An evaluation of a consumer directed care training program for nursing home staff

Marita McCabe, Elizabeth Beattie, Gery Karantzas, Ljoudmila Busija, David Mellor, Kathryn von Treuer, Belinda Goodenough, Michelle Bennett, Jessica Byers

Research output: Contribution to journalArticleResearchpeer-review


Objectives: This study evaluated a training program to support the delivery of consumer directed care (CDC). It was hypothesized that both interventions, compared to the control condition, would demonstrate increased levels of CDC in nursing homes, increased staff practice of CDC, and improved resident QoL. The training plus support group was expected to show greater gains, compared to the training only group. Materials and methods: In a cluster RCT design, 33 nursing homes were randomly allocated to one of three conditions: training plus support, training only, and care as usual. Outcome measures included level of CDC within each home, staff practice of CDC, and resident QoL. Results and discussion: Hypotheses for this study were partially supported. Nursing homes became more CDC-oriented but with minimal changes in staff practice of CDC. Resident QoL also demonstrated limited change. The findings are discussed in terms of organizational barriers to change within nursing homes.

Original languageEnglish
Pages (from-to)227-234
Number of pages8
JournalGeriatric Nursing
Publication statusPublished - Jan 2022


  • Culture change
  • Long-term care
  • Quality of life
  • Resident autonomy
  • Staff training

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