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

Trials

Myrra JFJ Vernooij-Dassen³  Gertrudis IJM Kempen⁴  Steven Teerenstra⁶  Pieter GJM Hermsen⁵  Sytse U Zuidema²  Maud JL Graff¹  Lieve M Roets-Merken³ 

[1] Centre of Evidence-Based Practice, Department of Rehabilitation, Radboud University Nijmegen Medical Centre, Geert Grooteplein-Zuid 10, Nijmegen 6525 GA, The Netherlands;Department of General Practice, University of Groningen, University Medical Centre Groningen, Hanzeplein 1, Groningen 9700 RB, The Netherlands;Kalorama Foundation, Nieuwe Holleweg 12, Beek-Ubbergen 6573 DX, The Netherlands;CAPHRI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Department of Health Services Research, Maastricht University, Duboisdomein 30, Maastricht 6229 GT, The Netherlands;Maasduinen Foundation, Vredesplein 100, Waalwijk 5142 RT, The Netherlands;Department for Health Evidence, Biostatistics Section, Radboud University Nijmegen Medical Centre, Geert Grooteplein-Zuid 10, Nijmegen 6525 GA, The Netherlands

关键词: Cluster randomized controlled trial;    Visual impairment;    Hearing impairment;    Dual sensory impairment;    Aged care;    Licensed practical nurses;    Self-management;   

Others  :  1092943
DOI  :  10.1186/1745-6215-14-321

 received in 2013-04-30, accepted in 2013-09-19,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Roets-Merken et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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