A quasi-experimental design trial exploring the effect of a partnership intervention on family and staff well-being in long-term dementia care

Bramble, Marguerite; Moyle, Wendy; Shum, David

doi:10.1080/13607863.2011.583625

Cited by 43 publications

(58 citation statements)

References 42 publications

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“…Similar to previous studies (Bramble et al, 2011; Maas et al, 2004; McCallion et al, 1999; Pillemer et al, 2003; Robinson et al, 2007), we also found that caregiver knowledge about end-stage ADRD and long-term care increased. In addition, we expected that increased knowledge coupled with decreased guilt would mediate a decrease in caregiver conflict with facility staff.…”

Section: Discussionsupporting

confidence: 90%

“…The eight caregivers, whose spouses had been placed in long-term care (7) or had died (1) post-intervention, did not maintain these positive effects at the 8-month follow-up (Ott et al, 2010). These findings further support existing evidence that post placement, dementia caregivers continue to experience new losses, guilt, and role captivity (Bramble, Moyle, & Shum, 2011; Maas et al, 2004). …”

Section: Chronic Grief In Adrd Caregiverssupporting

confidence: 85%

“…Bramble et al (2011) replicated the FIC intervention in a quasi-experimental study ( N = 116) conducted over 9 months in a long-term care facility in Queensland, Australia. They found that although the FIC had positive effects on caregivers’ knowledge of dementia, it had negative effects on caregivers’ satisfaction with facility staff.…”

Section: Chronic Grief In Adrd Caregiversmentioning

confidence: 97%

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A Chronic Grief Intervention for Dementia Family Caregivers in Long-Term Care

et al. 2014

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Dementia caregivers do not relinquish their role after placing family members in long-term care and they experience increased chronic grief. The Chronic Grief Management Intervention (CGMI) is a12-week group-based program that uses guided discussion to deliver knowledge of Alzheimer’s or a related dementia and teach skills in communication, conflict resolution, and chronic grief management in dementia caregivers who placed their family members in long-term care. Using a quasi-experimental design, 83 caregivers from 15 long-term care facilities received either the CGMI (n = 34) or a comparison condition consisting of two check-in calls (n = 49). In this pilot study, we examined the feasibility of implementing the CGMI and evaluated the effects of the intervention on caregivers’ knowledge and skill and their chronic grief and depression. The intervention was feasible and resulted in significant improvement in caregivers’ heartfelt sadness and longing at 3 months and a significant drop in their guilt at the 6-month follow-up.

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Section: Discussionsupporting

confidence: 90%

Section: Chronic Grief In Adrd Caregiverssupporting

confidence: 85%

Section: Chronic Grief In Adrd Caregiversmentioning

confidence: 97%

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A Chronic Grief Intervention for Dementia Family Caregivers in Long-Term Care

et al. 2014

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“…This is particularly the case in situations: where work pressures challenge family; the distance to the long-term care facility may inhibit opportunity to spend time with their family member; and, family may feel they have a limited role in the provision of care [4,5]. Opportunities to connect families and people with dementia living in long-term care may now be made possible through new technologies such as telepresence robots.…”

Section: Introductionmentioning

confidence: 99%

Connecting the person with dementia and family: a feasibility study of a telepresence robot

et al. 2014

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BackgroundMaintenance of communication is important for people with dementia living in long-term care. The purpose of this study was to assess the feasibility of using “Giraff”, a telepresence robot to enhance engagement between family and a person with dementia living in long-term care.MethodsA mixed-methods approach involving semi-structured interviews, call records and video observational data was used. Five people with dementia and their family member participated in a discussion via the Giraff robot for a minimum of six times over a six-week period. A feasibility framework was used to assess feasibility and included video analysis of emotional response and engagement.ResultsTwenty-six calls with an average duration of 23 mins took place. Residents showed a general state of positive emotions across the calls with a high level of engagement and a minimal level of negative emotions. Participants enjoyed the experience and families reported that the Giraff robot offered the opportunity to reduce social isolation. A number of software and hardware challenges were encountered.ConclusionsParticipants perceived this novel approach to engage families and people with dementia as a feasible option. Participants were observed and also reported to enjoy the experience. The technical challenges identified have been improved in a newer version of the robot. Future research should include a feasibility trial of longer duration, with a larger sample and a cost analysis.

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“…In doing so, staff should be given opportunities to reflect on their practice, particularly as regards to workload and time management, and staff and team relationships (McCormack et al, 2010). This will also reduce potential tensions between staff and family members, and improve the LTC experience for both (Pashby et al, 2009;Bramble et al, 2011;Moyle et al, 2013b;Moyle et al, 2014). This will also reduce potential tensions between staff and family members, and improve the LTC experience for both (Pashby et al, 2009;Bramble et al, 2011;Moyle et al, 2013b;Moyle et al, 2014).…”

Section: Discussionmentioning

confidence: 99%