Related Experiment Video
Updated: May 28, 2026

09:12
The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
Internet training to respond to aggressive resident behaviors
A Blair Irvine1, Molly B Billow, Donna M Gates
1ORCAS, 260 E. 11th Avenue, Eugene, OR 97401, USA. birvine@orcasinc.com
The Gerontologist
|November 1, 2011
Summary
This study shows that Internet training effectively equips nurse aides (NAs) with skills to manage resident aggression safely. The training improved knowledge, attitudes, and self-efficacy, proving beneficial for caregiver well-being.
Area of Science:
- Gerontology
- Nursing Education
- Behavioral Science
Background:
- Resident aggression is a significant challenge in aged care settings.
- Effective strategies are needed to ensure the safety of both residents and caregivers.
- Existing training methods may have limitations in reach and consistency.
Purpose of the Study:
- To evaluate an individualized Internet-based training program for nurse aides (NAs).
- To teach NAs strategies for preventing and responding to resident aggression.
- To ensure resident and caregiver safety during aggressive incidents.
Main Methods:
- A randomized controlled trial with 158 NAs was conducted.
- The intervention involved a video-based, behaviorally focused Internet training.
- Assessments included video situation testing and psychosocial measures at baseline, 1, and 2 months.
Main Results:
- The training significantly improved NAs' knowledge, attitudes, self-efficacy, and empathy.
- Medium to large effect sizes were maintained at the 2-month follow-up.
- Participants reported positive reception of the training program.
Conclusions:
- Internet-based training is a feasible and effective method for improving NA responses to resident aggression.
- This digital format ensures consistent content delivery and automated documentation.
- The approach holds promise for scalable and supervised training in elder care settings.
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