2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundResidential Aged Care Facilities (RACFs) are moving towards a
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Consumer Directed Care (CDC) model of care. There are limited examples
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of CDC in ageing research, and no evaluation of a comprehensive CDC
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intervention in residential care was located. This study will implement
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and evaluate a staff training program, Resident at the Center of Care
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(RCC), designed to facilitate and drive CDC in residential
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care.MethodsThe study will adopt a cluster randomized controlled design
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with 39 facilities randomly allocated to one of three conditions:
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delivery of the RCC program plus additional organizational support,
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delivery of the program without additional support, and care as usual. A
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total of 834 staff (22 in each facility, half senior, half general
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staff) as well as 744 residents (20 in each facility) will be recruited
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to participate in the study. The RCC program comprises five sessions
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spread over nine weeks: Session 1 clarifies CDC principles; Sessions 2
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to 5 focus on skills to build and maintain working relationships with
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residents, as well as identifying organizational barriers and
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facilitators regarding the implementation of CDC. The primary outcome
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measure is resident quality of life. Secondary outcome measures are
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resident measures of choice and control, the working relationship
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between resident and staff; staff reports of transformational
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leadership, job satisfaction, intention to quit, experience of CDC, work
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role stress, organizational climate, and organizational readiness for
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change. All measures will be completed at four time points:
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pre-intervention, 3-months, 6-months, and 12-month follow-up. Primary
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analyses will be conducted on an intention to treat basis. Outcomes for
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the three conditions will be compared with multilevel linear regression
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modelling.DiscussionThe RCC program is designed to improve the knowledge
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and skills of staff and encourage transformational leadership and
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organizational change that supports implementation of CDC. The
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overarching goal is to improve the quality of life and care of older
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people living in residential care.'
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affiliation: 'McCabe, MP (Corresponding Author), Swinburne Univ Technol, Sch Hlth
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Sci, H95 POB 218, Hawthorn, Vic 3122, Australia.
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McCabe, Marita P.; Byers, Jessica, Swinburne Univ Technol, Sch Hlth Sci, H95 POB
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218, Hawthorn, Vic 3122, Australia.
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Beattie, Elizabeth, Queensland Univ Technol, Dementia Ctr Res Collaborat, Brisbane,
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Qld, Australia.
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Karantzas, Gery; Mellor, David, Deakin Univ, Sch Psychol, Geelong, Vic, Australia.
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Sanders, Kerrie, Univ Melbourne, Dept Med, Melbourne, Vic, Australia.
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Sanders, Kerrie, Sunshine Hosp, Western Hlth, Melbourne, Vic, Australia.
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Busija, Lucy, Monash Univ, Melbourne, Vic, Australia.
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Goodenough, Belinda, Univ Wollongong, Dementia Training Australia, Melbourne, NSW,
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Australia.
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Bennett, Michelle, Australian Catholic Univ, Sch Allied Hlth, Sydney, NSW, Australia.
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von Treuer, Kathryn, Cairnmillar Inst, Melbourne, Vic, Australia.'
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article-number: '287'
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author: McCabe, Marita P. and Beattie, Elizabeth and Karantzas, Gery and Mellor, David
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and Sanders, Kerrie and Busija, Lucy and Goodenough, Belinda and Bennett, Michelle
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and von Treuer, Kathryn and Byers, Jessica
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author-email: mmccabe@swin.edu.au
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author_list:
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- family: McCabe
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given: Marita P.
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- family: Beattie
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given: Elizabeth
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- family: Karantzas
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given: Gery
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- family: Mellor
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given: David
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- family: Sanders
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given: Kerrie
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- family: Busija
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given: Lucy
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- family: Goodenough
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given: Belinda
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- family: Bennett
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given: Michelle
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- family: von Treuer
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given: Kathryn
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- family: Byers
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given: Jessica
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da: '2023-09-28'
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doi: 10.1186/s12877-018-0966-1
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eissn: 1471-2318
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files: []
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journal: BMC GERIATRICS
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keywords: 'Consumer directed care; Staff training; Resident quality of life;
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Residential aged care; Resident choice and control'
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keywords-plus: 'ORGANIZATIONAL-CHANGE; DEMENTIA; SATISFACTION; PERSPECTIVES; SERVICES;
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SCALE; HOME'
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language: English
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month: NOV 23
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number-of-cited-references: '30'
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orcid-numbers: 'Busija, Lucy/0000-0001-7464-9089
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Karantzas, Gery/0000-0002-1503-2991
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Sanders, Kerrie/0000-0002-2718-6592
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Goodenough, Belinda/0000-0003-0347-7915
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McCabe, Marita/0000-0002-4989-8582
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Byers, Jessica/0000-0002-6812-5796'
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papis_id: e11f9c7ff93ea0f3dc0871dba54b9815
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ref: Mccabe2018randomizedcontrolled
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researcherid-numbers: 'Busija, Lucy/Y-6064-2019
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Larkin, Natasha A/O-1834-2016
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von Treuer, Kathryn/HOC-4941-2023
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David, Maribel/E-2812-2012
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Sanders, Kerrie/E-9033-2015
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'
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times-cited: '7'
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title: A randomized controlled trial to evaluate the effectiveness of a staff training
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program to implement consumer directed care on resident quality of life in residential
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aged care
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000451055600001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '8'
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volume: '18'
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web-of-science-categories: Geriatrics \& Gerontology; Gerontology
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year: '2018'
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