PerCEN: a cluster randomized controlled trial of person-centered residential care and environment for people with dementia

Abstract

The hypothesis that PCC+PCE would improve quality of life and agitation even further was not supported, even though there were improvements in the quality of care interactions and resident emotional responses to care for some of this group. The Australian New Zealand Clinical Trials Registry Number is ACTRN 12608000095369.

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

“…Overall methodological quality was variable across all quantitative studies and only four studies had low bias ratings in three or more domains (Chenoweth et al, 2014;De Rotrou et al, 2011;Livingston et al, 2013;Orgeta et al, 2015). See Table 2 for the overall assessment of risk of bias.…”

“…Performance bias was present in all of the quantitative studies due to the impossibility of blinding patients and trainers to the intervention being delivered. However, most studies were also subject to detection bias; only seven studies used comprehensive assessor blinding (Ballard et al, 2016;Broughton et al, 2011;Chenoweth et al, 2014;De Rotrou et al, 2011;Gitlin, Winter, & Dennis, 2010;Livingston et al, 2013;Orgeta et al, 2015).…”

“…Eight studies reported adequate randomisation processes and allocation procedures, and therefore reduced selection bias (Ballard et al, 2016;Chenoweth et al, 2014;De Rotrou et al, 2011;Gitlin et al, 2010;Livingston et al, 2013;Orgeta et al, 2015;Prick, De Lange, Twisk, & Pot, 2015;van der Ploeg et al, 2013). However, attrition levels were often high and rarely reported for each treatment group.…”

Reciprocal design: inclusive design approaches for people with late stage dementia

“…In clinical and medical fields it involves a shift towards patient-centred and evidence-based care (McClimans 2017,vii-xv), in health care it involved embracing the concept of person-centred care (Chenoweth et al 2014), and similarly, in design experiential and usercentred approaches have now come to the fore. However, these changes are challenging as, for example, the concept of co-creation raises questions about what has been the accepted role of the designer as the Auteur.…”

The Person Centered Care in Dementia

“…The PCC models involve the implementation of care practices based on those principles, which can be tricky in residential environments where elements such as standardization, organizing schedules or cost reduction limit their possibilities [4]. Nevertheless, they have been tested numerous intervention strategies based on the principles of the PCC, among which are the use of biographical information [5], sessions of reminiscence and the approach of meaningful activities from the perspective of resident [6], customizing environments [6] or the resident inclusion in the decision on its activities [7]. In residents with advanced dementia, the implementation of PCC interventions able to reduce some behavioral symptoms of dementia, such as agitation or aggression, and reduces the use of neuroleptics [8].…”