Characteristics of Long-Term Care Registered Apprenticeship Programs: Implications for Evaluation Design. 1.2. Evaluating Long-Term Care Registered Apprenticeship


To assess whether the registered apprenticeship model is an effective approach for training long-term care workers, the U.S. Department of Health and Human Services (HHS) and the DOL have funded a study to better understand LTC RAP characteristics to inform possible design options for future evaluations of LTC RAPs. To develop evaluations, HHS and DOL need to understand: how LTC RAPs are structured and implemented, the perspectives of sponsors, apprentices, and partners: and the successes and challenges of operating LTC RAPs. This report examines the characteristics of five LTC RAPs for providing such information to assess potential evaluation design options for evaluating LTC RAPs.

To guide the data collection and analysis conducted, the study addresses the following research questions:

  • What are the goals of the LTC RAP?

  • What are the apprenticeship sponsor’s work settings and characteristics, and how might these influence the outcomes of the registered apprenticeship?

  • What core competency trainings are offered by sponsors?

  • Are apprentices paid to attend training or is it accomplished outside of work hours?

  • What participation incentives are offered? How is the LTC RAP’s wage progression or career ladder structured?

  • What are the major recruitment sources for the LTC RAP? How are apprentices selected? What recruitment challenges do these programs face?

  • What are the demographic and educational characteristics of apprentices?

  • What resources are available to the LTC RAP? How many staff are dedicated to the program? Does the sponsor have relationships with partners that provide resources?

  • What are the perceived outcomes of the LTC RAP, and what outcomes does the sponsor currently measure?

  • What are the factors that contribute to a program’s sustainability and replicability?

  • What are the implications of the LTC RAPs for the feasibility of evaluating them in the future?

To best answer these questions, information for the analysis is primarily drawn from visits to five LTC RAPs. Each of these sites has a registered apprenticeship program for at least one of the following long-term care occupations:

  1. DSSs, who work in group homes or other facilities to assist clients with developmental disabilities.

  2. CNAs, who work in nursing homes and SNFs.

  3. HHAs, who work for agencies that provide long-term care services to clients in their homes.

  4. HSSs, who work in residential care facilities.

After providing an overview of each of the selected sites, this report provides a cross-site analysis of apprentice recruitment and characteristics, the features of the LTC RAPs, the resources necessary to operate the programs including any partnerships, such as with educational entities, the potential impacts of the programs, and the sustainability and replicability of these programs. The report concludes with a discussion of the implications for evaluation of the LTC RAP model. Data collected through the site visits was supplemented by data from the Registered Apprenticeship Partners Information Data System (RAPIDS). The findings from this report will inform the development of the feasible evaluation designs that could be implemented to study the effects of the LTC RAPs. A final report will assess and present these evaluation design options.

View full report


"LTCRAPch.pdf" (pdf, 1.19Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®