Moving Online: A Pilot Clinical Trial of the Changing Talk Online Communication Education for Nursing Home Staff

Author:

Williams Kristine N1,Coleman Carissa K1,Perkhounkova Yelena2,Beachy Tim3,Hein Maria2,Shaw Clarissa A2ORCID,Berkley Amy1

Affiliation:

1. University of Kansas School of Nursing, Kansas City, USA

2. University of Iowa College of Nursing, Iowa City, USA

3. Institute for Public Health Practice, University of Iowa College of Public Health, Iowa City, USA

Abstract

Abstract Background and Objectives Staff–resident communication is a critical part of nursing home (NH) care. Reducing elderspeak and increasing person-centered communication has been shown to reduce behavioral symptoms experienced by persons living with dementia. An online version of a successful classroom-based communication-training program that reduced staff elderspeak and resident behavioral symptoms was evaluated. The objective of this study was to establish feasibility and determine the preliminary effects of the online program in preparation for a national pragmatic clinical trial. Research Design and Methods Seven NHs were randomized to immediate intervention or wait-list control conditions. The NHs were provided with the web-based training program that staff individually accessed. Primary outcomes were knowledge scores and communication ratings of a video-recorded interaction, using pre- to posttraining comparisons. Results Knowledge increased from a mean pretest score of 61.9% (SD = 20.0) to a mean posttest score of 84.6% (SD = 13.5) for the combined group. Knowledge significantly improved between Time 1 and Time 2 for the immediate intervention participants (p < .001), but not for the wait-list control participants (p = .091), and this difference was statistically significant (p < .001). Ability to recognize ineffective, inappropriate, nonperson-centered, and elderspeak communication improved after training (p < .001). The magnitude of improvement in communication recognition was comparable to that of the original classroom format. Discussion and Implications The adapted communication intervention was feasible and improved knowledge and communication. Online instruction can improve access to quality education and is an effective means to improve dementia care by overcoming barriers to in-person training. Clinical Trials Registration Number: NCT03849937

Funder

National Institute on Aging

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Gerontology,General Medicine

Reference27 articles.

1. Challenges and strategies for implementing and evaluating dementia care staff training in long-term care settings;Beeber;Alzheimer’s Care Today,2010

2. The cost of behavioral and psychological symptoms of dementia (BPSD) in community dwelling Alzheimer’s disease patients;Beeri;International Journal of Geriatric Psychiatry,2002

3. Nursing home staff attitudes towards residents with dementia: Strain and satisfaction with work;Brodaty;Journal of Advanced Nursing,2003

4. Quality of care in for-profit and not-for-profit nursing homes: Systematic review and meta-analysis;Comondore;BMJ (Clinical Research Ed.),2009

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