Evidence map›Paper›PMID 30470201›Full record

Trial reportBMC geriatrics2018

A randomized controlled trial to evaluate the effectiveness of a staff training program to implement consumer directed care on resident quality of life in residential aged care.

Marita P McCabe, Elizabeth Beattie, Gery Karantzas, David Mellor, Kerrie Sanders, Lucy Busija, Belinda Goodenough, Michelle Bennett, Kathryn von Treuer, Jessica Byers

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marita P McCabeSchool of Health Sciences, Swinburne University of Technology, H95 PO BOX 218, Hawthorn, VIC, 3122, Australia. mmccabe@swin.edu.au.ORCID 0000-0002-4989-8582
Elizabeth BeattieThe Dementia Centre for Research Collaboration, Queensland University of Technology, Brisbane, Australia.
Gery KarantzasSchool of Psychology, Deakin University, Geelong, Australia.
David MellorSchool of Psychology, Deakin University, Geelong, Australia.
Kerrie SandersDepartment of Medicine, University of Melbourne and Western Health, Sunshine Hospital, Melbourne, Australia.
Lucy BusijaMonash University, Melbourne, Australia.
Belinda GoodenoughDementia Training Australia, University of Wollongong, Melbourne, NSW, Australia.
Michelle BennettSchool of Allied Health, Australian Catholic University, Sydney, Australia.
Kathryn von TreuerCairnmillar Institute, Melbourne, Australia.
Jessica ByersSchool of Health Sciences, Swinburne University of Technology, H95 PO BOX 218, Hawthorn, VIC, 3122, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResidential Aged Care Facilities (RACFs) are moving towards a Consumer Directed Care (CDC) model of care. There are limited examples of CDC in ageing research, and no evaluation of a comprehensive CDC intervention in residential care was located. This study will implement and evaluate a staff training program, Resident at the Center of Care (RCC), designed to facilitate and drive CDC in residential care.

methodsThe study will adopt a cluster randomized controlled design with 39 facilities randomly allocated to one of three conditions: delivery of the RCC program plus additional organizational support, delivery of the program without additional support, and care as usual. A total of 834 staff (22 in each facility, half senior, half general staff) as well as 744 residents (20 in each facility) will be recruited to participate in the study. The RCC program comprises five sessions spread over nine weeks: Session 1 clarifies CDC principles; Sessions 2 to 5 focus on skills to build and maintain working relationships with residents, as well as identifying organizational barriers and facilitators regarding the implementation of CDC. The primary outcome measure is resident quality of life. Secondary outcome measures are resident measures of choice and control, the working relationship between resident and staff; staff reports of transformational leadership, job satisfaction, intention to quit, experience of CDC, work role stress, organizational climate, and organizational readiness for change. All measures will be completed at four time points: pre-intervention, 3-months, 6-months, and 12-month follow-up. Primary analyses will be conducted on an intention to treat basis. Outcomes for the three conditions will be compared with multilevel linear regression modelling. DISCUSSION: The RCC program is designed to improve the knowledge and skills of staff and encourage transformational leadership and organizational change that supports implementation of CDC. The overarching goal is to improve the quality of life and care of older people living in residential care.

trial registrationACTRN12618000779279; Registered 9 May 2018 with the Australian and New Zealand Clinical Trials Registry (ANZCTR; http://www.anzctr.org.au/ ).

Indexed as

Job SatisfactionAgedAged, 80 and overAustraliaCommunity-Based Participatory ResearchDelivery of Health CareFemaleHealth PersonnelHomes for the AgedHumansLeadershipNew ZealandQuality of LifeResidential FacilitiesConsumer directed careResident choice and controlResidential aged careResident quality of lifeStaff training

Identifiers

PMID30470201
PMCPMC6251149

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.