EDITH-HC Training Tool for Dementia Care
(EDITH-HC Trial)
Recruiting in Palo Alto (17 mi)
Overseen byElizabeth Luth, PhD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Rutgers, The State University of New Jersey
Disqualifiers: Under 19, Over 90, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The purpose of this study is to pilot test the feasibility, acceptability, and preliminary efficacy of a clinically useful, inclusive dementia-enhanced training and tool for use by home hospice clinicians to improve care and support for Black and White patients with dementia and their family caregivers. The investigators expect family caregivers of clinicians in the intervention group will report less caregiver burden (primary outcome) than caregivers of clinicians in the control group. The investigators expect that, compared to clinicians in the control group (usual care), clinicians in the intervention group (receive the training and use the tool) will demonstrate more knowledge of dementia-related caregiving issues (secondary outcomes). In exploratory analyses, the investigators expect family caregivers will report greater self-efficacy and preparedness, and that patients of clinicians in the intervention group will experience fewer live discharges than family caregivers of patients of clinicians in the control group.
Do I have to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the EDITH-HC treatment for dementia care?
The research shows that training programs for dementia care, like the VOICE Dementia Care Program, have been effective in improving caregivers' knowledge and confidence in managing dementia-related behaviors. This suggests that similar training tools, such as EDITH-HC, could also be effective in enhancing dementia care.
12345How is the EDITH-HC treatment for dementia care different from other treatments?
The EDITH-HC treatment is unique because it focuses on training caregivers to better understand and manage dementia care, rather than directly treating the condition itself. This approach is different from traditional medical treatments as it aims to improve the quality of care through education and skill development for caregivers.
678910Eligibility Criteria
This trial is for nurses, social workers, or family members aged 19-90 who care for someone with dementia in home hospice. Participants must speak English and identify as White or Black/African American. While gender isn't a factor for exclusion, it's anticipated that most participants will be female.Inclusion Criteria
I understand that most participants are expected to be female.
Must be a nurse, social worker, or family member providing care to person(s) living with dementia enrolled in home hospice care
Can complete data collection in English
+3 more
Exclusion Criteria
Does not provide care to person(s) living with dementia enrolled in home hospice
Cannot complete data collection in English
Family Caregiver does not identify as White or Black/African American
+1 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Intervention
Clinicians in the intervention group watch educational videos and use a caregiver burden assessment tool during home visits
8 weeks
Up to 4 visits (in-person)
Control
Clinicians in the control group listen to a presentation on outcomes for home hospice patients living with dementia
8 weeks
Follow-up
Participants are monitored for changes in caregiver burden, self-efficacy, and preparedness
6 months
Participant Groups
The study tests 'EDITH-HC', a training and tool designed to enhance dementia care by home hospice clinicians. It aims to see if this can reduce caregiver burden and increase clinicians' knowledge about dementia caregiving compared to usual care.
2Treatment groups
Experimental Treatment
Group I: Intervention GroupExperimental Treatment1 Intervention
Clinicians in intervention group will watch a series educational and instructional videos and use caregiver burden assessment tool up to four times during regular home visits with family caregivers of home hospice patients living with dementia. Clinicians will be assessed for changes in knowledge regarding dementia caregiving (secondary outcome). Family caregivers will be assessed for changes in caregiver burden (primary outcome) and preparedness and self-efficacy (exploratory outcomes).
Group II: Control GroupExperimental Treatment1 Intervention
Clinicians in control group will listen to a presentation on outcomes for home hospice patients living with dementia. Clinicians will be assessed for changes in knowledge regarding dementia caregiving (secondary outcome). Family caregivers will be assessed for changes in caregiver burden (primary outcome) and preparedness and self-efficacy (exploratory outcomes).
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Rutgers UniveristyNew Brunswick, NJ
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Who Is Running the Clinical Trial?
Rutgers, The State University of New JerseyLead Sponsor
National Institute on Aging (NIA)Collaborator
References
Empowering the dementia care workforce to manage behavioral symptoms of dementia: Development and training outcomes from the VOICE Dementia Care Program. [2018]Nonpharmacological approaches for managing behavioral symptoms of dementia remain widely underutilized, due in part to near-universal training needs reported by dementia caregivers in recent research. This article examines the development, core components, and initial outcomes of an evidence-informed, competency-based training program in the prevention and management of behavioral symptoms of dementia among care managers and nurses within an aging services system. The Vital Outcomes Inspired by Caregiver Engagement (VOICE) Dementia Care Training Program was developed based on identification of state-of-the-art approaches to managing behaviors through expert review of the literature and structured needs assessment. Results reveal robust improvements in knowledge, attitudes, and self-efficacy among training participants, with largest effect sizes (d = 1.8) on domains of knowledge and self-efficacy to manage behaviors. Findings support the feasibility and effectiveness of training in improving the abilities and confidence of aging services providers in dementia care and, specifically, in the nonpharmacological management of dementia-related behaviors.
Training families to provide care: effects on people with dementia. [2019]This paper addresses four questions concerning family training in dementia care: (1) What do we know about what works? (2) How do we know it? (3) What do we now need to know? (4) How should we go about trying to find this out? In addition, it provides some introductory information on the nature of family caregivers in dementia and the phenomenology of caregiver burden and behavioral problems in dementia, often the focus of family training. Training families to provide care to dementia patients has a long clinical history. In recent years, the amount and popularity of this kind of information has grown exponentially, as is evident in the proliferation of books, training materials and informational handouts. Even video and world wide web technology is now used to educate caregivers. Over a decade ago, reports showed that caregivers were able to learn specific behavioral techniques and successfully reduce problematic behaviors. More recently, controlled trials have suggested the effectiveness of caregiver training programs in reducing behavioral problems or delaying institutionalization in patients with dementia. There is much still unknown concerning family training in dementia care. Additional controlled clinical trials are needed, as are additional studies to understand the broader factors known to influence effective care, such as patient and caregiver physical health or family and social supports.
Care staff training based on person-centered care and dementia care mapping, and its effects on the quality of life of nursing home residents with dementia. [2022]To assess the effects of care staff training based on person-centered care (PCC) and dementia care mapping (DCM) on the quality of life (QOL) of residents with dementia in a nursing home.
Transforming dementia care in acute hospitals. [2017]This article provides an overview of current developments to support improvements in dementia care in acute general hospital settings. It considers the urgent need for improvement along with the effectiveness of current approaches in achieving change and delivering person-centred care. The process and outcomes of a development programme carried out by the Royal College of Nursing and evaluated by the University of Worcester are described. This programme supported clinical nurse leaders in developing dementia care in nine acute general hospitals by use of an action learning approach. Recommendations are made for a more systematic approach to developing practice that considers the context and culture of acute hospital care for people with dementia. The need for investment in clinical leaders and dementia specialists who can assist improvements and support change is emphasised.
Dementia carer education and patient behaviour disturbance. [2006]To evaluate the impact of a dementia Carer Education Programme on carer quality of life (QoL), burden, and well-being.
Expectations of nursing personnel and physicians on dementia training : A descriptive survey in general hospitals in Germany and Greece. [2022]The number of dementia training programs in hospital settings is steadily increasing. The way training sessions are designed influences the way the learning content is implemented in practice. To develop a successful training it is important to meet the needs of the target group; however, not much is known about staff preferences and expectations relevant to future dementia training programs in hospitals in Germany and Greece.
Feasibility of Internet training for care staff of residents with dementia: the CARES program. [2022]This study evaluated an Internet-based training module, CARES(®) (Connect with the resident; Assess behavior; Respond appropriately; Evaluate what works; Share with the team), to determine its feasibility for certified nursing assistants (CNAs) in three nursing homes and one assisted living facility. Pre- and posttest questionnaires were administered to 40 CNAs to determine improvements in dementia care knowledge and perceptions of competence in dementia care. Dementia care knowledge improved significantly after CARES training. More than 85% of the sample agreed or strongly agreed that the CARES protocol improved mastery, improved care competency, and reduced stress related to care of residents with dementia. Open-ended feedback indicated that CARES provided CNAs with new information and skills pertaining to dementia care. The results suggest that Internet-based programs such as CARES represent time- and cost-efficient methods to deliver dementia care training in long-term care settings.
STAR: a dementia-specific training program for staff in assisted living residences. [2022]This article describes, and provides data on, an innovative, comprehensive, dementia-specific training program designed to teach direct care staff in assisted living residences to improve care and reduce problems in residents with dementia.
Large-scale training in the essentials of dementia care in Australia: Dementia Care Skills for Aged Care Workers project. [2016]Dementia has been identified as a national health priority in Australia. National programs in the areas of research, education and training have been established. The Dementia Care Skills for Aged Care Workers program is a three-year project that commenced in 2006. It has the goal of providing training in the essentials of dementia care to 17,000 staff of aged care services across Australia. Successful completion of the training results in the award of a nationally recognized qualification. Although the delivery of the training has been difficult in some areas--because of the long distances to be covered by trainers and trainees, a wide range of cultural backgrounds, and difficulties in finding staff to cover for people attending the training--the seven training organizations providing this training are on target to meet the goal. The project is being evaluated independently. The anecdotal reports available to date strongly suggest that the training is being well received and is making a difference to practice.A surprisingly large proportion of attendees (9%) have been registered nurses, which demonstrates the need among this group of staff for training in the care of people with dementia.
An eye opener on living with dementia. [2019]An experiential training course is enabling staff in care homes to appreciate how hard it can be to be on the receiving end of care when you have dementia. The course has prompted immediate changes in how staff relate to residents.