Ignite Creation Date:
2024-05-06 @ 12:18 PM
Last Modification Date:
2024-10-26 @ 12:56 PM
Study NCT ID:
NCT03720652
Status:
COMPLETED
Last Update Posted:
2021-04-29
First Post:
2018-10-24
Brief Title:
Certified Nursing Assistants Wellbeing
Sponsor:
University of North Carolina Chapel Hill
Organization:
University of North Carolina Chapel Hill
Study Overview
Official Title:
Mindful Self-Compassion Training to Improve Retention Job Satisfaction and Attitudes Toward Dementia Among Long-Term Care Nursing Assistants
Status:
COMPLETED
Status Verified Date:
2021-03
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:
CNA
Brief Summary:
Certified nursing assistants CNAs who provide the majority of care to persons with chronic disease andor cognitive impairment from Alzheimers disease and related dementias face tremendous job and home stress and as a result absenteeism and job turnover are high This is a preliminary study that will tailor Mindful Self-Compassion MSC - a promising new program designed to cultivate greater self-care and strengthen resilience and coping skills - for the CNA population and study its effectiveness If results are favorable MSC could be incorporated into CNA training programs thereby helping contribute to a more effective and stable long-term care workforce
Detailed Description:
US nursing homes NHs serve 16 million older persons all of whom have significant physical andor cognitive impairment and the majority of whom have Alzheimers disease or a related cognitive disorder In these settings the vast majority of hands-on care is provided by an estimated 634000 certified nursing assistants CNAs - paraprofessional caregivers who are racially diverse largely female and an annual income equivalent to the poverty threshold for a family of four Despite the crucial role of CNAs in providing care for the long-term care population and efforts to recruit and retain a stable workforce absenteeism rates are high and annual turnover averages 65 with adverse impact on the quality of care provided to NH residents making CNA retention a policy priority
CNAs have significant life stressors that affect their ability to work such as single parenthood poor physical health difficulty finding childcare and transportation problems They also face emotionally and physically demanding job tasks particularly when working with persons with Alzheimers disease and related dementias and many lack helpful strategies for dealing with stress negative feelings and burden
A newly developed standardized Mindful Self-Compassion MSC intervention may have particularly high impact and relevance for the high-stress lives of NH CNAs MSC training has been shown to increase wellbeing compassion for others and stress-coping skills However little is known about the impact feasibility and acceptability of MSC training in low-educated stress-burdened paraprofessional populations such as CNAs or whether it can impact outcomes such as burnout absenteeism and turnover
This preliminary study will modify refine and test a MSC training intervention for CNAs to be known as the CNA Wellbeing Program who care for nursing home residents The researcher teams goal is to increase CNA coping skills and well-being thereby reducing intent to leave the job reducing burnout and improving job satisfaction and attitudes toward people with dementia The proposed research will be conducted in 3 similarly rated and structured community NHs In Aim 1 the investigators will assess intervention feasibility and acceptability in one NH using the knowledge they gain to tailor an evidence-based MSC program specifically for CNAs In Aim 2 the investigators will pilot test the MSC training program with 30 CNAs who work in 2 similarly rated and structured NHs evaluating the fidelity of the revised training and exploring trends in immediate 3-month and 6-month outcome measures in order to inform power calculations for future trials
The specific aims are
Aim 1 Determine the feasibility acceptability and necessary adaptations of MSC training needed to meet the diverse cultural background limited literacy and job and family challenges of the nursing home CNA workforce including the unique challenges of caring for persons with dementia and of the data collection methods
1 Conduct a field trial of the standardized 8-week MSC training program with 15 CNAs within a single community NH Evaluation will focus on a participation including home practice adherence b attendee evaluation of the training c barriers to and facilitators of participation d use and retention of class material by participants and e recommendations for improvement of training
2 Field test the feasibility and acceptability of our study recruitment and evaluation strategy
3 Use data collected from the field test to modify recruitment strategies protocols and course structure content and materials so as to be maximally feasible acceptable and effective in a CNA population
Aim 2 Conduct a pilot test of the adapted protocols and intervention in a sample of 30 CNAs from 2 similarly rated and structured community NHs to reexamine feasibility and acceptability identify trends in key intermediate and long-term outcomes and estimate effect size in preparation for a future randomized trial
1 Evaluate the fidelity and immediate impact of the modified training by measuring a training attendance b satisfaction with the training and c pre-and post-training measures of self-compassion perceived stress job satisfaction job burnout symptoms and attitudes towards persons with dementia
2 Evaluate the sustained impact of the training by comparing baseline 3-and 6-month post-training measurements of intent to leave job self-compassion perceived stress job satisfaction job burnout symptoms and attitudes towards persons with dementia
CNAs have significant life stressors that affect their ability to work such as single parenthood poor physical health difficulty finding childcare and transportation problems They also face emotionally and physically demanding job tasks particularly when working with persons with Alzheimers disease and related dementias and many lack helpful strategies for dealing with stress negative feelings and burden
A newly developed standardized Mindful Self-Compassion MSC intervention may have particularly high impact and relevance for the high-stress lives of NH CNAs MSC training has been shown to increase wellbeing compassion for others and stress-coping skills However little is known about the impact feasibility and acceptability of MSC training in low-educated stress-burdened paraprofessional populations such as CNAs or whether it can impact outcomes such as burnout absenteeism and turnover
This preliminary study will modify refine and test a MSC training intervention for CNAs to be known as the CNA Wellbeing Program who care for nursing home residents The researcher teams goal is to increase CNA coping skills and well-being thereby reducing intent to leave the job reducing burnout and improving job satisfaction and attitudes toward people with dementia The proposed research will be conducted in 3 similarly rated and structured community NHs In Aim 1 the investigators will assess intervention feasibility and acceptability in one NH using the knowledge they gain to tailor an evidence-based MSC program specifically for CNAs In Aim 2 the investigators will pilot test the MSC training program with 30 CNAs who work in 2 similarly rated and structured NHs evaluating the fidelity of the revised training and exploring trends in immediate 3-month and 6-month outcome measures in order to inform power calculations for future trials
The specific aims are
Aim 1 Determine the feasibility acceptability and necessary adaptations of MSC training needed to meet the diverse cultural background limited literacy and job and family challenges of the nursing home CNA workforce including the unique challenges of caring for persons with dementia and of the data collection methods
1 Conduct a field trial of the standardized 8-week MSC training program with 15 CNAs within a single community NH Evaluation will focus on a participation including home practice adherence b attendee evaluation of the training c barriers to and facilitators of participation d use and retention of class material by participants and e recommendations for improvement of training
2 Field test the feasibility and acceptability of our study recruitment and evaluation strategy
3 Use data collected from the field test to modify recruitment strategies protocols and course structure content and materials so as to be maximally feasible acceptable and effective in a CNA population
Aim 2 Conduct a pilot test of the adapted protocols and intervention in a sample of 30 CNAs from 2 similarly rated and structured community NHs to reexamine feasibility and acceptability identify trends in key intermediate and long-term outcomes and estimate effect size in preparation for a future randomized trial
1 Evaluate the fidelity and immediate impact of the modified training by measuring a training attendance b satisfaction with the training and c pre-and post-training measures of self-compassion perceived stress job satisfaction job burnout symptoms and attitudes towards persons with dementia
2 Evaluate the sustained impact of the training by comparing baseline 3-and 6-month post-training measurements of intent to leave job self-compassion perceived stress job satisfaction job burnout symptoms and attitudes towards persons with dementia
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 1R21AG058133-01A1 | NIH | None | httpsreporternihgovquickSearch1R21AG058133-01A1 |