Fostering Positive Care Interactions in Assisted Living
1 other identifier
interventional
100
1 country
2
Brief Summary
The purpose of this study is to improve the quality of staff-resident care interactions particularly among residents living with Alzheimer's disease or related dementias (ADRD ) by testing the Fostering Positive Care Interactions in Assisted Living (FPCI-AL) intervention. This study will be a critical first step in determining the sample size needed to test the efficacy of a practical approach to improving the quality of care interactions for assisted living residents living with ADRD, ultimately enhancing behavioral outcomes such as decreasing behavioral symptoms of distress, reducing resistiveness to care, and optimizing engagement in care tasks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2026
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 22, 2026
CompletedFirst Posted
Study publicly available on registry
January 30, 2026
CompletedStudy Start
First participant enrolled
February 5, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 31, 2028
July 28, 2026
July 1, 2026
2.2 years
January 22, 2026
July 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Modified Quality of Interactions Scale
Quality of care interactions will be measured using the Modified Quality of Interactions Scale, an observational tool that measures interaction characteristics and quality using a quantified scoring system. It records the care interaction location, type of care activity, and type of care provider in care (e.g., nurse). The total score ranges from 0 to 7, with higher scores indicating better, more positive interactions.
Baseline, 4 months, 6 months
Secondary Outcomes (3)
Neuropsychiatric Inventory Questionnaire
Baseline, 4 months, 6 months
Resistiveness to Care Scale
Baseline, 4 months, 6 months
Resident Engagement with Staff During Care Interactions
Baseline, 4 months, 6 months
Study Arms (2)
FPCI-AL
EXPERIMENTALThe FPCI-AL is implemented using a research facilitator working with a community-based champion and stakeholder group to provide the following four-steps: (1) assessments of the environment and policy to facilitate positive interactions; (2) educating staff on fostering positive interactions; (3) establishing individualized positive care interaction approaches for residents and incorporating them into resident service plans; and (4) providing ongoing mentoring, motivating, and role modeling for staff to reinforce positive care interactions.
Education Only (EO)
ACTIVE COMPARATORCommunities randomized to education only will receive the same education as provided in FPCI-AL step two via an established PowerPoint. Delivery format will match community preferences (e.g., online or in-person) for pragmatic reasons and to facilitate the education process.
Interventions
Following randomization, champions and stakeholder team members from the communities will be identified. The investigators will recommend the following individuals to be members of the stakeholder team: assisted living administrator, nurse manager, nursing assistant, and activity and rehabilitation staff as available. Following the initial team meeting, the research facilitator will work with each treatment assisted living community for eight hours weekly during months one and two, and then for four hours weekly for the remaining four months using a face-to-face approach to implement the four components of the FPCI-AL.
Communities randomized to education only will receive the same education as provided in FPCI-AL step two via an established PowerPoint. Delivery format will match community preferences (e.g., online or in-person) for pragmatic reasons and to facilitate the education process.
Eligibility Criteria
You may qualify if:
- years of age or older
- currently residing in a participating community
- Evidence of ADRD based on a score ≤20 on the Saint Louis University Mental Status Examination
You may not qualify if:
- Admitted to the assisted living for short term care
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Alzheimer's Associationcollaborator
- University of Maryland, Baltimorelead
Study Sites (2)
Lorien Harmony Hall
Columbia, Maryland, 21044, United States
Lorien Taneytown
Taneytown, Maryland, 21787, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
January 22, 2026
First Posted
January 30, 2026
Study Start
February 5, 2026
Primary Completion (Estimated)
March 31, 2028
Study Completion (Estimated)
August 31, 2028
Last Updated
July 28, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share