abstract: 'BackgroundResidential Aged Care Facilities (RACFs) are moving towards a

  Consumer Directed Care (CDC) model of care. There are limited examples

  of CDC in ageing research, and no evaluation of a comprehensive CDC

  intervention in residential care was located. This study will implement

  and evaluate a staff training program, Resident at the Center of Care

  (RCC), designed to facilitate and drive CDC in residential

  care.MethodsThe study will adopt a cluster randomized controlled design

  with 39 facilities randomly allocated to one of three conditions:

  delivery of the RCC program plus additional organizational support,

  delivery of the program without additional support, and care as usual. A

  total of 834 staff (22 in each facility, half senior, half general

  staff) as well as 744 residents (20 in each facility) will be recruited

  to participate in the study. The RCC program comprises five sessions

  spread over nine weeks: Session 1 clarifies CDC principles; Sessions 2

  to 5 focus on skills to build and maintain working relationships with

  residents, as well as identifying organizational barriers and

  facilitators regarding the implementation of CDC. The primary outcome

  measure is resident quality of life. Secondary outcome measures are

  resident measures of choice and control, the working relationship

  between resident and staff; staff reports of transformational

  leadership, job satisfaction, intention to quit, experience of CDC, work

  role stress, organizational climate, and organizational readiness for

  change. All measures will be completed at four time points:

  pre-intervention, 3-months, 6-months, and 12-month follow-up. Primary

  analyses will be conducted on an intention to treat basis. Outcomes for

  the three conditions will be compared with multilevel linear regression

  modelling.DiscussionThe RCC program is designed to improve the knowledge

  and skills of staff and encourage transformational leadership and

  organizational change that supports implementation of CDC. The

  overarching goal is to improve the quality of life and care of older

  people living in residential care.'
affiliation: 'McCabe, MP (Corresponding Author), Swinburne Univ Technol, Sch Hlth
  Sci, H95 POB 218, Hawthorn, Vic 3122, Australia.

  McCabe, Marita P.; Byers, Jessica, Swinburne Univ Technol, Sch Hlth Sci, H95 POB
  218, Hawthorn, Vic 3122, Australia.

  Beattie, Elizabeth, Queensland Univ Technol, Dementia Ctr Res Collaborat, Brisbane,
  Qld, Australia.

  Karantzas, Gery; Mellor, David, Deakin Univ, Sch Psychol, Geelong, Vic, Australia.

  Sanders, Kerrie, Univ Melbourne, Dept Med, Melbourne, Vic, Australia.

  Sanders, Kerrie, Sunshine Hosp, Western Hlth, Melbourne, Vic, Australia.

  Busija, Lucy, Monash Univ, Melbourne, Vic, Australia.

  Goodenough, Belinda, Univ Wollongong, Dementia Training Australia, Melbourne, NSW,
  Australia.

  Bennett, Michelle, Australian Catholic Univ, Sch Allied Hlth, Sydney, NSW, Australia.

  von Treuer, Kathryn, Cairnmillar Inst, Melbourne, Vic, Australia.'
article-number: '287'
author: McCabe, Marita P. and Beattie, Elizabeth and Karantzas, Gery and Mellor, David
  and Sanders, Kerrie and Busija, Lucy and Goodenough, Belinda and Bennett, Michelle
  and von Treuer, Kathryn and Byers, Jessica
author-email: mmccabe@swin.edu.au
author_list:
- family: McCabe
  given: Marita P.
- family: Beattie
  given: Elizabeth
- family: Karantzas
  given: Gery
- family: Mellor
  given: David
- family: Sanders
  given: Kerrie
- family: Busija
  given: Lucy
- family: Goodenough
  given: Belinda
- family: Bennett
  given: Michelle
- family: von Treuer
  given: Kathryn
- family: Byers
  given: Jessica
da: '2023-09-28'
doi: 10.1186/s12877-018-0966-1
eissn: 1471-2318
files: []
journal: BMC GERIATRICS
keywords: 'Consumer directed care; Staff training; Resident quality of life;

  Residential aged care; Resident choice and control'
keywords-plus: 'ORGANIZATIONAL-CHANGE; DEMENTIA; SATISFACTION; PERSPECTIVES; SERVICES;

  SCALE; HOME'
language: English
month: NOV 23
number-of-cited-references: '30'
orcid-numbers: 'Busija, Lucy/0000-0001-7464-9089

  Karantzas, Gery/0000-0002-1503-2991

  Sanders, Kerrie/0000-0002-2718-6592

  Goodenough, Belinda/0000-0003-0347-7915

  McCabe, Marita/0000-0002-4989-8582

  Byers, Jessica/0000-0002-6812-5796'
papis_id: e11f9c7ff93ea0f3dc0871dba54b9815
ref: Mccabe2018randomizedcontrolled
researcherid-numbers: 'Busija, Lucy/Y-6064-2019

  Larkin, Natasha A/O-1834-2016

  von Treuer, Kathryn/HOC-4941-2023

  David, Maribel/E-2812-2012

  Sanders, Kerrie/E-9033-2015

  '
times-cited: '7'
title: A randomized controlled trial to evaluate the effectiveness of a staff training
  program to implement consumer directed care on resident quality of life in residential
  aged care
type: article
unique-id: WOS:000451055600001
usage-count-last-180-days: '2'
usage-count-since-2013: '8'
volume: '18'
web-of-science-categories: Geriatrics \& Gerontology; Gerontology
year: '2018'