Active Residents in Care Homes (ARCH): study protocol to investigate the implementation and outcomes of a whole-systems activity programme in residential care homes for older people

Koskela, Sian; Jones, Fiona; Clarke, Natasha; Anderson, Liezl; Kennedy, Bernadette; Grant, Robert; Gage, Heather; Hurley, Michael

doi:10.1016/j.physio.2015.12.001

Cited by 5 publications

(6 citation statements)

References 28 publications

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“…The need for a whole-system approach to increase physical activity informed the development of "Access to Wellbeing" a holistic, multidimensional programme that we implemented in an adult day centre (13). We adapted the Access to Wellbeing programme to increase physical activity in older residents in care homes (14), incorporating elements of the Model of Human Occupation (15), Person, Environment and Occupation model (16) and theories of personhood and person-centred care (17).…”

Section: Introductionmentioning

confidence: 99%

“…For residents, a process consent model was adopted (35) and where participants lacked capacity they were only included if a relative was willing to act as a consultee and the assent was sought from the resident. The ARCH trial is registered as ISRCTN24000891 (14). There is extensive evidence showing the benefits physical activity has on health and wellbeing for older people in residential care homes.…”

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confidence: 99%

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The feasibility of increasing physical activity in care home residents: Active Residents in Care Homes (ARCH) programme

et al. 2020

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Objectives: Maintaining physical activity for older residents in care homes maximises their physical and mental health and wellbeing, independence, dignity and quality of life. Unfortunately, most residents do not participate in regular physical activity. Active Residents in Care Homes, ARCH, was designed to increase physical activity by facilitating whole-system change in a care home. We evaluated whether ARCH can be delivered, its effects on resident's physical activity, wellbeing and costs. Design: Feasibility study. Setting: Three residential care homes. Participants: Care home residents and staff. Intervention: Occupational and physiotherapists implemented ARCH over 4 months with an 8month follow-up. Main outcome measures: Assessment of Physical Activity, Pool Activity Level, EQ5D-5L, Dementia Care Mapping, cost of implementing ARCH, health and social care utilisation. Results: After implementing ARCH, residents displayed more positive behaviours, better mood and engagement and higher physical activity levels, but these improvements were not sustained at 8-month follow-up. The cost (2016 prices) of implementing ARCH was £61,037, which equates to £1,650/resident. Healthcare utilisation was £295/resident (SD320) in the 4 months prior to ARCH, £308/resident (SD406) during the 4-month implementation and £676/resident (SD438) in the 8month follow-up. Conclusions: The ARCH programme can be delivered, it may have some short-term benefits and is affordable. Rather than have unrealistic increases in the health and longevity of older care home residents, ARCH may slow the decline in physical, mental and emotional well-being usually seen in older people in care homes, return some dignity and improve their quality of life in their last months or years.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

The feasibility of increasing physical activity in care home residents: Active Residents in Care Homes (ARCH) programme

et al. 2020

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“…This qualitative research formed part of the larger ARCH feasibility study. 14,15 The participating care homes catered for older people (aged over 65 years) with or without a diagnosis of dementia. Ethical approval was gained from the National Research Ethics Service (NRES) Committee London – South East in September 2014 (ref.…”

Section: Methodsmentioning

confidence: 99%

“…This qualitative research formed part of the larger ARCH feasibility study 14,15 . The participating care homes catered for older people (aged over 65 years) with or without a diagnosis of dementia.…”

Section: Methodsmentioning

confidence: 99%

A qualitative study exploring therapists’ experiences of implementing a complex intervention promoting meaningful activity for residents in care homes

et al. 2018

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Objectives: To explore the experiences of occupational therapists and physiotherapists and to reveal any factors that can facilitate delivering a complex care home intervention promoting meaningful activity. Design: Qualitative interview study using data from three focus groups conducted longitudinally post intervention implementation. Data were analysed thematically. Setting: Three residential care homes in South London, UK. Subjects: All therapists involved in the implementation of the intervention: three occupational therapists and three physiotherapists. Results: Three interconnected themes emerged from the analysis: (1) developing trusting relationships, (2) empowering staff and (3) remaining flexible. Therapists described how successfully implementing a complex care home intervention was dependant on developing trusting relationships with care staff. This enabled the therapists to empower care staff to take ownership of the intervention and help embed it in care home culture, facilitating long-term change. The therapists described how remaining flexible in their approach helped keep care staff engaged for the duration of implementation. Conclusion: This study has revealed several important factors that can help facilitate therapists delivering complex interventions in care homes.

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“…This paper reports on how the Active Residents in Care Home (ARCH) intervention is being implemented in three care homes in South London. For full details of the background to the development of the ARCH project see Koskela et al (2015).…”

Section: Introductionmentioning

confidence: 99%

Active residents in care homes: A holistic approach to promoting and encouraging meaningful activity for residents living in care homes: Innovative Practice

et al. 2017

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The active residents in care homes intervention aim to promote meaningful activity among care home residents. Residents, family members and staff from three residential care homes in South London are participating. It is a whole systems approach which involves formal and 'on the floor' training to empower care home staff to facilitate activity. Training is delivered by two occupational therapists, a physiotherapist and a rehabilitation assistant. This paper describes the active residents in care homes intervention, the evaluation methods and discusses some preliminary findings.

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Active Residents in Care Homes (ARCH): study protocol to investigate the implementation and outcomes of a whole-systems activity programme in residential care homes for older people

Cited by 5 publications

References 28 publications

The feasibility of increasing physical activity in care home residents: Active Residents in Care Homes (ARCH) programme

The feasibility of increasing physical activity in care home residents: Active Residents in Care Homes (ARCH) programme

A qualitative study exploring therapists’ experiences of implementing a complex intervention promoting meaningful activity for residents in care homes

Active residents in care homes: A holistic approach to promoting and encouraging meaningful activity for residents living in care homes: Innovative Practice

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