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Trial registered on ANZCTR


Registration number
ACTRN12619000893101
Ethics application status
Approved
Date submitted
13/06/2019
Date registered
26/06/2019
Date last updated
9/08/2019
Date data sharing statement initially provided
26/06/2019
Type of registration
Prospectively registered

Titles & IDs
Public title
Evaluation of the Implementation of a Delirium Education Intervention using Clinical Simulation in a Private Healthcare Setting
Scientific title
Evaluation of the Implementation of a Delirium Education Intervention using Clinical Simulation of Registered Healthcare Staff in a Private Healthcare Setting
Secondary ID [1] 297823 0
Nil known
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Delirium 312189 0
Condition category
Condition code
Public Health 310738 310738 0 0
Health service research
Neurological 311705 311705 0 0
Other neurological disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
The intervention consists of a four part mutli-modal delirium care education program (total of 2 hours):
(i) Didactic group face to face education session delivered by a Nurse Practitioner or Clinical Nurse Consultant, including a 'take away' Delirium Care Booklet entitled 'Delirium Care-what you need to know' (60 mins).
The 'Delirium Care-what you need to know' booklet was first developed by delirium clinical experts in 2014 and is available online at http://adhere.org.au/deliriumcare.html
(ii) Online learning activity involving watching filmed delirium care vignettes (15 mins). Available online at http://adhere.org.au/deliriumcare-videos.html
(iii) Paper-based Individual Self-reflection exercise (15 mins) consisting of 4 questions to prompt participants to reflect on their experience with a patient who experienced delirium.
(iv) One-on-one objective structured clinical examination (OSCE) conducted by a Nurse Practitioner, Clinical Nurse Specialist or Clinical Nurse Educator using a simulated patient scenario role played by an 'actor' (30 minutes).
The multi-modal program will be delivered over a two month period, with participants undertaking each activity once. Participants will approximately undertake one activity every 2 weeks during a 2 month period.
Intervention code [1] 314552 0
Other interventions
Comparator / control treatment
The control group will receive a one part delirium care education session (60 mins):
(i) Didactic group face to face education session delivered by a Nurse Practitioner or Clinical Nurse Consultant, including a 'take away' Delirium Care Booklet entitled 'Delirium Care-what you need to know' (60 mins).
The 'Delirium Care-what you need to know' booklet was first developed by delirium clinical experts in 2014 and is available online at http://adhere.org.au/deliriumcare.html
Control group
Active

Outcomes
Primary outcome [1] 319587 0
Delirium care clinical practice:

- Measured using a 12-point structured observation tool validated by the research team (validation of the tool is yet to be published- will update details once validation study published)
- Observations of practice will be completed by a blinded researcher
- Higher scores indicate a greater adherence to the application of delirium care practice learnt following education
Timepoint [1] 319587 0
T1: 6 weeks post intervention
Secondary outcome [1] 368803 0
Delirium knowledge:

- Measured using a 20-item 'quiz' developed by the research team (completed as part of one survey used to generate findings about the four secondary outcomes)
- Participants answer multiple choice questions
- Higher scores indicate a greater knowledge of delirium care learnt following education
Timepoint [1] 368803 0
T0: Immediately before the intervention
T1: 6 weeks post intervention
Secondary outcome [2] 370752 0
Self-perception about sense of confidence in delivering delirium care:

- Measured using a 3 questions developed by this research team (completed as part of one survey used to generate findings about the four secondary outcomes)
- Participants select their responses from 5-point Likert scale items
- Higher scores indicate a greater sense of self-perception about confidence in delivering of delirium care following education
Timepoint [2] 370752 0
T0: Immediately pre-intervention
T1: 6 weeks post intervention
Secondary outcome [3] 371437 0
Self-perception about sense of competence in delivering delirium care:

- Measured using a 3 questions developed by this research team (completed as part of one survey used to generate findings about the four secondary outcomes)
- Participants select their responses from 5-point Likert scale items
- Higher scores indicate a greater sense of self-perception about confidence in delivering of delirium care following education
Timepoint [3] 371437 0
T0: Immediately pre-intervention
T1: 6 weeks post intervention
Secondary outcome [4] 371452 0
Overall view about the impact of the education

- Measured using 4 open ended questions developed by this research team (completed as part of one survey used to generate findings about the four secondary outcomes)
- Participants provide free-text responses
-Content analysis will be used to explain the value of the education on clinical practice
Timepoint [4] 371452 0
T0: Immediately pre-intervention
T1: 6-weeks post-intervention

Eligibility
Key inclusion criteria
1. Registered healthcare staff: medical doctor, enrolled nurse, registered nurse or allied healthcare practitioner (physiotherpist or occupational therapist)
2. Staff member working in: medical or surgical units at one of the three participating hospitals
3. Permanent and casual staff are eligible
Minimum age
17 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
1. Unregistered staff: assistants in nursing, allied healthcare aids, hotel services and
2. Staff members working in: outpatient, maternity, paediatric, day stay, operating theatre, recovery, or critical care units

Study design
Purpose of the study
Educational / counselling / training
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation created by computerised random sequence generation.
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?


The people assessing the outcomes
Intervention assignment
Parallel
Other design features
Phase
Not Applicable
Type of endpoint(s)
Efficacy
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW
Recruitment hospital [1] 13977 0
St George Private Hospital - Kogarah
Recruitment hospital [2] 13978 0
Kareena Private Hospital - Caringbah
Recruitment hospital [3] 13979 0
Wollongong Private Hospital - Wollongong
Recruitment postcode(s) [1] 26754 0
2217 - Kogarah
Recruitment postcode(s) [2] 26755 0
2229 - Caringbah
Recruitment postcode(s) [3] 26756 0
2500 - Wollongong

Funding & Sponsors
Funding source category [1] 302347 0
Charities/Societies/Foundations
Name [1] 302347 0
Ramsay Health Reserch Foundation
Address [1] 302347 0
Level 8, 154 Pacific Highway
St. Leonards
NSW 2065
Country [1] 302347 0
Australia
Primary sponsor type
Individual
Name
Professor Victoria Traynor
Address
School of Nursing
Faculty of Science, Medicine and Health
41.209 Science Buliding
Northfields Avenue
University of Wollongong
NSW 2522
Country
Australia
Secondary sponsor category [1] 302231 0
Individual
Name [1] 302231 0
Amy Montgomery
Address [1] 302231 0
School of Nursing
Faculty of Science, Medicine and Health
Science Buliding
Northfields Avenue
University of Wollongong
NSW 2522
Country [1] 302231 0
Australia
Secondary sponsor category [2] 302962 0
Individual
Name [2] 302962 0
Professor Peter Smerdely
Address [2] 302962 0
School of Nursing
Faculty of Science, Medicine and Health
Science Buliding
Northfields Avenue
University of Wollongong
NSW 2522
Country [2] 302962 0
Australia
Secondary sponsor category [3] 302963 0
Individual
Name [3] 302963 0
Dr. Rita Cheng
Address [3] 302963 0
School of Nursing
Faculty of Science, Medicine and Health
B41 Science Building, R 123
Northfields Avenue
University of Wollongong
NSW 2522
Country [3] 302963 0
Australia
Other collaborator category [1] 280748 0
University
Name [1] 280748 0
University of Wollongong
Address [1] 280748 0
Northfields Avenue
University of Wollongong
NSW 2522
Country [1] 280748 0
Australia

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 303021 0
UOW & ISLHD Health and Medical Human Research Ethics Committee
Ethics committee address [1] 303021 0
Research Services Office
Building 20
University of Wollongong
Northfields Ave
Wollongong
NSW 2522
Ethics committee country [1] 303021 0
Australia
Date submitted for ethics approval [1] 303021 0
04/04/2019
Approval date [1] 303021 0
01/05/2019
Ethics approval number [1] 303021 0
2019/ETH03736

Summary
Brief summary
This study will be a clustered randomised control trial comparing a multi-modal delirium education intervention to traditional didactic education on translating delirium knowledge into clinical practice. The study will be conducted across three private hospital sites, with inpatient medical and surgical wards randomised into the intervention or control group. All participants will be invited to complete a survey at two time points, (i) immediately prior to the intervention and (ii) 6 weeks post intervention. The surveys consist of four questions asking the participants to rate their self- perceived confidence and competence on delirium assessment and knowledge using a 5-point Likert scale. The surveys also consist of a 20 questions delirium knowledge quiz. Six weeks post intervention participants will be observed in clinical practice undertaking a delirium assessment.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 92194 0
Ms Amy Montgomery
Address 92194 0
School of Nursing
Faculty of Science, Medicine and Health
Science Building
Northfields Avenue
University of Wollongong
NSW 2522
Country 92194 0
Australia
Phone 92194 0
+61 432 456 954
Fax 92194 0
Email 92194 0
aes883@uowmail.edu.au
Contact person for public queries
Name 92195 0
Ms Amy Montgomery
Address 92195 0
School of Nursing
Faculty of Science, Medicine and Health
Science Buliding
Northfields Avenue
University of Wollongong
NSW 2522
Country 92195 0
Australia
Phone 92195 0
+61 432 456 954
Fax 92195 0
Email 92195 0
aes883@uowmail.edu.au
Contact person for scientific queries
Name 92196 0
Prof Victoria Traynor
Address 92196 0
School of Nursing
Faculty of Science, Medicine and Health
41.209 Science Building
Northfields Avenue
University of Wollongong
NSW 2522
Country 92196 0
Australia
Phone 92196 0
+61 2 4221 3471
Fax 92196 0
Email 92196 0
vtraynor@uow.edu.au

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
All of the individual participant data collected during the trail, after de-identification.
When will data be available (start and end dates)?
Immediately following publication; no end date determined.
Available to whom?
Case-by-case basis at the discretion of the Primary Sponsor.
Available for what types of analyses?
For IPD meta-analyses.
How or where can data be obtained?
Access subject to approvals by Principal Investigator.
Amy Montgomery
Email: aes883@uowmail.edu.au
School of Nursing | Science Medicine and Health
University of Wollongong NSW 2522 Australia
What supporting documents are/will be available?
No other documents available
Summary results
No Results