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Effectiveness of a self-management program for dual sensory impaired seniors in aged care settings: study protocol for a cluster randomized controlled trial.

Roets-Merken LM, Graff MJ, Zuidema SU, Hermsen PG, Teerenstra S, Kempen GI, Vernooij-Dassen MJ - Trials (2013)

Bottom Line: At nurse level, the outcome is job satisfaction.The findings are expected to contribute to the knowledge on the program's potential to enhance social participation and autonomy of the seniors, as well as increasing the job satisfaction of the licensed practical nurses.If it is shown to be effective and feasible, this Self-Management Program could be widely disseminated.

View Article: PubMed Central - HTML - PubMed

Affiliation: Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Geert Grooteplein-Zuid 21, Nijmegen 6525 EZ, The Netherlands. l.roets-merken@iq.umcn.nl.

ABSTRACT

Background: Five to 25 percent of residents in aged care settings have a combined hearing and visual sensory impairment. Usual care is generally restricted to single sensory impairment, neglecting the consequences of dual sensory impairment on social participation and autonomy. The aim of this study is to evaluate the effectiveness of a self-management program for seniors who acquired dual sensory impairment at old age.

Methods/design: In a cluster randomized, single-blind controlled trial, with aged care settings as the unit of randomization, the effectiveness of a self-management program will be compared to usual care. A minimum of 14 and maximum of 20 settings will be randomized to either the intervention cluster or the control cluster, aiming to include a total of 132 seniors with dual sensory impairment. Each senior will be linked to a licensed practical nurse working at the setting. During a five to six month intervention period, nurses at the intervention clusters will be trained in a self-management program to support and empower seniors to use self-management strategies. In two separate diaries, nurses keep track of the interviews with the seniors and their reflections on their own learning process. Nurses of the control clusters offer care as usual. At senior level, the primary outcome is the social participation of the seniors measured using the Hearing Handicap Questionnaire and the Activity Card Sort, and secondary outcomes are mood, autonomy and quality of life. At nurse level, the outcome is job satisfaction. Effectiveness will be evaluated using linear mixed model analysis.

Discussion: The results of this study will provide evidence for the effectiveness of the Self-Management Program for seniors with dual sensory impairment living in aged care settings. The findings are expected to contribute to the knowledge on the program's potential to enhance social participation and autonomy of the seniors, as well as increasing the job satisfaction of the licensed practical nurses. Furthermore, an extensive process evaluation will take place which will offer insight in the quality and feasibility of the sampling and intervention process. If it is shown to be effective and feasible, this Self-Management Program could be widely disseminated.

Clinical trials registration: ClinicalTrials.gov, NCT01217502.

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Related in: MedlinePlus

Study design.
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Figure 1: Study design.

Mentions: The study is designed as a cluster randomized, single-blind controlled trial (FigureĀ 1). A cluster is defined as an aged care setting with an assigned team of nursing staff. A professional caregiver from the setting who has daily care contact with the participating senior will be linked to that senior; we decided to choose licensed practical nurses as they provide the majority of the daily care in aged care settings in the Netherlands. The seniors in the intervention cluster are offered the Self-Management Program for Dual Sensory Impaired Seniors (SMP-DSI) supported by their own nurse. The seniors in the control cluster are offered usual care. An independent statistician will randomize the settings in blocks using a computer-generated random sequence. Data on self-reported outcome measures will be collected at baseline (T0) and four to six weeks after the intervention is finished (T1).


Effectiveness of a self-management program for dual sensory impaired seniors in aged care settings: study protocol for a cluster randomized controlled trial.

Roets-Merken LM, Graff MJ, Zuidema SU, Hermsen PG, Teerenstra S, Kempen GI, Vernooij-Dassen MJ - Trials (2013)

Study design.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126175&req=5

Figure 1: Study design.
Mentions: The study is designed as a cluster randomized, single-blind controlled trial (FigureĀ 1). A cluster is defined as an aged care setting with an assigned team of nursing staff. A professional caregiver from the setting who has daily care contact with the participating senior will be linked to that senior; we decided to choose licensed practical nurses as they provide the majority of the daily care in aged care settings in the Netherlands. The seniors in the intervention cluster are offered the Self-Management Program for Dual Sensory Impaired Seniors (SMP-DSI) supported by their own nurse. The seniors in the control cluster are offered usual care. An independent statistician will randomize the settings in blocks using a computer-generated random sequence. Data on self-reported outcome measures will be collected at baseline (T0) and four to six weeks after the intervention is finished (T1).

Bottom Line: At nurse level, the outcome is job satisfaction.The findings are expected to contribute to the knowledge on the program's potential to enhance social participation and autonomy of the seniors, as well as increasing the job satisfaction of the licensed practical nurses.If it is shown to be effective and feasible, this Self-Management Program could be widely disseminated.

View Article: PubMed Central - HTML - PubMed

Affiliation: Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Geert Grooteplein-Zuid 21, Nijmegen 6525 EZ, The Netherlands. l.roets-merken@iq.umcn.nl.

ABSTRACT

Background: Five to 25 percent of residents in aged care settings have a combined hearing and visual sensory impairment. Usual care is generally restricted to single sensory impairment, neglecting the consequences of dual sensory impairment on social participation and autonomy. The aim of this study is to evaluate the effectiveness of a self-management program for seniors who acquired dual sensory impairment at old age.

Methods/design: In a cluster randomized, single-blind controlled trial, with aged care settings as the unit of randomization, the effectiveness of a self-management program will be compared to usual care. A minimum of 14 and maximum of 20 settings will be randomized to either the intervention cluster or the control cluster, aiming to include a total of 132 seniors with dual sensory impairment. Each senior will be linked to a licensed practical nurse working at the setting. During a five to six month intervention period, nurses at the intervention clusters will be trained in a self-management program to support and empower seniors to use self-management strategies. In two separate diaries, nurses keep track of the interviews with the seniors and their reflections on their own learning process. Nurses of the control clusters offer care as usual. At senior level, the primary outcome is the social participation of the seniors measured using the Hearing Handicap Questionnaire and the Activity Card Sort, and secondary outcomes are mood, autonomy and quality of life. At nurse level, the outcome is job satisfaction. Effectiveness will be evaluated using linear mixed model analysis.

Discussion: The results of this study will provide evidence for the effectiveness of the Self-Management Program for seniors with dual sensory impairment living in aged care settings. The findings are expected to contribute to the knowledge on the program's potential to enhance social participation and autonomy of the seniors, as well as increasing the job satisfaction of the licensed practical nurses. Furthermore, an extensive process evaluation will take place which will offer insight in the quality and feasibility of the sampling and intervention process. If it is shown to be effective and feasible, this Self-Management Program could be widely disseminated.

Clinical trials registration: ClinicalTrials.gov, NCT01217502.

Show MeSH
Related in: MedlinePlus