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Developing and validating an intervention-specific knowledge assessment for person-centered communication in nursing
Yelena Perkhounkova1, Clarissa Shaw1, Maria Hein1
1College of Nursing, University of Iowa, Iowa City, Iowa, USA.
Gerontology & Geriatrics Education
|December 25, 2024
Summary
The Changing Talk Scale (CHATS) was refined to measure knowledge of effective communication in nursing home staff. Results show CHATS effectively captured knowledge gains from the Changing Talk: Online (CHATO) program.
Area of Science:
- Gerontology
- Nursing Education
- Healthcare Communication
Background:
- Assessing knowledge gain from educational interventions is crucial in dementia care research.
- Effective and person-centered communication is vital for nursing home staff caring for individuals with dementia.
- Existing tools may not adequately capture communication knowledge specific to dementia care settings.
Purpose of the Study:
- To refine and validate the Changing Talk Scale (CHATS) for assessing communication knowledge in nursing home staff.
- To integrate CHATS into the Changing Talk: Online (CHATO) education program to measure knowledge acquisition.
- To establish CHATS as a reliable psychometric tool for evaluating dementia care communication training.
Main Methods:
- Developed CHATS items based on 13 learning objectives of the CHATO program.
- Conducted iterative revisions and psychometric analyses across four pilot studies.
- Validated two 13-item alternate forms of CHATS with 664 nursing home staff using psychometric analysis and linear mixed modeling.
Main Results:
- CHATS demonstrated acceptable reliability post-education (Cronbach's α = .70 and .77).
- Mean CHATS scores increased significantly after the CHATO intervention.
- Knowledge gains were observed across diverse staff roles and nursing home settings, independent of demographic factors.
Conclusions:
- The refined CHATS is a validated tool for measuring knowledge of effective communication in nursing home staff.
- CHATS successfully demonstrated knowledge gains resulting from the CHATO online education program.
- This validated scale supports the assessment of communication training effectiveness in dementia care settings.
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