PerCEN trial participant perspectives on the implementation and outcomes of person-centered dementia care and environments

Abstract

Successful knowledge translation of the person-centered model starts with managerial leadership and support; it is sustained when staff are educated and assisted to apply the model, and, along with families, come to appreciate the benefits of flexible care services and teamwork in achieving resident well-being. 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

“…Given these considerations and the variety of methodologies and perspectives of the qualitative studies included, a domains-based approach was used to examine quality. To illustrate the variety of qualitative studies included: one study used a phenomenological action research approach (Lykkeslet, Gjengedal, Skrondal, & Storjord, 2014) others used content analysis or videotaped interaction-data (Chenoweth et al, 2015;Hammar, Emami, Engstrom, & Gotell, 2011;Lykkeslet et al, 2014;Soderlund, Cronqvist, Norberg, Ternestedt, & Hansebo, 2013); one study focused on organisational acceptability of the training rather than on participant experience (Chenoweth et al, 2015).…”

“…However, others studies (e.g. Chenoweth et al, 2015;Haberstroh et al, 2011) explicitly included a Table 3. Quality assessment of qualitative studies.…”

“…Eight detailed qualitative studies of training-interventions were available (Chenoweth et al, 2015;Figueiredo, Barbosa, Cruz, Marques, & Sousa, 2013;Hammar et al, 2011;Lykkeslet et al, 2014;Soderlund et al, 2013;Soderlund et al, 2016;Soderlund, Cronqvist, Norberg, Ternestedt, & Hansebo, 2016;Soderlund, Norberg, & Hansebo, 2012, 2014. As previously discussed the methodology and focus of these studies was diverse, and the quality was variable.…”

“…They also provided information regarding how communication could be improved following training interventions; for example, studies on Validation Method indicated that nurses communication could change from being controlling and not attending to the potential meaning of the people living with dementia to being more attentive and following the pace and conversational meaning of people living with dementia (Soderlund et al, 2013;Soderlund et al, 2012). Further the findings of Chenoweth et al (2015) indicate some of the challenges in supporting organisational change and maintaining skills learnt in training; for example, managers supporting staff to continue implementing changes by providing adequate staff education and supervision. Given the potential insight into what is beneficial and valued by participants in training-interventions, additional qualitative studies with rigorous methodology are required.…”

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

“…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). However, as DCM is a multi-component method for application in practice, realizing all preconditions is hard to accomplish.…”