Investigating the implementation of education with a focus on person-centered communication in homecare services targeting nursing assistants

Implementing A person-centered CommunicaTION (ACTION) educational intervention for in-home nursing assistants

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN64890826

Enrollment

325

Registered

2022-01-10

Start date

2022-03-01

Completion date

Unknown

Last updated

2023-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Competence development by implementing a training intervention in person-centered communication, aimed at nursing assistants working within in-home care for older people Not Applicable

Interventions

The ACTION program will be implemented in home care organisations in two different geographic areas in Sweden. A total of 300 nursing assistants will be recruited

150 for the intervention group and 150 for the control group. The researchers will evaluate impact measures and the process. Home care organisations will be contacted in both urban an

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Nursing assistants: 1. Permanent employment 2. Understand and speak Swedish Older persons receiving in-home care: 1. 65 years or older 2. Understand and speak Swedish 3. No cognitive impairment

Exclusion criteria

Exclusion criteria: Participants not able, or willing, to give their written informed consent to participate

Design outcomes

Primary

Measure	Time frame
1. Person-centred communication measured with audio recordings of communication during home care visits collected at baseline (e.g. before education) and after education (e.g. 8 weeks later), and analysed and coded by sequences of empathic statements and responses to emphatic opportunities, emotional communication and degree of person-centeredness: 1.1. Emphatic and emotional communication defined according to empathic opportunities, described by Suchman et al. and their model of emphatic communication 1.2. Emotional communication coded by the Verona Coding Definitions on Emotional Sequences (VR-CoDES) 1.3. Degree of person-centered communication coded by the Roter Interaction of Analysis (RIAS) The coding will be made by two independent coders after training, and interrater reliability will be calculated with Cohen’s kappa coefficient or with Pearson correlation analysis.	—

Measure

Time frame

1. Person-centred communication measured with audio recordings of communication during home care visits collected at baseline (e.g. before education) and after education (e.g. 8 weeks later), and analysed and coded by sequences of empathic statements and responses to emphatic opportunities, emotional communication and degree of person-centeredness: 1.1. Emphatic and emotional communication defined according to empathic opportunities, described by Suchman et al. and their model of emphatic communication 1.2. Emotional communication coded by the Verona Coding Definitions on Emotional Sequences (VR-CoDES) 1.3. Degree of person-centered communication coded by the Roter Interaction of Analysis (RIAS) The coding will be made by two independent coders after training, and interrater reliability will be calculated with Cohen’s kappa coefficient or with Pearson correlation analysis.

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Secondary

Measure	Time frame
1. Communication skills measured with the Self-efficacy questionnaire (SE-12) at baseline (e.g. before education) and after education (e.g. 8 weeks later) 2. Person-centred care measured with the Person-centered Care Assessment Tool (P-CAT) at baseline (e.g. before education) and after education (e.g. 8 weeks later) 3. Empathy measured with the Jefferson Scale of empathy (JSE) at baseline (e.g. before education) and after education (e.g 8 weeks later) 4. Job satisfaction measured with the Measure of Job Satisfaction at baseline (e.g. before education) and after education (e.g 8 weeks later) 5. Process evaluation with interviews, field notes and observations during the education with a focus on qualitative aspects and experiences of the implementation, weekly at weeks 1-6 during the education 6. Older persons’ perceptions measured with interviews about the meaning of and experiences from nursing assistant’s person-centred communication at weeks 6 - 8	—

Measure

Time frame

1. Communication skills measured with the Self-efficacy questionnaire (SE-12) at baseline (e.g. before education) and after education (e.g. 8 weeks later) 2. Person-centred care measured with the Person-centered Care Assessment Tool (P-CAT) at baseline (e.g. before education) and after education (e.g. 8 weeks later) 3. Empathy measured with the Jefferson Scale of empathy (JSE) at baseline (e.g. before education) and after education (e.g 8 weeks later) 4. Job satisfaction measured with the Measure of Job Satisfaction at baseline (e.g. before education) and after education (e.g 8 weeks later) 5. Process evaluation with interviews, field notes and observations during the education with a focus on qualitative aspects and experiences of the implementation, weekly at weeks 1-6 during the education 6. Older persons’ perceptions measured with interviews about the meaning of and experiences from nursing assistant’s person-centred communication at weeks 6 - 8

—

Countries

Sweden

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 10, 2026