Ignite Creation Date:
2024-05-05 @ 12:04 PM
Last Modification Date:
2024-10-26 @ 9:20 AM
Study NCT ID:
NCT00237757
Status:
COMPLETED
Last Update Posted:
2013-07-03
First Post:
2005-10-07
Brief Title:
Rehabilitation Team Functioning and Patient Outcomes
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Rehabilitation Team Functioning and Patient Outcomes
Status:
COMPLETED
Status Verified Date:
2013-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of the study is to determine if 1 Rehabilitation staff can be trained to work better together as a team and 2 Better team work improves patient outcomes
Detailed Description:
The benefits of team treatment are widely accepted Prior research has shown that how rehabilitation teams go about their work makes a difference in the patients they treat However there is little information about what specifically the team does that results in patients who are able to do more for themselves The objectives of this clinical trial was to test whether a team training intervention in stroke rehabilitation was associated with improved patient outcomes We conducted a cluster randomized trial of 31 rehabilitation units comparing stroke outcomes between intervention and control groups in thirty-one VA medical centers with 237 clinical staff on 16 control teams and 227 staff on 15 intervention teams There were 487 stroke patients treated by these teams before and after the intervention
The intervention consisted of a multiphase staff training program delivered over six months including an off-site workshop emphasizing team dynamics problem solving and the use of performance feedback data and action plans for process improvement and telephone and videoconference consultations Control and intervention teams received site- specific team performance profiles with recommendations to use this information to modify team process
The main outcomes measures consisted of three patient outcomes functional improvement as measured by the change in motor items of Function Independence Measure FIM community discharge and length of stay LOS For both the primary stroke only and secondary analyses all patients there was a significant difference in improvement of functional outcome between the two groups with the percentage of stroke patients gaining more than a median FIM gain of 23 points increasing significantly more in the intervention group difference in increase 136 P0032 There was no significant difference on LOS or rates of community discharge Stroke patients treated by staff who participated in a team training program were more likely to make functional gains than those treated by staff receiving information only This study is a randomized cluster trial which tested used workshops to train rehabilitation staff Patients treated by trained teams were compared with patients treated by teams that did not have workshop training Stroke patients
The intervention consisted of a multiphase staff training program delivered over six months including an off-site workshop emphasizing team dynamics problem solving and the use of performance feedback data and action plans for process improvement and telephone and videoconference consultations Control and intervention teams received site- specific team performance profiles with recommendations to use this information to modify team process
The main outcomes measures consisted of three patient outcomes functional improvement as measured by the change in motor items of Function Independence Measure FIM community discharge and length of stay LOS For both the primary stroke only and secondary analyses all patients there was a significant difference in improvement of functional outcome between the two groups with the percentage of stroke patients gaining more than a median FIM gain of 23 points increasing significantly more in the intervention group difference in increase 136 P0032 There was no significant difference on LOS or rates of community discharge Stroke patients treated by staff who participated in a team training program were more likely to make functional gains than those treated by staff receiving information only This study is a randomized cluster trial which tested used workshops to train rehabilitation staff Patients treated by trained teams were compared with patients treated by teams that did not have workshop training Stroke patients
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None