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AgingNCT02714452

A Person-centred and Thriving Promoting Care Model for Residential Aged Care

A study testing Person-centred care in people with Aging, run by Umeå University at 1 site in Sweden.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The overall aim of this study is to evaluate the effects, meaning and significance of a person-centred and thriving promoting model for residential aged care in Australia, Norway and Sweden. More specifically, the following research questions will be explored: 1. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Aging
What is being tested?
Person-centred care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
865 participants
Where
1 siteSweden
Study dates
Mar 2016to Apr 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • minimum 18 years of age
  • living in the facility for >1 month by the time of data collection
  • visiting the residential aged care facility on a regular basis (>1/month)
  • working in the residential aged care facility on a temporary and or permanent basis (>1month contract)
  • have been working >1 month in the residential aged care facility by the time of data collection.

Who cannot join

  • newly moved in to the facility
  • visiting the facility more seldom than once a month
  • working on a short-term contract

Trial locations and contacts

1 site in 1 country.

Sweden1 site

  • Umeå University

    Umeå, SE-90187

Other trials in Sweden

About this study

The overall aim of this study is to evaluate the effects, meaning and significance of a person-centred and thriving promoting model for residential aged care in Australia, Norway and Sweden. More specifically, the following research questions will be explored:

  1. Can a person-centred and thriving promoting care model increase residents' thriving, and have a positive impact on residents' perception of the caring environment?
  2. Can a person-centred and thriving promoting care model increase relatives' satisfaction with care, and have a positive impact on their experience of visiting their relative, and perception of the caring environment?
  3. Can a person-centred and thriving promoting care model increase staff's job satisfaction, decrease stress of conscience, and have a positive impact on their perception of the caring environment and person-centred care?
  4. What meaning and significance do relatives and staff ascribe to the intervention? The study is designed as a multi-centre, controlled group before-after design with participating sites in Victoria (Australia), Oslo (Norway) and Västerbotten (Sweden). Two residential aged care facilities at each site will be allocated to either intervention or control, in total three intervention and three control facilities divided over the three sites.
Read more

Care staff at the intervention facilities will participate in a 12-month education on how to integrate aspects of person-centredness, thriving and a caring environment into daily care practice. Participating staff will work together with their colleagues and members from the research group to create a reflective and creative learning environment that builds on and develops the staff members' clinical experience and skills, and combines it with theoretical and research-based knowledge.

At the control facilities, care staff will participate in a 2-hour lecture on the theoretical and philosophical foundations of person-centredness, thriving and a caring environment, and then continue with practice without further involvement from the research team.

Evaluation data will be collected by study specific questionnaires before the education starts, immediately after the education and at a 6-month follow-up. In addition, focus group interviews and individual interviews will be conducted with a selection of staff members and relatives at the intervention facilities to explore meaning and significance of the intervention.

Conditions
Aging
Being tested
Person-centred care
Keywords
Person-centred care, Thriving, Satisfaction with care, Residential aged care, Caring environment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Person-centred careBehavioural

    Person-centred and thriving promoting care

Study groups in NCT02714452
Study groupRoleWhat they receive
InterventionOtherPerson-centred care
Receives: Behavioral: Person-centred care
ControlNo interventionConventional care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in The Thriving of Older People Assessment Scale between baseline and follow-up

    Data will be collected from residents at both intervention and control facilities by either self-rating or proxy-rating surveys at baseline and at 12 and 18 months follow-up

    Measured: Change from baseline thriving at 12 and 18 months

  2. Change in relatives' satisfaction with care measured by the Pyramid questionnaire

    Data will be collected from relatives at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up

    Measured: Change from baseline satisfaction at 12 and 18 months

  3. Change in staff's job satisfaction measured by the The Job satisfaction questionnaire

    Data will be collected from staff at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up

    Measured: Change from baseline job satisfaction at 12 and 18 months

Secondary outcomes (4)

  1. Change in participants' experience of the caring environment measured by The Person-centred Climate Questionnaire

    Data will be collected from residents, relatives and staff at both intervention and control facilities by either self-rating or proxy-rating surveys at baseline and at 12 and 18 months follow-up

    Measured: Change from baseline experience at 12 and 18 months

  2. Change in relatives' experienced satisfaction with visiting the nursing home and their relative, measured by Visual Analogue Scales of participants' subjective experiences of 12 statements, ranging from 0 (totally disagree) to 10 (totally agree).

    Data will be collected from relatives at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up. Group level data will be aggregated using mean values of the participants' ratings.

    Measured: Change from baseline satisfaction at 12 and 18 months

  3. Change in staff's stress of conscience measured by the Stress of Conscience questionnaire

    Data will be collected from staff at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up

    Measured: Change from baseline stress of conscience at 12 and 18 months

  4. Change in staff's perception of the person-centredness of care measured by the Person-centred Care Assessment Tool

    Data will be collected from staff at both intervention and control facilities by self-rating surveys at baseline and at 12 and 18 months follow-up

    Measured: Change from baseline perception at 12 and 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2016 (estimated)
  2. Study startMar 2016
  3. Primary completionApr 2018
  4. Study completionApr 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
865 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02714452
Sponsor's protocol ID
2014-4016
Status last verified
Oct 2018
First submitted
7 Mar 2016
Last updated
11 Oct 2018
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Sjogren K, Bergland A, Kirkevold M, Lindkvist M, Lood Q, Sandman PO, Vassbo TK, Edvardsson D. Effects of a person-centred and thriving-promoting intervention on nursing home residents' experiences of thriving and person-centredness of the environment. Nurs Open. 2022 Jul;9(4):2117-2129. doi: 10.1002/nop2.1222. Epub 2022 Apr 29.

    PubMed 35485234

  • Vassbo TK, Bergland A, Kirkevold M, Lindkvist M, Lood Q, Sandman PO, Sjogren K, Edvardsson D. Effects of a person-centred and thriving-promoting intervention on nursing home staff job satisfaction: A multi-centre, non-equivalent controlled before-after study. Nurs Open. 2020 Jul 23;7(6):1787-1797. doi: 10.1002/nop2.565. eCollection 2020 Nov.

    PubMed 33072363

  • Lood Q, Sjogren K, Bergland A, Lindkvist M, Kirkevold M, Sandman PO, Edvardsson D. Effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care in nursing homes: a multi-centre, non-equivalent controlled before-after trial. BMC Geriatr. 2020 Aug 1;20(1):268. doi: 10.1186/s12877-020-01677-7.

    PubMed 32738880

  • Edvardsson D, Sjogren K, Lood Q, Bergland A, Kirkevold M, Sandman PO. A person-centred and thriving-promoting intervention in nursing homes - study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial. BMC Geriatr. 2017 Jan 17;17(1):22. doi: 10.1186/s12877-016-0404-1.

    PubMed 28095791

Questions about this trial

What is this clinical trial studying?

A study testing Person-centred care in people with Aging, run by Umeå University at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in The Thriving of Older People Assessment Scale between baseline and follow-up (time frame: Change from baseline thriving at 12 and 18 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02714452, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Oct 2018.

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