2011/01-2013/12 Building Training, Building Quality - C Luz

Grant Amounts $: 
Michigan Office of Services to the Aging /Health Resources and Services Administration
Clare Luz (PI)
Grant Description: 
Building Training, Building Quality is part of a federal Health Resources and Services Administration [HRSA] 2.03 million dollar demonstration grant. One of six states to be awarded, Michigan’s goal is to create a “gold standard” core curriculum to train personal care aides [PCA] who serve clients in the state’s Medicaid home and community-based waiver program, MI Choice, and to provide peer mentoring and continuing education courses. If successful, the program will be considered for all PCAs in Michigan. The project will be carried out through a partnership between OSA, Michigan State University's College of Human Medicine, and PHI, a national non-profit organization working to improve eldercare and disabilities services by improving the quality of direct-care jobs. MSU will examine the immediate and long-term outcomes of the project including changes in PCA knowledge, attitudes, and work performance. ............................ Statement of Work (Partial): Evaluation and Technical Support Capacity. The evaluation plan is an integral and valuable component of the overall proposed PHCAST project and of each objective. The evaluation team has the capacity to carry out systematic methods of data collection, analyses and reporting. The Principal Investigator, Clare Luz, PhD, is a social worker, gerontologist and educator with both clinical and research experience. She is a senior faculty member of the Geriatric Education Center of Michigan and recently joined the Michigan State University College of Human Medicine’s Department of Family Medicine, Geriatric Division after seven years as lead Research Director for MSU-CHM. She teaches research methods and her own research has focused on direct care workers in long-term care and the evaluation of statewide training programs on elder abuse and paid dining assistants in nursing homes, in partnership with Office of Services to the Aging [OSA]. OSA has great confidence in and experience working with the Principal Investigator and shares her passion for quality evaluation of training programs. Dr. Luz will plan to participate in the national evaluation that will be conducted by a contractor to HRSA and will collaborate with the contractor to ensure that the evaluation plan and participant measures accommodate the national plan. The research team will also include a research assistant, statistician, and other expertise as needed. All team members will have dedicated space and access to computer hardware and software for data and statistical management and analyses including Excel and SPSS, registration with SurveyMonkey® for web-based surveys, an optical scanner with software for automatically downloading data into a secure database, and all other needed resources affiliated with Michigan State University. Evaluation Focus: The project evaluation plan addresses the funding program requirements as stated in the guidance and focuses on determining the Personal Care Aide [PCA] training’s immediate and long-term impacts. It will address internal project infrastructure and process measures. In addition, program performance and outcomes, related to each of the project objectives, will be assessed on multiple levels [primary, secondary, and tertiary] through collection and analyses of both quantitative and qualitative data. Praxis: Needs assessments have indicated that, in Michigan, comprehensive PCA trainings are currently not required, existing models vary widely in terms of content, quality and delivery, and no PCA data are systematically collected. Therefore, any systematic training received that addresses core competencies based on gold standards will represent an increase and an improvement. Evaluation Design: This program involves a prospective evaluation, with multiple methods of primary data collection, over a three-year period to determine program impact. Primary outcomes of interest to be measured include PCA knowledge, skills, attitudes, and practice patterns, systems changes related to Michigan’s infrastructure and resources for PCA training, and, if possible, client outcomes. The primary interventions include the PCA training, PCA in-services for continuing education, and the PCA Mentor Program. Evaluation Methods: The research design involves four matched study groups for comparative purposes to determine best practices [gold standards]. Group 1 will receive the PCA training only. Group 2 will receive both the PCA training and in-services. Group 3 will receive all interventions. Group 4 will receive no interventions. Group 4 will be given the opportunity to receive all interventions once the study has concluded. During the PCA recruitment process, the study design will be fully explained and consent to participate will be required. Consenting participants will be randomly assigned into one of the four study groups. The PCA trainings will be delivered in classroom, home and practice settings. Evaluation will involve repeated measures utilizing surveys and pre-post tests; course evaluations; focus groups; case reports, and observations and field notes. Measures will be scheduled at baseline [T1], immediately following program intervention [T2], and at least 2 additional times to provide longitudinal data on emerging patterns associated with the program. Both quantitative and qualitative data will be collected. Evaluation design details will be further developed in partnership with the curriculum team and community partners to ensure that they reflect training objectives. Expected outcomes for each objective are in development and will specify initial methods of measurement, what data will be collected, and how data will be analyzed and reported.
Saturday, January 1, 2011 to Friday, December 20, 2013