Effectiveness of a nurse-supported self-management programme for dual sensory impaired older adults in long-term care: a cluster randomised controlled trial

Roets-Merken, Lieve M.; Zuidema, Sytse U.; Vernooij‐Dassen, Myrra; Teerenstra, Steven; Hermsen, Pieter G. J. M.; Kempen, Gertrudis I. J. M.; Graff, Maud

doi:10.1136/bmjopen-2017-016674

Cited by 14 publications

(16 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results are in line, however, with other studies on interventions for older adults with vision and/or hearing loss. Two recent studies on integrated care for older adults with DSL showed no difference in hearing handicap or quality of life (McMahon et al, 2017) and only on one (instrumental activities of daily living) of four domains of social participation (Roets-Merken et al, 2018). In addition, a meta-analysis of eight interventions for older adults with vision or hearing loss revealed no significant effects in favor of interventions on quality of life or daily functioning (Roets-Merken et al, 2015).…”

Section: Discussionmentioning

confidence: 97%

“…There are a few initiatives reported in the literature to integrate healthcare for older adults with DSL (McMahon et al, 2017;Roets-Merken et al, 2018). McMahon et al (2017) performed an audiological screening of older adults with low vision and provided education and rehabilitation to those with hearing loss who did not own or did not regularly use hearing aids.…”

Section: Introductionmentioning

confidence: 99%

“…However, the hearing handicap did not differ between persons seeking help and those not seeking help by a hearing aid provider. Roets-Merken et al (2018) developed a nursesupported self-management program for older adults with DSL in long-term care homes. The self-management program affected the domain 'instrumental activities of daily living' of social participation; however, the other outcomes showed no effect of the program.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

‘Dual Sensory Loss Protocol’ for Communication and Wellbeing of Older Adults With Vision and Hearing Impairment – A Randomized Controlled Trial

et al. 2020

View full text Add to dashboard Cite

ObjectivesMany older adults with visual impairment also have significant hearing loss. The aim was to investigate the effectiveness of a newly developed Dual Sensory Loss (DSL) protocol on communication and wellbeing of older persons with DSL and their communication partners (e.g., spouse or child) in the Netherlands and Belgium.MethodsParticipants (N = 131) and their communication partners (n = 113) were randomized in the “DSL-protocol” intervention group or a waiting-list control group. The intervention took 3 to 5 weeks. Occupational therapists focused on optimal use of hearing aids, home-environment modifications and effective communication strategies. The primary outcome was the Communication Strategies domain of the Communication Profile for the Hearing Impaired (CPHI). Secondary outcomes measured in participants were the Low Vision Quality Of Life Adjustment subscale, the Center for Epidemiological Studies - Depression Scale, De Jong Gierveld Loneliness Scale and the Fatigue Assessment Scale. The Hearing Handicap and Disability Inventory (HHDI) - Reaction of Others subscale and the Care-related Quality of Life - 7 Dimensions was measured in communication partners. Measurements were taken at baseline and 3-month follow-up. Linear mixed models (LMM) were used to analyze effects between groups over time for every outcome measure.ResultsIntention-to-treat analyses showed a significant effect of the DSL-protocol on the use of verbal strategies (effect size SMD = 0.60, 95% CI: 0.25 to 0.95) in favor of the control group, however, this effect was non-significant after adjustment for confounding. Effect sizes of other outcomes varied between −0.23 [−0.57, 0.12] and 0.30 [−0.05, 0.64]. The LMM showed a significant effect on the HHDI-Reaction of others scale in favor of communication partners in the treatment group, however, the effect did not remain significant at a 0.01 significance level and the effect size was very small and non-significant 0.12, 95% CI [−0.27 to 0.51]. Adjusted analyses did not reveal treatment effects.ConclusionThe DSL-protocol did not clearly contribute to the enhancement of communication and wellbeing in DSL-patients. Possible reasons for the lack of effects are OTs not being comfortable giving advice on communication and psychosocial issues or the short-term treatment and follow-up period. Further study is warranted to find out how the protocol may be adapted or whether it is necessary to involve mental healthcare professionals.Clinical Trial Registrationwww.ClinicalTrials.gov, identifier NTR2843.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

‘Dual Sensory Loss Protocol’ for Communication and Wellbeing of Older Adults With Vision and Hearing Impairment – A Randomized Controlled Trial

et al. 2020

View full text Add to dashboard Cite

show abstract

“…A number of studies aimed to increase knowledge in staff using methods such as educational videotapes [ 11 ], workshops [ 12 ], or by attaching instructions about insertion and maintenance of hearing aids to the inside of residents’ wardrobes [ 13 ]. Training residents to manage their own devices has also been applied in one identified study [ 14 ]. Whilst these practices were reportedly beneficial in increasing staff and residents’ knowledge, how and why these have been effective is largely unknown.…”

Section: Introductionmentioning

confidence: 99%

Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff

2021

View full text Add to dashboard Cite

Background Hearing and vision loss in older people has been proven to affect physical and mental health and increase the speed of cognitive decline. Studies have demonstrated that certain practices and improved staff knowledge increase the effective care of residents’ ears and eyes, yet it is not known which practices are being implemented in care homes. This study aimed to identify the gaps in staff knowledge regarding hearing and vision difficulties in older residents, and which practices known to improve ear and eye care in older care home residents are not commonly implemented in care homes in England. Methods This study used a cross-sectional survey design. Survey questions were informed by the existing literature and were focused on practices, staff knowledge, and other aspects that have shown to affect residents’ hearing and vision care. A convenience sample of care home staff were recruited from care homes across England between November 2018 and February 2019 via email and in paper format. Descriptive statistics and Chi-Square analysis were applied to identify the factors influencing the care being provided to care home residents. Results A total of 400 care home staff responded from 74 care homes. The results revealed that less than half of staff respondents reported to use screening tools to identify hearing (46%) and vision impairments (43.8%); that care homes rarely have access to other assistive devices for hearing (16%) and vision loss (23.8%), and that audiology services do not regularly assess care home residents (46.8%). A majority of staff who responded were not confident in ear and eye care. Responses were found to be influenced by the respondents’ job role, length of time working in care homes and also the care home type. Findings confirmed a lack of standardised practice and the importance of shared communication for promulgation of best practice. Conclusion This study has identified that some practices known to facilitate ear and eye care are not commonly applied in a sample of English care homes. It has also shown that care home staff knowledge of ear and eye care is inconsistent. The information derived from this survey can be used to inform guidelines for best practice and inform needs for future research.

show abstract

“…A number of studies aimed to increase knowledge in staff using methods such as educational videotapes (11), workshops (12), or by attaching instructions about insertion and maintenance of hearing aids to the inside of residents' wardrobes (13). Training residents to manage their own devices has also been applied in one identi ed study (14). Whilst these practices were reportedly bene cial in increasing staff and residents' knowledge, how and why these have been effective is largely unknown.…”

Section: Introductionmentioning

confidence: 99%

Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff

Andrusjak

Barbosa

Mountain

2020

Preprint

View full text Add to dashboard Cite

Background:Hearing and vision loss in older people has been proven to affect physical and mental health and increase the speed of cognitive decline. Studies have demonstrated that certain practices and improved staff knowledge increase the effective care of residents’ ears and eyes, yet it is not known which practices are being implemented in care homes. This study aimed to identify the gaps in staff knowledge regarding hearing and vision difficulties in older residents, and which practices known to improve ear and eye care in older care home residents are not commonly implemented in care homes in England.Methods:This study used a cross-sectional survey design. Survey questions were informed by the existing literature and were focused on practices, staff knowledge, and other aspects that have shown to affect residents’ hearing and vision care. A convenience sample of care home staff were recruited from care homes across England between November 2018 and February 2019 via email and in paper format. Descriptive statistics and Chi-Square analysis were applied to identify the factors influencing the care being provided to care home residents.Results:A total of 400 care home staff responded from 74 care homes. The results revealed that less than half of staff respondents reported to use screening tools to identify hearing (46%) and vision impairments (43.8%); that care homes rarely have limited access to other assistive devices for hearing (16%) and vision loss (23.8%), and that audiology services do not regularly assess care home residents (46.8%). A majority of staff who responded were not confident in ear and eye care. Responses were found to be influenced by the respondents’ job role, length of time working in care homes and also the care home type and care home size. Findings confirmed a lack of standardised practice and the importance of shared communication for promulgation of best practice.Conclusion:This study has identified that some practices known to facilitate ear and eye care are not commonly applied in a sample of English care homes. It has also shown that care home staff knowledge of ear and eye care is inconsistent. The information derived from this survey can be used to inform guidelines for best practice and inform needs for future research.

show abstract

Effectiveness of a nurse-supported self-management programme for dual sensory impaired older adults in long-term care: a cluster randomised controlled trial

Cited by 14 publications

References 46 publications

‘Dual Sensory Loss Protocol’ for Communication and Wellbeing of Older Adults With Vision and Hearing Impairment – A Randomized Controlled Trial

‘Dual Sensory Loss Protocol’ for Communication and Wellbeing of Older Adults With Vision and Hearing Impairment – A Randomized Controlled Trial

Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff

Hearing and vision care provided to older people residing in care homes: a cross-sectional survey of care home staff

Contact Info

Product

Resources

About