Internet Training to Respond to Aggressive Resident Behaviors

• Published in: The Gerontologist Vol. 52; no. 1; pp. 13 - 23
• Main Authors: Irvine, A. Blair, Billow, Molly B., Gates, Donna M., Fitzwater, Evelyn L., Seeley, John R., Bourgeois, Michelle
• Format: Journal Article
• Language: English
• Published: Cary, NC Oxford University Press 01-02-2012
• Subjects: Addictive behaviors; Adolescent; Adult; Aggression; Aggressive Behavior; Aggressiveness; Allied Health Personnel; Analysis of Variance; Attitude Change; Attitude of Health Personnel; Attitudes; Behavior Modification; Biological and medical sciences; Computer-Assisted Instruction - methods; Effect Size; Empathy; Empowerment; Gerontology; Humans; Internet; Intervention; Knowledge; Knowledge Level; Medical sciences; Medical treatment; Middle Aged; Miscellaneous; Nursing Assistants - education; Nursing Assistants - psychology; Nursing Homes; Older Adults; Online Courses; Outcomes of Education; Program Evaluation; Public health. Hygiene; Public health. Hygiene-occupational medicine; Residential Facilities; Self Efficacy; Staff Development; Supervision; Teaching Methods; Training; Video Technology; Violence - prevention & control; Young Adult; United States; North America; America; United States > US; Human; Multi family dwelling; Violence; Behavior; Internet; Formation; Elderly; Aggressiveness
• ISSN: 0016-9013; 1758-5341; 1758-5341
• DOI: 10.1093/geront/gnr069

Purpose:
This research evaluated an individualized Internet training designed to teach nurse aides (NAs) strategies to prevent or, if necessary, react to resident aggression in ways that are safe for the resident as well as the caregiver.
Design and Methods:
A randomized treatment and control design was implemented, with baseline, 1-, and 2-month assessments for 158 NAs. The training involved 2 weekly visits. The Internet intervention was a behaviorally focused and video-based training that included content on skills for safely dealing with physical aggression. Measures included video situation testing and assessment of psychosocial constructs associated with behavior change.
Results:
Analysis of covariance showed positive results for knowledge, attitudes, self-efficacy, and empathy, with medium-large effect sizes maintained after 2 months. The training was well received by participants.
Implications:
Internet training is a viable approach to shape appropriate NA reactions to aggressive resident behaviors. This format has future potential because it offers fidelity of presentation and automated documentation, with minimal supervision.