AwareCare: a pilot randomized controlled trial of an awareness-based staff training intervention to improve quality of life for residents with severe dementia in long-term care settings

Clare, Linda; Whitaker, Rhiannon; Woods, Bob; Quinn, Catherine; Jelley, Hannah; Hoare, Zoë; Woods, Joan; Downs, Murna; Wilson, Barbara A.

doi:10.1017/s1041610212001226

Cited by 49 publications

(80 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reports that described a training program but did not include any evaluation were excluded. Education and training programs in qualified professionals and support workers were more prolific (for example Clare et al 2013 andGoyder et al 2012 in the UK; Kuske et al 2009 in Germany;Beer et al 2011 in Australia;Galvin et al 2010 in USA). However as the learning starting point for the participants, as well as the context, were significantly different to preregistration education, it was decided to exclude these studies for the purposes of this review.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of dementia education programs for pre-registration healthcare students—A review of the literature

Alushi¹,

Hammond²,

Wood³

2015

Nurse Education Today

View full text Add to dashboard Cite

Please cite this article as: Alushi, Ledia, Hammond, John.A., Wood, Julia H., Evaluation of dementia education programs for pre-registration healthcare students -A review of the literature, Nurse Education Today (2015Today ( ), doi: 10.1016Today ( /j.nedt.2015 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A C C E P T E D M A N U S C R I P T A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT EVALUATION OF DEMENTIA EDUCATION PROGRAMS FOR PRE-REGISTRATION HEALTHCARE STUDENTS -A REVIEW OF THE LITERATURE ACCEPTED MANUSCRIPT EVALUATION OF DEMENTIA EDUCATION PROGRAMS FOR PRE-REGISTRATION HEALTHCARE STUDENTS -A REVIEW OF THE LITERATURE 3 Highlights• Nine studies of pre-registration education programmes on dementia were identified.• Knowledge, confidence and attitudes to people with dementia were the target of interventions.• Practice based experience proceeded by theory was most effective.• There is a need for more rigorous studies to establish best practice in dementia education. ABSTRACT ObjectivesIn an aging society, the number of people living with dementia is rapidly increasing. Health care students receive little input on dementia during their pre-registration education, hence there is a requirement to improve education to work with this client group. The review aimed to focus on education on working with people with dementia for pre-registration healthcare students. DesignA comprehensive review of the literature. Data SourcesOnline databases Medline, PsychInfo, CINAHL, Science Direct and PubMed were used. Review MethodsThe studies were selected according to the following criteria: main focus on education and training on working with people with dementia in pre-registration healthcare programs. Reports that described a training program but did not include evaluation were excluded. For inclusion, studies had to be published in English between January 2007 and March 2014. Identified papers were screened and reviewed by the three authors. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT EVALUATION OF DEMENTIA EDUCATION PROGRAMS FOR PRE-REGISTRATION HEALTHCARE STUDENTS -A REVIEW OF THE LITERATURE ResultsNine studies met the inclusion criteria. Most studies were based in North America, predominantly in nursing and medical education. Educational interventions chiefly aimed to improve students' knowledge, comfort level and attitudes towards people with dementia. It was shown that theoretical input alone did not give students the necessary skills to work with people with dementia.Educational interventions were most effective when a practice ba...

show abstract

Section: Methodsmentioning

confidence: 99%

Evaluation of dementia education programs for pre-registration healthcare students—A review of the literature

Alushi¹,

Hammond²,

Wood³

2015

Nurse Education Today

View full text Add to dashboard Cite

show abstract

“…Such training can improve the quality of life for the person with dementia 13 and reduce restraint use 14,15 by teaching staff how to understand a person with dementia and to read body language and behaviour as signs of communication and respond appropriately. The evidence supports training models that focus on understanding symptoms and behaviours and providing person-centred care.…”

Section: Changes In Managementmentioning

confidence: 99%

Clinical practice guidelines for dementia in Australia

Laver

Cumming

Dyer

et al. 2016

Medical Journal of Australia

104

115

View full text Add to dashboard Cite

“…For example, in a skills enhancement training curriculum designed to improve support workers' problem-solving, communication and stress management skills,21 the theory of planned behaviour was linked to understanding how competency development could be transferred from an intervention to the work of the support worker. The theory of planned behaviour assumes that:

Performance of a behaviour is determined by the individual's evaluation that the behaviour will produce positive consequences.

…”

Section: Resultsmentioning

confidence: 99%

Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions

et al. 2016

View full text Add to dashboard Cite

ObjectivesThis evidence review was conducted to understand how and why workforce development interventions can improve the skills and care standards of support workers in older people's services.DesignFollowing recognised realist synthesis principles, the review was completed by (1) development of an initial programme theory; (2) retrieval, review and synthesis of evidence relating to interventions designed to develop the support workforce; (3) ‘testing out’ the synthesis findings to refine the programme theories, and establish their practical relevance/potential for implementation through stakeholder interviews; and (4) forming actionable recommendations.ParticipantsStakeholders who represented services, commissioners and older people were involved in workshops in an advisory capacity, and 10 participants were interviewed during the theory refinement process.ResultsEight context–mechanism–outcome (CMO) configurations were identified which cumulatively comprise a new programme theory about ‘what works’ to support workforce development in older people's services. The CMOs indicate that the design and delivery of workforce development includes how to make it real to the work of those delivering support to older people; the individual support worker's personal starting points and expectations of the role; how to tap into support workers' motivations; the use of incentivisation; joining things up around workforce development; getting the right mix of people engaged in the design and delivery of workforce development programmes/interventions; taking a planned approach to workforce development, and the ways in which components of interventions reinforce one another, increasing the potential for impacts to embed and spread across organisations.ConclusionsIt is important to take a tailored approach to the design and delivery of workforce development that is mindful of the needs of older people, support workers, health and social care services and the employing organisations within which workforce development operates. Workforce development interventions need to balance the technical, professional and emotional aspects of care.Trial registration numberCRD42013006283.

show abstract

AwareCare: a pilot randomized controlled trial of an awareness-based staff training intervention to improve quality of life for residents with severe dementia in long-term care settings

Abstract: Staff were able to use the observational measure effectively and relatives of residents in the intervention homes perceived an improvement in their quality of life.

Cited by 49 publications

References 26 publications

Evaluation of dementia education programs for pre-registration healthcare students—A review of the literature

Evaluation of dementia education programs for pre-registration healthcare students—A review of the literature

Clinical practice guidelines for dementia in Australia

Improving skills and care standards in the support workforce for older people: a realist synthesis of workforce development interventions

Contact Info

Product

Resources

About