Neighbourhood Team Development (NTD) Program

NCT03415217 | Completed

• 1 other identifier: 137020
• Study Type: interventional
• Target: 19
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to evaluate the implementation and the effects of the Neighbourhood Team Development (NTD) Program, an innovative multi-component program that aims to provide resident centred care in long term facilities (LTC). As Canadians age, there is an increasing demand for LTC services. Older people residing in LTC homes and their families expect excellent care and services. However, literature and anecdotal evidence clearly indicate that LTC is not necessarily resident and family centred, nor are the care providers always collaborating as a team, thereby compromising the residents' quality of life.1-5 Residents with Alzheimer's Disease or Related Dementias (ADRD), who may have difficulty voicing their concerns, are at particular risk of receiving poor resident centred care.6,7 Decisions such as mealtimes in large dining rooms or early bedtimes are seldom in line with the residents' needs or wishes and add to the growing concern that the current LTC system is ill-designed and outdated. The NTD Program, designed by the investigators, aims to both enhance team development and resident centredness in LTC. The Program has three components, designed to modify the physical environment, the organization and delivery of services, and the alignment of staff members, to function independently and collaboratively in providing resident-centred care.

Conditions

Nursing Homes; Quality of Health Care

Outcome Measures

Primary Outcomes (1)

• The change in resident centredness (as assessed by the CARE Profile score) from baseline to 4 years

  Linear regression adjusted for possible confounders including clustering of units in long-term care homes and case mix index.

  4 years

Study Arms (1)

Neighbourhood Team Development

OTHER

Neighbourhood Team Development consisted of a 30-month standardised training and implementation plan to promote inter-professional team collaboration and enhanced resident centeredness.

Other: Neighbourhood Team Development Program

Interventions

Neighbourhood Team Development Program OTHER

The Neighbourhood Team Development Program aims to both enhance team development and resident centredness in LTC. The Program has three components, designed to modify the physical environment, the organization and delivery of services, and the alignment of staff members, to function independently and collaboratively in providing resident-centred care.

Neighbourhood Team Development

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

* Long-stay resident, family member, or staff member in Schlegel Villages (chain of long-term care homes in Ontario, Canada) * Able to obtain informed consent

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• Conestoga College: lead

Related Publications (1)

• Boscart VM, Sidani S, Ploeg J, Dupuis SL, Heckman G, Kim JL, d'Avernas J, Brown P. Neighbourhood Team Development to promote resident centred approaches in nursing homes: a protocol for a multi component intervention. BMC Health Serv Res. 2019 Dec 2;19(1):922. doi: 10.1186/s12913-019-4747-0.

  PMID: 31791338 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 27, 2017
• First Posted: January 30, 2018
• Study Start: May 15, 2014
• Primary Completion: August 30, 2016
• Study Completion: March 1, 2018
• Last Updated: July 26, 2019

Record last verified: 2019-07