ACTRN12610000189022

Study ID(s) and Acronym(s)
ACTRN12610000189022
Current Status of Trial
Planned
Study Aim
Treatment Dementia
Study Design
RCT
Blinding
Double-blind
Intervention type
Non-pharmacological
Intervention
Staff Training//Educational Workshop
Dosage and Duration
There will be three treatment conditions. CONDITION ONE: Aged care staff participants in condition one will receive training in the use of an assessment and management instrument for challenging behaviours in residential care. This training will involve a single two-hour session and will be conducted as a group session by one of the investigators. Condition one participants will also participate in a single session, two-hour educational workshop designed to teach aged care staff how to identify and manage the causes of challenging behaviours in aged care residents with dementia. Staff who participate in the educational workshop will also receive three months of fortnightly clinical support visits, carried out by an experienced clinician. CONDITION TWO: Aged care staff participants in condition two will receive the educational workshop and three months clinical support, but they will not receive the training session in the use of the assessment and management instrument. CONDITION THREE: Aged care staff participants in condition three will receive the training session in the use of the assessment and management instrument, but they will not participate in the educational workshop or receive the three months of clinical support
Absolute Number of Participants
480
Health Status/Diagnosis
Dementia//Caregivers
Co-morbid Health Condition/Other Participant Characteristics
Behavioural and Psychological Symptoms of Dementia (BPSD)
Country or Countries of Recruitment
Australia
Unit of Allocation and/or Setting
Care home residents
Study start date
Study start date: May 2010
Primary outcomes
Primary Outcome Measure: Reduced frequency and/or severity of behavioural and psychological symptoms of dementia in aged care residents. A research assistant who is blind to the treatment conditions will observe and record the frequency and/or severity of BPSDs in the participating residents on a behaviour monitoring sheet. Frequently occurring behaviours will be observed and recorded over a three hour period and infrequent behaviours will be observed and recorded over a five day period; Reduced stress among staff associated with behavioural and psychological symptoms in residents, as assessed by a questionnaire containing the Carer Stress Scale; Improvements in job satisfaction and attitudes towards working with people with dementia among aged care staff, as assessed through a questionnaire containing questions on satisfaction with work in aged care and the Approaches to Dementia scale; Improvements in staff perceptions of self-efficacy in dealing with challenging behaviours, as assessed by a questionnaire containing the Self-efficacy in Working with Dementia scale//Secondary Outcome Measures: Reduced frequency of general practitioner (GP) or other medical practitioner visits to treat BPSDs. This will be determined by viewing the resident's medical files and recording the number of visits in the previous three months; Changes in psychotropic medications including reduced reliance on antipsychotics to treat behavioural symptoms. This information will be obtained from the medication records in the residents' file. The investigator will record the residents' current psychotropic medications as well as any changes in these medications in the previous three months
Key Points
Factorial designed trial. Contacts: Tanya Davison (Deakin University) and Marita McCabe (Deakin University)