted in sites where the educational intervention was administered. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Training Feasibility | 4 sites (8 individuals) received the training intervention to determine the feasibility of the train-the trainer approach. The educational intervention is included in this arm. |
| BG001 | Data Collection - Survey |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Completion of Training Intervention | This outcome measures the number of participants that fully completed the training intervention. | The analysis population includes only participants who started the Train-the-Trainer intervention and therefore only participants in the Training Feasibility Arm/Group were analyzed for this outcome. | Posted | Number | participants | This outcome was assessed at the end of the 1 year pilot study. |
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No serious or other adverse events were collected.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Training Feasibility | 4 sites (8 individuals) received the training intervention to determine the feasibility of the train-the trainer approach. The educational intervention is included in this arm. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Carol VanDeusen Lukas | Department of Veterans Affairs | 857-364-5685 | carol.vandeusenlukas@va.gov |
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| ID | Term |
|---|---|
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
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| ID | Term |
|---|---|
| D018479 | Early Intervention, Educational |
| ID | Term |
|---|---|
| D002662 | Child Health Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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|
Survey data collection tools were piloted to assess feasibility of survey administration and development of the survey for future studies. These tools were piloted in sites where the educational intervention was administered.
| BG002 | Data Collection - Interview | Interview data collection tools were piloted to assess feasibility of interview administration and development of the interview protocol for future studies. These tools were piloted in sites where the educational intervention was administered. |
| BG003 | Total | Total of all reporting groups |
| Participants |
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| Sex/Gender, Customized | Number | participants |
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| Race/Ethnicity, Customized | Number | participants |
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Survey data collection tools were piloted to assess feasibility of survey administration and development of the survey for future studies. These tools were piloted in sites where the educational intervention was administered.
| OG002 | Data Collection - Interview | Interview data collection tools were piloted to assess feasibility of interview administration and development of the interview protocol for future studies. These tools were piloted in sites where the educational intervention was administered. |
|
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| Primary | Facility Implementation of Trainings | This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention. | This unit of measure for this outcome measure is at the facility level. There were 4 facilities (8 trainees) in total that began the training intervention. | Posted | Number | Facility | This outcome was assessed at the end of the 1 year pilot study. | Facility | Participants |
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| Primary | Number of Participants in Pilot Surveys | This outcome measures the number of participants that completed the survey during the pilot in order to assess the feasibility of conducting a larger study. | Only participants in the Data Collection - Survey group were analyzed for this outcome. The population included trainees and direct care workers. | Posted | Number | participants | This outcome was assessed at the end of the 1 year pilot study. |
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| Primary | Number of Participants in Pilot Interviews | This outcome measures the number of participants that participated in interviews that were conducted during the pilot in order to assess the feasibility of conducting a larger study. | Only participants in the Data Collection - Interview group were analyzed for this outcome. The population included trainees and direct care workers. | Posted | Number | participants | This outcome was assessed at the end of the 1 year pilot study. |
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| 0 |
| 0 |
| 0 |
| 0 |
| EG001 | Data Collection - Survey | Survey data collection tools were piloted to assess feasibility of survey administration and development of the survey for future studies. These tools were piloted in sites where the educational intervention was administered. | 0 | 0 | 0 | 0 |
| EG002 | Data Collection - Interview | Interview data collection tools were piloted to assess feasibility of interview administration and development of the interview protocol for future studies. These tools were piloted in sites where the educational intervention was administered. | 0 | 0 | 0 | 0 |
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| D001523 | Mental Disorders |
| D011314 | Preventive Health Services |