Patient-Centered Dementia Care Practice Coaching Intervention

NCT06249204 | Completed

• 1 other identifier: CC3 - OH_Phase_3
• Study Type: interventional
• Target: 449
• Locations: 1 country
• Sites: 1

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.

Conditions

Dementia; Alzheimer Disease

Keywords

person-centered care; dementia care practice recommendations; coaching

Outcome Measures

Primary Outcomes (1)

• Employee Satisfaction

  Employee satisfaction was measured using the Centers for Medicare \& Medicaid Services (CMS)'s Nursing Home Employee Satisfaction Survey. This tool contains 5 topic areas, including job satisfaction (9 items), team building and communication (10 items), scheduling and staffing (4 items), training (6 items), and management and leadership (6 items). Participants will answer on a scale from 1 (strongly disagree) to 5 (strongly agree). Average score overall and by topic areas will be calculated (range = 1 - 5), where a higher score indicates greater employee satisfaction.

  pre, immediately post, and 3-month post

Secondary Outcomes (2)

• Dementia care confidence

  pre, immediately post, and 3-month post

• Person-centered practices

  pre, immediately post, and 3-month post.

Other Outcomes (1)

• Staff Turnover

  Monthly, from the month pre-intervention to 3 months after completion of the intervention (9 times)

Study Arms (2)

Coaching Group

ACTIVE COMPARATOR

The intervention group will be exposed to six coaching sessions (one a month for 6 months) as well as a nine month touch point to complete the 3-month post survey. This group will have access to a care community coach, resources and use these supports to create action steps towards adopting and implementing person-centered best practices based on an initial self-assessment of their current practices.

Behavioral: Coaching Group

Training Group

NO INTERVENTION

This group will complete the same pre, immediate post and 3-month post surveys as the intervention group but will receive no intervention during the six month period.

Interventions

Coaching Group BEHAVIORAL

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.

Also known as: Organization-Wide Coaching Intervention

Coaching Group

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Alzheimer's Disease and Related Disorders Association, Inc: lead
• University of Washington: collaborator

Study Sites (1)

Alzheimer's Association

Chicago, Illinois, 60601, United States

Location

Related Publications (1)

• 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.

  PMID: 29361074 BACKGROUND

MeSH Terms

Conditions

Dementia; Alzheimer Disease

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Tauopathies; Neurodegenerative Diseases

Study Officials

• Sam Fazio, PhD

  Alzheimer's Association

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study design is a cluster, randomized, no blinded, controlled study.

Study Record Dates

• First Submitted: January 11, 2024
• First Posted: February 8, 2024
• Study Start: December 5, 2022
• Primary Completion: March 27, 2025
• Study Completion: April 7, 2025
• Last Updated: May 22, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)