Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: a cluster-randomised trial

Chenoweth, Lynn; King, Madeleine; Jeon, Yun‐Hee; Brodaty, Henry; Stein‐Parbury, Jane; Norman, Richard; Haas, Marion; Luscombe, Georgina

doi:10.1016/s1474-4422(09)70045-6

Cited by 434 publications

(525 citation statements)

References 21 publications

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“…The findings of a clustered randomized controlled trial with 325 participants from residential care facilities in Australia compared outcomes for residents assigned to one of three groups: person-centred care, dementia care mapping, or traditional care. Residents assigned to dementia care mapping and person-centred care showed improvement in agitation compared with participants receiving normal care (192).…”

Section: Residential Carementioning

confidence: 94%

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

McKenzie

Brown

2014

Educational Gerontology

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Section: Residential Carementioning

confidence: 94%

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

McKenzie

Brown

2014

Educational Gerontology

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“…In addition the follow-up period for the study may have been too short. Previous studies have suggested the benefits of dementia training may reduce over time (Moniz-Cook et al, 2000), whilst others have shown no immediate results of training on personcentred care, but have observed significant change over a longer follow-up period (Chenoweth et al, 2009). Follow-up over a longer period after completion of the training programme would help establish if and what the impact of time on efficacy of dementia training is within this staff population.…”

Section: Limitations Of the Studymentioning

confidence: 99%

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

Surr¹,

Smith

Crossland³

et al. 2016

International Journal of Nursing Studies

119

182

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Background: People with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the most effective approaches to supporting acute hospital staff to deliver more person-centred care.Objectives: This study aimed to evaluate the efficacy of a specialist training programme for acute hospital staff regarding improving attitudes, satisfaction and feelings of caring efficacy, in provision of care to people with dementia.Design: A repeated measures design, with measures completed immediately prior to commencing training (T1), after completion of Foundation level training (T2: 4-6 weeks post-baseline), and following Intermediate level training (T3: 3-4 months postbaseline). Setting: One NHS Trust in the North of England, UK.Participants: 40 acute hospital staff working in clinical roles, the majority of whom (90%) were nurses.Methods: All participants received the 3.5 day Person-centred Care Training for Acute Hospitals (PCTAH) programme, comprised of two levels, Foundation (1/2 day) and Intermediate (3 days), delivered over a 3-4 month period. Staff demographics and previous exposure to dementia training was collected via a questionnaire. Staff attitudes were measured using the Approaches to Dementia Questionnaire (ADQ), satisfaction in caring for people with dementia was captured using the Staff Experiences of Working with Demented Residents questionnaire (SEWDR) and perceived caring efficacy was measured using the Caring Efficacy Scale (CES). Results:The training programme was effective in producing a significant positive change on all three outcome measures following intermediate training compared to baseline. A significant positive effect was found on the ADS between baseline and after completion of Foundation level training, but not for either of the other measures. Conclusions:Training acute hospital staff in Intermediate level person-centred dementia care is effective in producing significant improvements in attitudes towards and satisfaction in caring for people with dementia and feelings of caring efficacy. Foundation level training is effective in changing attitudes but does not seem to be sufficient to bring about change in satisfaction or caring efficacy.2 Keywords: acute hospitals; dementia; education; general hospitals; person-centred care; staff training. Contribution of the paper:What is already known about this topic? Care for people with dementia is has often been found to be of poor quality in acute general hospitals and deficiencies in staff knowledge, skills and confidence to deliver dementia care is a contributory factor.  Person-centred dementia care can improve quality of life for people with dementia in specialist settings but there remains limited knowledge and understanding about its application in acute hospitals.  There is limited research about the...

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“…14 The survey respondents ranked question #2 closely to question #1, thus prioritizing the provision of information to address the decisional needs of patients and their caregivers to manage agitation, aggression and psychotic symptoms (question #2). These behavioural and psychological symptoms of dementia are also named "unmet need behaviours", 15 and can be managed through person-centred care focusing on these needs. 15,16 Inclusion of informal caregivers into such care should improve person-centred care approaches that consider patients' priorities and needs through shared decision-making 17 and in turn contribute to reducing behavioural and psychological symptoms of dementia, and avoiding institutionalization.…”

Section: Resultsmentioning

confidence: 99%

“…These behavioural and psychological symptoms of dementia are also named "unmet need behaviours", 15 and can be managed through person-centred care focusing on these needs. 15,16 Inclusion of informal caregivers into such care should improve person-centred care approaches that consider patients' priorities and needs through shared decision-making 17 and in turn contribute to reducing behavioural and psychological symptoms of dementia, and avoiding institutionalization. In general, respondents seem to have focused more on decisions regarding psychosocial aspects of care and services as opposed to medical decisions, pointing to the importance of community-based resources to answer the more prominent needs of people living with dementia.…”

Section: Resultsmentioning

confidence: 99%

Caring for seniors living with dementia means caring for their caregivers too

Poirier

Voyer

Morin

et al. 2017

Can J Public Health

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To improve the care of seniors living with dementia, current initiatives typically target better identification and treatment of the patient. Our recent survey, however, shows we should also focus more on the needs of the informal caregivers who care for this population in primary care settings. This three-round Delphi survey sought caregivers' views on the most frequent and difficult decisions that seniors with dementia, their informal caregivers, and health care providers face in primary care settings in the province of Quebec. Respondents consisted of 31 health care professionals, informal caregivers, managers, representatives of community-based organizations devoted to these seniors, and clinical researchers involved in the organization of care or services to seniors with dementia. When we asked respondents to rank 27 common but difficult decisions involving benefit/harm trade-offs, 83% ranked the decision to choose an option to reduce the burden of informal caregivers as one of the five most important decisions. Choosing a treatment to manage agitation, aggression or psychotic symptoms followed closely, with 79% of respondents selecting it as one of the five most important decisions. Our results point to the importance of attending to the needs of informal caregivers and improving the management of behavioural and psychological symptoms of dementia.KEY WORDS: Caregivers; aged; dementia; spouse; decision making; decision support technique La traduction du résumé se trouve à la fin de l'article.

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Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: a cluster-randomised trial

Abstract: Person-centred care and dementia-care mapping both seem to reduce agitation in people with dementia in residential care.

Cited by 434 publications

References 21 publications

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study

Caring for seniors living with dementia means caring for their caregivers too

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