+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Evaluating the capabilities model of dementia care: a non-randomized controlled trial exploring resident quality of life and care staff attitudes and experiences

Evaluating the capabilities model of dementia care: a non-randomized controlled trial exploring resident quality of life and care staff attitudes and experiences

International Psychogeriatrics 28(7): 1091-1100

This 12 month, Australian study sought to compare the Capabilities Model of Dementia Care (CMDC) with usual long-term care (LTC), in terms of (1) the effectiveness of the CMDC in assisting care staff to improve Quality Of Life (QOL) for older people with dementia; and (2) whether implementation of the CMDC improved staff attitudes towards, and experiences of working and caring for the person with dementia. A single blind, non-randomized controlled trial design, involving CMDC intervention group (three facilities) and a comparison usual LTC practice control group (one facility), was conducted from August 2010 to September 2011. Eighty-one staff members and 48 family members of a person with dementia were recruited from these four LTC facilities. At baseline, 6 and 12 months, staff completed a modified Staff Experiences of Working with Demented Residents questionnaire (SEWDR), and families completed the Quality of Life - Alzheimer's Disease questionnaire (QOL-AD). LTC staff in the usual care group reported significantly lower SEWDR scores (i.e. less work satisfaction) than those in the CMDC intervention group at 12 months (p = 0.005). Similarly, family members in the comparison group reported significantly lower levels of perceived QOL for their relative with dementia (QOL-AD scores) than their counterparts in the CMDC intervention group at 12 months (p = 0.012). Although the study has a number of limitations the CMDC appears to be an effective model of dementia care - more so than usual LTC practice. The CMDC requires further evaluation with participants from a diverse range of LTC facilities and stages of cognitive impairment.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 057805585

Download citation: RISBibTeXText

PMID: 26960255

DOI: 10.1017/s1041610216000296

Related references

Promoting value in dementia care: staff, resident and family experience of the capabilities model of dementia care. Aging and Mental Health 17(5): 587-594, 2013

Modeling and evaluating evidence-based continuing education program in nursing home dementia care (MEDCED)--training of care home staff to reduce use of restraint in care home residents with dementia. A cluster randomized controlled trial. International Journal of Geriatric Psychiatry 31(1): 24-32, 2016

AwareCare: a pilot randomized controlled trial of an awareness-based staff training intervention to improve quality of life for residents with severe dementia in long-term care settings. International Psychogeriatrics 25(1): 128-139, 2013

A randomized controlled trial examining the impact of aged care residents' written life-stories on aged care staff knowledge and attitudes. International Psychogeriatrics 30(9): 1291-1299, 2017

Care staff training based on person-centered care and dementia care mapping, and its effects on the quality of life of nursing home residents with dementia. Aging and Mental Health 21(9): 991-996, 2016

An Integrative, Patient-Centered Model of Care Using Meditation and Care Coordination Improves Quality of Life and Coping Strategies in Cyclic Vomiting Syndrome: A Prospective Randomized Controlled Trial. Gastroenterology 154(6): S-16, 2018

Caring for Aged Dementia Care Resident Study (CADRES) of person-centred care, dementia-care mapping, and usual care in dementia: a cluster-randomised trial. Lancet. Neurology 8(4): 317-325, 2009

A staff intervention targeting resident-to-resident elder mistreatment (R-REM) in long-term care increased staff knowledge, recognition and reporting: results from a cluster randomized trial. International Journal of Nursing Studies 50(5): 644-656, 2013

Cluster Randomized Controlled Trial of An Aged Care Specific Leadership and Management Program to Improve Work Environment, Staff Turnover, and Care Quality. Journal of the American Medical Directors Association 16(7): 629.E19-28, 2016

A randomized controlled trial exploring the effect of music on quality of life and depression in older people with dementia. Journal of Health Psychology 15(5): 765-776, 2010

Attitudes Toward and Experiences in End-of-life Care Education in the Intensive Care Unit: A Survey of Resident Physicians. American Journal of Hospice and Palliative Care 32(7): 738-744, 2017

Evaluating the effectiveness and cost-effectiveness of Dementia Care Mapping™ to enable person-centred care for people with dementia and their carers (DCM-EPIC) in care homes: study protocol for a randomised controlled trial. Trials 17(1): 300, 2017

Care at the end of life for people with dementia living in a care home: a qualitative study of staff experience and attitudes. International Journal of Geriatric Psychiatry 27(6): 643-650, 2012

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Journal of the American College of Surgeons 200(4): 538-545, 2005

Online Care versus In-Person Care for Improving Quality of Life in Psoriasis: A Randomized Controlled Equivalency Trial. Journal of Investigative Dermatology 2018, 2018