An evaluation of two models of long-term residential care for elderly people with dementia

Skea, Derek; Lindesay, James

doi:10.1002/(sici)1099-1166(199603)11:3<233::aid-gps313>3.0.co;2-0

Cited by 24 publications

(43 citation statements)

References 13 publications

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“…Care Housing: Roscrow, 1996;Judd et al, 1998;Marshall, 1993;Carr andMarshall, 1993. Domus: Beecham et al, 1993;Dean et al, 1993a;1993b;Macdonald et al, 2004;Radzey et al, 2001;Skea and Lindesay, 1996;Lindesay et al, 1991;Marshall, 1993. Green House: Rabig et al, 2006;Angelelli, 2006;Kane et al, 2007. Group Home : Funaki et al, 2005;Hirakawa et al, 2006;Nakanishi and Honda, 2008;Yokota et al, 2006;Onishi et al, 2006.…”

Section: Residents' Characteristicsmentioning

confidence: 99%

Small, homelike care environments for older people with dementia: a literature review

Verbeek

Rossum

Zwakhalen

et al. 2008

IPG

190

185

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Background: There is large cross-national variation in the characteristics of small, domestic-style care settings which emphasize normalized living. However, a systematic overview of existing types is lacking. This study provides an international comparison of the care concepts which have adopted a homelike philosophy in a small-scale context. Insight into their characteristics is vital for theory, planning and implementation of such dementia care settings.

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Section: Residents' Characteristicsmentioning

confidence: 99%

Small, homelike care environments for older people with dementia: a literature review

Verbeek

Rossum

Zwakhalen

et al. 2008

IPG

190

185

View full text Add to dashboard Cite

show abstract

“…Given that 232 interactions were coded in Dc1 (with 50 service users attending), and 173 in Dc2 (with 247 attendees), and given that the numbers of staff involved were smaller than the number of service users, it is certain that some of the interactions observed involved the same participants, and likely that they involved the same pairs of participants, thus potentially compromising the independence of the observations coded. I have however argued elsewhere (Lindesay and Skea 1997;Skea and Lindesay 1996), that in the analysis of interactions between large numbers of service users and staff in congregate settings, the number of potential interacting dyads is sufficiently large, and the context of each interaction likely to be sufficiently unique, that observations can usefully be regarded as independent and chi-square analysis be used to explore associations between settings and tendencies towards particular styles of interaction.…”

Section: Discussionmentioning

confidence: 99%

“…QUIS is a non-participant time-sampling process where the number and quality of interactions are estimated from a series of (20-30 minute) observational slots spread over a number of visits and giving a 'typical' day within that particular environment. QUIS has been applied by the writer in previous studies in psycho-geriatric traditional hospital wards and new NHS community based environments (Lindesay and Skea 1997;Skea and Lindesay 1996).…”

Section: Introductionmentioning

confidence: 99%

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Skea¹

2007

MHLDRP

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This study involves quality of interaction between Day Centre staff and Service-Users with Learning Disabilities in two Day Centres (Dc1 n=50, Dc2 n=247). The Quality of Interactions Schedule (QUIS) was applied within an eight month prospective design, involving 32 visits which constructed a 'typical day' composed of 20-30 minute observational sessions within each Day Centre.The largest proportions of interactions were of a positive nature (87%) across both Day Centres. More positive care interactions were seen in Dc1 and significantly higher rates of positive interactions in Dc1. The greatest use of Verbal and Non-verbal interaction was observed in Dc1. Service users initiated more of the interactions in Dc2. Lengthier verbal interactions were seen in Dc1 and conversely greater amounts of short verbal interactions were seen in Dc2. Within both centres time-tables that were inspected indicated similar proportions spent in: Work, Leisure, Education, Community and Social skills sessions. In comparison to previous studies a relatively low proportion of activities were community based and social skills orientated.Results are framed within comparable observational studies in Day Centres; differences in measurement characteristics employed (Cummins, 2000(Cummins, , 2002 and service evaluation of quality of life in Day centres for adults with Learning Disabilities. Reliability and validity of results were also examined.

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“…1354 the traditional hospital model which understands those settings as an efficient delivery place for medical technology [5,6]. As some researchers asserted [7][8][9][10], various behavioral disorders including social withdrawal and depression are frequent among residents with dementia living in institution-like facilities. Facilities designed on the institutional model of care deprive individuals of their familiar and meaningful environmental past [11].…”

Section: Effect Of Physical Environment On the Behaviors Of Residentsmentioning

confidence: 99%

Effect of Physical Environment on the Behaviors of Residents with Dementia: A Comparison between a Small-Group Unit and a Traditional Care Unit

Lee¹,

Chaudhury²,

Lee³

2014

JCEA

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This is a comparative study examining the influence of a small-scale dementia unit and a traditional dementia unit on behaviors of the residents. The small-scale unit and the traditional unit were selected through two phases in Vancouver, Canada. Seven residents from each facility completed the study. Physical environmental assessments were performed using two tools: PEAP (professional environmental assessment protocol) and TESS-NH (therapeutic environment screening survey for nursing homes). For the assessment of residents' behaviors, three assessment tools were used: MOSES (multidimensional observation scale for elderly subjects), MDS (minimum data set) and DCM (dementia care mapping). The study found that the residents living in a small-scale environment were more engaged in activities and more likely to respond in understanding their fellow residents. Residents living in a traditional long-term care exhibited fewer signs of social interaction. The findings suggest that a small-scale homelike environment could positively influence people with dementia to be more engaged in social exchanges and activities, and consequently help in reducing their withdrawn behavior.

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An evaluation of two models of long-term residential care for elderly people with dementia

Cited by 24 publications

References 13 publications

Small, homelike care environments for older people with dementia: a literature review

Small, homelike care environments for older people with dementia: a literature review

Quality of Staff Service User Interaction in Two Day Centres for Adults with Learning Disabilities

Effect of Physical Environment on the Behaviors of Residents with Dementia: A Comparison between a Small-Group Unit and a Traditional Care Unit

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