دورية أكاديمية
Moving Online: A Pilot Clinical Trial of the Changing Talk Online Communication Education for Nursing Home Staff.
| العنوان: | Moving Online: A Pilot Clinical Trial of the Changing Talk Online Communication Education for Nursing Home Staff. |
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| المؤلفون: | Williams KN; University of Kansas School of Nursing, Kansas City, USA., Coleman CK; University of Kansas School of Nursing, Kansas City, USA., Perkhounkova Y; University of Iowa College of Nursing, Iowa City, USA., Beachy T; Institute for Public Health Practice, University of Iowa College of Public Health, Iowa City, USA., Hein M; University of Iowa College of Nursing, Iowa City, USA., Shaw CA; University of Iowa College of Nursing, Iowa City, USA., Berkley A; University of Kansas School of Nursing, Kansas City, USA. |
| المصدر: | The Gerontologist [Gerontologist] 2021 Nov 15; Vol. 61 (8), pp. 1338-1345. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 0375327 Publication Model: Print Cited Medium: Internet ISSN: 1758-5341 (Electronic) Linking ISSN: 00169013 NLM ISO Abbreviation: Gerontologist Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2009- : Cary, NC : Oxford University Press Original Publication: St. Louis, Gerontological Society. |
| مواضيع طبية MeSH: | Dementia* , Nursing Staff*, Communication ; Humans ; Nursing Homes ; Skilled Nursing Facilities |
| مستخلص: | 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. (© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
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| معلومات مُعتمدة: | R61 AG061881 United States AG NIA NIH HHS |
| فهرسة مساهمة: | Keywords: Continuing education; Dementia; Elderspeak; Person-centered care; Staff-resident interactions |
| سلسلة جزيئية: | ClinicalTrials.gov NCT03849937 |
| تواريخ الأحداث: | Date Created: 20201221 Date Completed: 20220126 Latest Revision: 20220531 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC8599177 |
| DOI: | 10.1093/geront/gnaa210 |
| PMID: | 33346349 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1758-5341 |
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| DOI: | 10.1093/geront/gnaa210 |