Implementing an Intervention to Foster Resident and Family Engagement in Care Planning

NCT04026698 | Completed

• 1 other identifier: 36220
• Study Type: interventional
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a pilot test of an intervention to engage residents and their family and the healthcare team in a collaborative approach to decisions about care planning in long-term care. The intervention includes leadership coaching with the management team, an educational bundle that includes a one-day education session for staff and managers on communication strategies and ways to engage family and residents in care planning and follow-up visits, and a series of resident and family led huddles (brief, 15 minute meetings) to discuss a care related topic with staff to foster proactive communication and information sharing for care planning.

Conditions

Quality of Life

Outcome Measures

Primary Outcomes (1)

• Quality of life- a change is being assessed

  The dementia quality of life DEMQOL (28-items) and DEMQOL-Proxy (31-items) are measures that assess health-related quality of life of people with dementia. The questions are interviewer-administered to obtain self (person with dementia) and caregiver perspectives. Response options range from 1=a lot to 4=not at all (with higher scores indicating a higher perceived health-related quality of life). A total score is calculated by summing scores from the 28 items (minimum score 28, maximum score 112).

  Pre-intervention and post-intervention- within 3 months after intervention completion

Secondary Outcomes (3)

• Resident satisfaction with care- a change is being assessed

  Pre-intervention and post-intervention- within 3 months after intervention completion

• Family satisfaction with resident care- a change is being assessed

  Pre-intervention and post-intervention- within 3 months after intervention completion

• Staff quality of work life- a change is being assessed

  Pre-intervention and post-intervention- within 3 months after intervention completion

Study Arms (1)

Resident and Family Engagement Intervention.

EXPERIMENTAL

The intervention has three components: leadership coaching for managers, administrators/ directors of care in long-term care settings; a one-day in-person training session for staff and managers; and resident and family led huddles (brief, 15 minute meetings) with staff.

Behavioral: Resident and Family Engagement Intervention

Interventions

Resident and Family Engagement Intervention BEHAVIORAL

The leadership coaching component targets managers, administrators/ directors of care in long-term care settings. These sessions involve selecting a subset of relevant performance outcomes from the quality improvement plan that align with leadership vision and priorities for staff performance which leaders can monitor, reinforce and encourage. The education component involves a one-day in-person training session for staff and managers on communication strategies and ways to engage family and residents in care planning, and includes follow-up visits. The huddle component involves a series of resident and family led huddles (brief, 15 minute meetings) to discuss a care related topic with staff to foster proactive communication and information sharing. Resident-family dyads will participate in the huddles, along with the staff and management team who received the training. The huddles will be scheduled for 15 minutes once/month for up to 3 months.

Resident and Family Engagement Intervention.

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• residents who can communicate in English
• residents (aged 65 or older) who have a visiting family member who is their substitute decision maker- both the resident and their family member will participate in the huddles

You may not qualify if:

• residents with severe cognitive impairment
• residents who do not speak English

Sponsors & Collaborators

• University of Toronto: lead
• Canadian Institutes of Health Research (CIHR): collaborator
• Baycrest: collaborator

Study Sites (1)

University of Toronto

Toronto, Ontario, M5T 1P8, Canada

Location

Related Publications (1)

• Cranley LA, McGillis Hall L, Duggleby W, Helfenbaum S, Galessiere D, Meyer RM, Sivakumaran G, Just D, MacEachern L, McGilton KS. Resident- and family-led huddles for collaborative care planning in long-term care: a feasibility study. Innov Aging. 2025 Oct 23;9(11):igaf116. doi: 10.1093/geroni/igaf116. eCollection 2025.

  PMID: 41334049 DERIVED

Study Officials

• Lisa A Cranley, PhD

  University of Toronto

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: This intervention study has a single group of participants who will receive the intervention. There is no control group or randomization.

Study Record Dates

• First Submitted: July 4, 2019
• First Posted: July 19, 2019
• Study Start: January 15, 2019
• Primary Completion: December 15, 2022
• Study Completion: April 30, 2023
• Last Updated: June 26, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)