NCT04610944 · ACTIVE NOT RECRUITING
Changing Talk Online Training (CHATO) National Trial
This trial is testing an online training program called CHATO that teaches nursing home staff how to communicate better with residents who have dementia. The goal is to see whether improved staff communication reduces agitation and other behavioral symptoms in residents. This is a Phase NA trial, meaning it is evaluating a behavioral intervention rather than a drug — focused on real-world effectiveness in nursing home settings.
You may qualify if
- Nursing Homes that serve people with dementia.
- Nursing Homes that have internet available for staff to complete the CHATO training.
- Nursing Homes that are willing to complete leadership interviews and surveys.
- CNAs and nurses who are permanent employees of participating NHs and who provide direct care at least 8 hours weekly will complete the CHATO training, available by URL link. All staff will be encouraged to participate as participation by as many staff as possible is desired to achieve facility-wide communication change.
- Data for residents in participating NHs with Alzheimer's disease or non- Alzheimer's dementia documented on the MDS Active Diagnoses list will be included in the analyses.
You're excluded if
- Assisted Living facilities or other types of facilities are excluded due to lack of MDS data as well as NHs that previously participated in other CHAT/CHATO studies.
- Exclusion criteria from MDS include active psychiatric diagnoses (bipolar disorder, major depressive episode, schizophrenia or schizoaffective disorder, mood disorder with psychotic features, psychotic symptoms, hallucinations or delusions); terminal illness (on hospice); and lack of verbal or non-verbal response to staff (MDS section B).
The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.
Eligibility criteria as of 2025-06-11