Impact of dementia education and training on health and social care staff knowledge, attitudes and confidence: a cross-sectional study

Parveen, Sahdia; Smith, Sarah; Sass, Cara; Oyebode, Jan R.; Capstick, Andrea; Dennison, Alison; Surr, Claire

doi:10.1136/bmjopen-2020-039939

Cited by 21 publications

(9 citation statements)

References 24 publications

(36 reference statements)

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“…A key part of using the intervention for shared decision‐making is the support activities for people affected by dementia and practitioners (see implementation box in Figure 3 ). This aligns with the literature on the importance of skill, education and training for practitioners 53 , 54 to enhance knowledge 55 , 56 and confidence in providing end of life care. 57 The logic model highlights areas of uncertainty in using the intervention, such as a priorities of care list (Figure 3 ).…”

Section: Discussionsupporting

confidence: 76%

Co‐design of the EMBED‐Care Framework as an intervention to enhance shared decision‐making for people affected by dementia and practitioners, comprising holistic assessment, linked with clinical decision support tools: A qualitative study

Aworinde,

Evans,

Gillam

et al. 2024

Health Expectations

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IntroductionShared decision‐making intends to align care provision with individuals’ preferences. However, the involvement of people living with dementia in decision‐making about their care varies. We aimed to co‐design the EMBED‐Care Framework, to enhance shared decision‐making between people affected by dementia and practitioners.MethodsA theory and evidence driven co‐design study was conducted, using iterative workshops, informed by a theoretical model of shared decision‐making and the EMBED‐Care Framework (the intervention) for person‐centred holistic palliative dementia care. The intervention incorporates a holistic outcome measure for assessment and review, linked with clinical decision‐support tools to support shared decision‐making. We drew on the Medical Research Council (MRC) guidance for developing and evaluating complex interventions. Participants included people with dementia of any type, current or bereaved family carers and practitioners. We recruited via established dementia groups and research and clinical networks. Data were analysed using reflexive thematic analysis to explore how and when the intervention could enhance communication and shared decision‐making, and the requirements for use, presented as a logic model.ResultsFive co‐design workshops were undertaken with participants comprising people affected by dementia (n = 18) and practitioners (n = 36). Three themes were generated, comprising: (1) ‘knowing the person and personalisation of care’, involving the person with dementia and/or family carer identifying the needs of the person using a holistic assessment. (2) ‘engaging and considering the perspectives of all involved in decision‐making’ required listening to the person and the family to understand their priorities, and to manage multiple preferences. (3) ‘Training and support activities’ to use the Framework through use of animated videos to convey information, such as to understand the outcome measure used to assess symptoms.ConclusionsThe intervention developed sought to enhance shared decision‐making with individuals affected by dementia and practitioners, through increased shared knowledge of individual priorities and choices for care and treatment. The workshops generated understanding to manage disagreements in determining priorities. Practitioners require face‐to‐face training on the intervention, and on communication to manage sensitive conversations about symptoms, care and treatment with individuals and their family. The findings informed the construction of a logic model to illustrate how the intervention is intended to work.

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Section: Discussionsupporting

confidence: 76%

Co‐design of the EMBED‐Care Framework as an intervention to enhance shared decision‐making for people affected by dementia and practitioners, comprising holistic assessment, linked with clinical decision support tools: A qualitative study

Aworinde,

Evans,

Gillam

et al. 2024

Health Expectations

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“…Also, a note on the delivery method of the training course: COVID-19 pandemic circumstances required the course to be delivered online, but there is evidence that face-to-face methods increase the effectiveness of the training [ 18 ]; this is one point to improve in the future.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Dementia Training Course for Staff of a Center of Dementia Care

Duarte¹,

Alves²,

Gomes³

2023

Dement Geriatr Cogn Disord

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Introduction: Literature shows poor dementia training and competencies among health and social professionals. Due to the growing prevalence of people with dementia and all the related care demands, specialized training is increasingly needed but must be effective in terms of impact on knowledge, behaviors, and attitudes. We aimed to analyze the impact of a first-level dementia training course for staff of a new specialized center for people with dementia, considering the first three levels of Kirkpatrick’s evaluation framework, namely, staff reaction (satisfaction), skills and learning (knowledge and dementia attitudes), and behavior changes. Methods: This is a single-center group pre-post design study of a 12-session online course. An online questionnaire was administered to measure satisfaction, expectations, knowledge/learning, attitudes (Dementia Attitude Scale), and new behaviors/practices. We compared perceived knowledge (Wilcoxon signed-rank test) and attitudes (paired t test). Thematic analysis explored new behaviors/practices. Results: Eighty-five professionals and 1 volunteer were included (median age 31, 92% female). Satisfaction with the training was high (median 4/5). Perceived knowledge improved (median 3–4; p < 0.001). The knowledge test median score was 70.8%. After training, participants showed better attitudes toward dementia (mean 116.5, SD 10.3, to mean 122.2, SD 11.5; p < 0.001). Most (93%) said their behavior/practice changed. Thematic analysis yielded four new behavior/practice dimensions: care provision/interaction, communication, family/caregivers, and self-confidence. Conclusions: The course improved all dimensions evaluated, suggesting it effectively provides first-level dementia training. This may be transferable to similar settings.

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“…This is comparable with the previous studies that found a significant correlation between the degree of dementia-specific cognizance and the overall quality of healthcare. [ 17 18 ] In the light of these findings, it can be suggested that dementia training programs should be held at the district level by the Health Ministry of India because educating the professionals as well as the general public is pivotal in tackling the increasing prevalence of the disease. The education could be provided in the form of pamphlets, informative videos on social media, and lectures at the undergraduate level.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Alzheimer’s disease among the healthcare staff in a medical college hospital of India

Singh

Agrawal

Sarita

et al. 2022

Journal of Family Medicine and Primary Care

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Background: With increasing numbers of people crossing the age threshold of 65 years, there is a strong likelihood that the cases of Alzheimer’s disease (AD) cases will increase manifold in the upcoming decades. It is essential for the healthcare professionals to have a reasonable background knowledge about this neurodegenerative condition. This study was done to assess the level of knowledge of AD among the healthcare staff appointed at a tertiary care hospital. Methodology: A cross-sectional survey study was done in a tertiary care hospital with healthcare workers. The knowledge level of AD was investigated using Alzheimer’s Disease Knowledge Scale (ADKS) while a self-assessment scale was used by the participants to rate their own knowledge about the disease. The extent of background knowledge was then statistically evaluated on the basis of multiple subject-oriented factors. The impact of any prior dementia-specific training was also assessed. Data were analyzed by using SPSS-23 where P value < 0.05 was considered significant. Results: Out of a total of 124 participants recruited during the study period, the average score on the ADKS scale was 19.2 ± 3.1. Self-rated Alzheimer’s scale depicted a mean value of 4.89 ± 1.7. The participants having a positive family history and personal/professional caring experience for AD did not obtain any remarkably better score. The doctors were more likely to score better than nurses and other healthcare staff (p < 0.001). Moreover, dementia-related training had a significantly better outcome in terms of promoting the knowledge base of AD (p < 0.001). Conclusion: There is a below-par knowledge of Alzheimer’s dementia among the healthcare staff of the hospital. The staff of the hospital realizes this shortcoming, and there is a need for dementia-specific training to overcome this knowledge gap.

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Impact of dementia education and training on health and social care staff knowledge, attitudes and confidence: a cross-sectional study

Cited by 21 publications

References 24 publications

Co‐design of the EMBED‐Care Framework as an intervention to enhance shared decision‐making for people affected by dementia and practitioners, comprising holistic assessment, linked with clinical decision support tools: A qualitative study

Co‐design of the EMBED‐Care Framework as an intervention to enhance shared decision‐making for people affected by dementia and practitioners, comprising holistic assessment, linked with clinical decision support tools: A qualitative study

Evaluation of a Dementia Training Course for Staff of a Center of Dementia Care

Knowledge of Alzheimer’s disease among the healthcare staff in a medical college hospital of India

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