Changing Talk to Reduce Resistiveness to Care
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/12/2016 |
| Start Date: | March 2011 |
| End Date: | June 2016 |
The investigators are interested in reducing problem behaviors of nursing home residents
with dementia that make providing care difficult. The investigators call these behaviors
resistiveness to care. Previous research has found that resistiveness to care occurs more
frequently when staff use certain types of communication. An inservice program will be
provided to all nursing staff in your nursing home to teach staff about communication
practices to reduce resistiveness to care. The research study will see whether changing
communication will reduce resident resistiveness to care. If effective, the communication
training may then be used to improve care in other facilities.
By doing this study, researchers hope to learn if changing communication practices will
reduce resistiveness to care in nursing home residents with dementia.
with dementia that make providing care difficult. The investigators call these behaviors
resistiveness to care. Previous research has found that resistiveness to care occurs more
frequently when staff use certain types of communication. An inservice program will be
provided to all nursing staff in your nursing home to teach staff about communication
practices to reduce resistiveness to care. The research study will see whether changing
communication will reduce resident resistiveness to care. If effective, the communication
training may then be used to improve care in other facilities.
By doing this study, researchers hope to learn if changing communication practices will
reduce resistiveness to care in nursing home residents with dementia.
Staff:Inclusion criteria for CNAs are:
- age 18 years old or greater (age of legal consent in Kansas and Missouri), signed
informed consent,
- permanent employment in the NH,
- primary assignment to a specified unit,
- and English speaking
- Staff must have been assigned to care for the resident at least twice weekly in the
past month (documented in NH staffing records). This will assure that staff-resident
dyads have established relationships and will control effects of variability in
contact between dyads during days when data are not being collected.
Resident inclusion criteria are:
- a diagnosis of Alzheimer's disease or related dementia documented in their medical
records,
- documentation of daily RTC over the past week,
- and ability to hear staff communication (from the most recent MDS).
Exclusion criteria for CNAs include:
- non-English speaking,
- temporary employment, -and age under 18 years.
- If more than one CNA volunteers as a partner for a participating resident, a random
selection will be made to determine which CNA will participate. Small variations in
contact between staff and residents in dyads are anticipated due to PMMA policies for
consistent CNA assignment to neighborhoods. Therefore dyads will have repeated
contacts.
Exclusion criteria for residents include:
- diagnosis with Huntington's disease,
- alcohol-related dementias,
- schizophrenia,
- manic-depressive disorder,
- deafness,
- and mental retardation.
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University of Kansas Medical Center The University of Kansas Medical Center serves Kansas through excellence...
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