Dementia care mapping: effects on residents’ quality of life and challenging behavior in German nursing homes. A quasi-experimental trial

Dichter, Martin N.; Quasdorf, Tina; Schwab, Christian; Trutschel, Diana; Haastert, Burkhard; Riesner, Christine; Bartholomeyczik, Sabine; Halek, Margareta

doi:10.1017/s1041610215000927

Cited by 56 publications

(82 citation statements)

References 31 publications

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“…The average age and the proportion of males/females are comparable to other studies performed in LTCF [2,18]. Moreover, the QUALIDEM scores were also similar to those in other studies on persons with dementia [18,57,58]. …”

Section: Discussionsupporting

confidence: 86%

Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study

Klapwijk

Caljouw

Pieper

et al. 2016

Dement Geriatr Cogn Disord

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Background: To determine which characteristics are associated with quality of life (QOL) in residents with moderate to very severe dementia in long-term care facilities (LTCFs). Material and Methods: This was a cross-sectional analysis of a cluster randomized controlled study in 12 Dutch LTCFs that enrolled 288 residents, with moderate to severe dementia assessed with the Reisberg Global Deterioration Scale (Reisberg GDS) and QOL with the QUALIDEM. Characteristics that were hypothesized to be associated with the six domains of QOL (applicable to very severe dementia) included demographic variables, activities of daily living (Katz ADL), cognitive performance (Cognitive Performance Scale; CPS), pain (Pain Assessment Checklist for Seniors with Limited Ability to Communicate; PACSLAC-D), neuropsychiatric symptoms (Neuropsychiatric Inventory-Nursing Home Version; NPI-NH) and comorbidities. Results: Multivariate logistic regression modelling showed associations with age in the domain Social isolation [odds ratio, OR, 0.95 (95% confidence interval, CI, 0.91-0.99)], ADL level in the domain Positive affect [OR 0.89 (95% CI 0.83-0.95)] and the domain Social relations [OR 0.87 (95% CI 0.81-0.93)], severity of dementia in the domain Social relations [OR 0.28 (95% CI 0.12-0.62)] and in the domain Social isolation [OR 2.10 (95% CI 1.17-3.78)], psychiatric disorders in the domain Positive affect [OR 0.39 (95% CI 0.17-0.87)] and pulmonary diseases in the domain Negative affect [OR 0.14 (95% CI 0.03-0.61)] of the QUALIDEM. Neuropsychiatric symptoms were independently associated with all six domains of the QUALIDEM [OR 0.93 (95% CI 0.90-0.96) to OR 0.97 (95% CI 0.95-0.99)]. Pain was associated with the domains Care relationship [OR 0.92 (95% CI 0.84-1.00)] and Negative affect [OR 0.92 (95% CI 0.85-1.00)]. Conclusion: QOL in dementia is independently associated with age, ADL, dementia severity, pain, psychiatric disorders, pulmonary diseases and neuropsychiatric symptoms. It is possible to detect persons with dementia at risk for a lower QOL. This information is important for developing personalized interventions to improve QOL in persons with dementia in LTCFs.

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Section: Discussionsupporting

confidence: 86%

Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study

Klapwijk

Caljouw

Pieper

et al. 2016

Dement Geriatr Cogn Disord

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“…low power, no random allocation of clusters, the challenge of measuring the QoL of PwD), the unexpected and nonsignificant negative trend of the primary outcome, QoL, in both groups using DCM (Dichter et al . ) is likely coincidental. However, we did not specifically focus on explanations for this negative trend in our process evaluation because we did not expect it.…”

Section: Discussionmentioning

confidence: 96%

“…This trial failed to demonstrate a significant effect of the DCM method on the quality of life (QoL) or challenging behaviour of PwD (Dichter et al . ). Instead, examining DCM between baseline (T0) and the 18‐month follow‐up (T2), this trial showed an unexpected and nonsignificant negative trend in the primary outcome (QoL) for both included groups.…”

Section: Introductionmentioning

confidence: 97%

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Implementing Dementia Care Mapping to develop person‐centred care: results of a process evaluation within the Leben‐QD II trial

Quasdorf

Riesner

Dichter

et al. 2016

Journal of Clinical Nursing

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“…Several studies of DCM in nursing home settings reported difficulties similar to ours in fulfilling the DCM-preconditions. These studies concluded that to reach optimal effect of DCM, the implementation requires strong and accurate attention (Brownie & Nancarrow, 2013;Chenoweth et al, 2015;Dichter et al, 2015;Jaycock et al, 2006;Jeon et al, 2012;Quasdorf et al, 2017;Rokstad, Vatne, Engedal, & Selbaek, 2015;Van de Ven, 2014). Increasing the number of realized preconditions is likely to increase the success of the implementation (Chenoweth et al, 2015;Rokstad et al, 2015;Van de Ven et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study

Schaap

Fokkens

Reijneveld

et al. 2018

Research Intellect Disabil

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Background The number of people with intellectual disability and dementia increases; this combination causes behavioural changes. Dementia Care Mapping (DCM) supports staff in dementia care in nursing homes and may be useful in intellectual disability‐care. This qualitative study examines the feasibility of DCM for older people with intellectual disability and dementia. Methods The present authors obtained data in focus groups and interviews with professional users and analysed using a framework for feasibility studies. With experts in dementia and intellectual disability researches, the present authors determined the overall feasibility. Results DCM was found to be feasible in intellectual disability‐care, regarding five domains of feasibility. Staff reported DCM to be useful and valuable and addresses to their demand for skills and knowledge. All professional users found DCM feasible in intellectual disability‐care, which was confirmed by experts. Conclusions DCM is feasible in intellectual disability‐care. When fully tailored to intellectual disability‐care, DCM is useful and provides opportunities to assess its effectiveness.

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Dementia care mapping: effects on residents’ quality of life and challenging behavior in German nursing homes. A quasi-experimental trial

Abstract: DCM exhibited no statistically significant effect in terms of QoL and challenging behavior of PwD in NHs. To increase the likelihood of a positive effect for PwD, it is necessary to ensure successful implementation of the intervention.

Cited by 56 publications

References 31 publications

Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study

Characteristics Associated with Quality of Life in Long-Term Care Residents with Dementia: A Cross-Sectional Study

Implementing Dementia Care Mapping to develop person‐centred care: results of a process evaluation within the Leben‐QD II trial

Dementia care mapping to support staff in the care of people with intellectual disability and dementia: a feasibility study

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