Staff training in assisted living: Evaluating treatment fidelity

Linda Teri, Glenise McKenzie, Kenneth C. Pike, Carol J. Farran, Cornelia Beck, Olimpia Paun, David Lafazia

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

OBJECTIVES: To investigate a protocol for identifying and evaluating treatment fidelity in Staff Training in Assisted-living Residences (STAR), a structured but flexible program to train direct care staff to improve care of residents with dementia. DESIGN: Multisite feasibility trial. SETTING: Assisted living facilities (ALFs). PARTICIPANTS: Forty-four direct care staff and 36 leadership staff. INTERVENTION: STAR is a comprehensive, dementia-specific training program to teach direct care staff in ALFs to improve care and reduce affective and behavioral problems in residents with dementia. It is conducted on-site over 2 months through 2 half-day group workshops and four individualized sessions. MEASURES: Treatment fidelity was assessed following the National Institute of Health Behavior Change Consortium model utilizing observations and self-report of trainers, direct care staff, and leadership. RESULTS: Each key area of treatment fidelity was identified, measured, and yielded significant outcomes. For example, significant increases included direct care staff identifying activators, behaviors, and consequences (an essential component of training); understanding basics of dementia care; and applying STAR techniques. CONCLUSIONS: Results support that STAR is ready to be translated and disseminated into practice. Because ALFs will continue to provide care for individuals with dementia, the need for effective, practical, and sustainable staff training programs is clear. STAR offers one such option. It is hoped that this report will encourage others to conduct comprehensive evaluations of the treatment fidelity of their programs and thereby increase the availability of such programs to enhance care.

Original languageEnglish (US)
Pages (from-to)502-509
Number of pages8
JournalAmerican Journal of Geriatric Psychiatry
Volume18
Issue number6
DOIs
StatePublished - Jun 2010
Externally publishedYes

Fingerprint

Assisted Living Facilities
Dementia
Education
Living Wills
Training Support
Health Behavior
National Institutes of Health (U.S.)
Self Report

Keywords

  • Assisted living
  • Dementia care
  • Staff training

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Geriatrics and Gerontology

Cite this

Staff training in assisted living : Evaluating treatment fidelity. / Teri, Linda; McKenzie, Glenise; Pike, Kenneth C.; Farran, Carol J.; Beck, Cornelia; Paun, Olimpia; Lafazia, David.

In: American Journal of Geriatric Psychiatry, Vol. 18, No. 6, 06.2010, p. 502-509.

Research output: Contribution to journalArticle

Teri, Linda ; McKenzie, Glenise ; Pike, Kenneth C. ; Farran, Carol J. ; Beck, Cornelia ; Paun, Olimpia ; Lafazia, David. / Staff training in assisted living : Evaluating treatment fidelity. In: American Journal of Geriatric Psychiatry. 2010 ; Vol. 18, No. 6. pp. 502-509.
@article{9b5f569e5882446d833902c581c38fdb,
title = "Staff training in assisted living: Evaluating treatment fidelity",
abstract = "OBJECTIVES: To investigate a protocol for identifying and evaluating treatment fidelity in Staff Training in Assisted-living Residences (STAR), a structured but flexible program to train direct care staff to improve care of residents with dementia. DESIGN: Multisite feasibility trial. SETTING: Assisted living facilities (ALFs). PARTICIPANTS: Forty-four direct care staff and 36 leadership staff. INTERVENTION: STAR is a comprehensive, dementia-specific training program to teach direct care staff in ALFs to improve care and reduce affective and behavioral problems in residents with dementia. It is conducted on-site over 2 months through 2 half-day group workshops and four individualized sessions. MEASURES: Treatment fidelity was assessed following the National Institute of Health Behavior Change Consortium model utilizing observations and self-report of trainers, direct care staff, and leadership. RESULTS: Each key area of treatment fidelity was identified, measured, and yielded significant outcomes. For example, significant increases included direct care staff identifying activators, behaviors, and consequences (an essential component of training); understanding basics of dementia care; and applying STAR techniques. CONCLUSIONS: Results support that STAR is ready to be translated and disseminated into practice. Because ALFs will continue to provide care for individuals with dementia, the need for effective, practical, and sustainable staff training programs is clear. STAR offers one such option. It is hoped that this report will encourage others to conduct comprehensive evaluations of the treatment fidelity of their programs and thereby increase the availability of such programs to enhance care.",
keywords = "Assisted living, Dementia care, Staff training",
author = "Linda Teri and Glenise McKenzie and Pike, {Kenneth C.} and Farran, {Carol J.} and Cornelia Beck and Olimpia Paun and David Lafazia",
year = "2010",
month = "6",
doi = "10.1097/JGP.0b013e3181c37b0e",
language = "English (US)",
volume = "18",
pages = "502--509",
journal = "American Journal of Geriatric Psychiatry",
issn = "1064-7481",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Staff training in assisted living

T2 - Evaluating treatment fidelity

AU - Teri, Linda

AU - McKenzie, Glenise

AU - Pike, Kenneth C.

AU - Farran, Carol J.

AU - Beck, Cornelia

AU - Paun, Olimpia

AU - Lafazia, David

PY - 2010/6

Y1 - 2010/6

N2 - OBJECTIVES: To investigate a protocol for identifying and evaluating treatment fidelity in Staff Training in Assisted-living Residences (STAR), a structured but flexible program to train direct care staff to improve care of residents with dementia. DESIGN: Multisite feasibility trial. SETTING: Assisted living facilities (ALFs). PARTICIPANTS: Forty-four direct care staff and 36 leadership staff. INTERVENTION: STAR is a comprehensive, dementia-specific training program to teach direct care staff in ALFs to improve care and reduce affective and behavioral problems in residents with dementia. It is conducted on-site over 2 months through 2 half-day group workshops and four individualized sessions. MEASURES: Treatment fidelity was assessed following the National Institute of Health Behavior Change Consortium model utilizing observations and self-report of trainers, direct care staff, and leadership. RESULTS: Each key area of treatment fidelity was identified, measured, and yielded significant outcomes. For example, significant increases included direct care staff identifying activators, behaviors, and consequences (an essential component of training); understanding basics of dementia care; and applying STAR techniques. CONCLUSIONS: Results support that STAR is ready to be translated and disseminated into practice. Because ALFs will continue to provide care for individuals with dementia, the need for effective, practical, and sustainable staff training programs is clear. STAR offers one such option. It is hoped that this report will encourage others to conduct comprehensive evaluations of the treatment fidelity of their programs and thereby increase the availability of such programs to enhance care.

AB - OBJECTIVES: To investigate a protocol for identifying and evaluating treatment fidelity in Staff Training in Assisted-living Residences (STAR), a structured but flexible program to train direct care staff to improve care of residents with dementia. DESIGN: Multisite feasibility trial. SETTING: Assisted living facilities (ALFs). PARTICIPANTS: Forty-four direct care staff and 36 leadership staff. INTERVENTION: STAR is a comprehensive, dementia-specific training program to teach direct care staff in ALFs to improve care and reduce affective and behavioral problems in residents with dementia. It is conducted on-site over 2 months through 2 half-day group workshops and four individualized sessions. MEASURES: Treatment fidelity was assessed following the National Institute of Health Behavior Change Consortium model utilizing observations and self-report of trainers, direct care staff, and leadership. RESULTS: Each key area of treatment fidelity was identified, measured, and yielded significant outcomes. For example, significant increases included direct care staff identifying activators, behaviors, and consequences (an essential component of training); understanding basics of dementia care; and applying STAR techniques. CONCLUSIONS: Results support that STAR is ready to be translated and disseminated into practice. Because ALFs will continue to provide care for individuals with dementia, the need for effective, practical, and sustainable staff training programs is clear. STAR offers one such option. It is hoped that this report will encourage others to conduct comprehensive evaluations of the treatment fidelity of their programs and thereby increase the availability of such programs to enhance care.

KW - Assisted living

KW - Dementia care

KW - Staff training

UR - http://www.scopus.com/inward/record.url?scp=77952870173&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77952870173&partnerID=8YFLogxK

U2 - 10.1097/JGP.0b013e3181c37b0e

DO - 10.1097/JGP.0b013e3181c37b0e

M3 - Article

C2 - 19910884

AN - SCOPUS:77952870173

VL - 18

SP - 502

EP - 509

JO - American Journal of Geriatric Psychiatry

JF - American Journal of Geriatric Psychiatry

SN - 1064-7481

IS - 6

ER -