Supporting Direct Care Workers in Dementia Care

Barbosa, Ana; Nolan, Mike; Sousa, Liliana; Figueiredo, Daniela

doi:10.1177/1533317514550331

Cited by 31 publications

(44 citation statements)

References 30 publications

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“…The interventions included in this review were classified into six categories (physical activity intervention, ergonomics intervention, psychological intervention, environmental intervention, multicomponent intervention, and others). Seven of the included studies were classified as physical activity intervention (Atlantis et al, 2004;Brand et al, 2006;Sjogren et al, 2006;Puig-Ribera et al, 2008;Hartfiel et al, 2011;Strijk et al, 2013;Mansi et al, 2015); three were ergonomics intervention (King et al, 1997;Haukka et al, 2010;Figl-Hertlein et al, 2014); 21 were psychological intervention, including mindfulness (Hülsheger et al, 2013;Aikens et al, 2014;Shonin et al, 2014;Van Berkel et al, 2014;Allexandre et al, 2016;Crain et al, 2017), CB-based approach (Bond and Bunce, 2000;Billings et al, 2008;Sanders et al, 2011;Unsworth and Mason, 2012;Vuori et al, 2012;Bolier et al, 2014;Umanodan et al, 2014;Barbosa et al, 2015), and other psychological interventions (Waite and Richardson, 2004;Fillion et al, 2009;Feicht et al, 2013;Coffeng et al, 2014;Tuckey and Scott, 2014;Morgan and Harris, 2015;Muller et al, 2016); three were environmental intervention (Linzer et al, 2015;Stansfeld et al, 2015;Alhassan et al, 2016), two were multicomponent intervention (Russell, 2008;…”

Section: Study Characteristicsmentioning

confidence: 99%

“…We classified the interventions using either cognitive approach (e.g., cognitive reconstruction, causal attribution, among others) or behavioral approach (e.g., problem-solving, assertiveness training, among others) or both as this category. Among eight CB-based approaches, four were CBT (Bond and Bunce, 2000;Billings et al, 2008;Bolier et al, 2014;Umanodan et al, 2014), two were cognitive approach (Sanders et al, 2011;Unsworth and Mason, 2012), and two were behavioral approach (Vuori et al, 2012;Barbosa et al, 2015). Of four CBT studies, three were computer-or online-based CBT interventions (Billings et al, 2008;Bolier et al, 2014;Umanodan et al, 2014), and one was group training of ACT (Bond and Bunce, 2000).…”

Section: Cognitive Behavioral-based Approachmentioning

confidence: 99%

“…Of those, one adopted an online intervention (Unsworth and Mason, 2012), and the other adopted a group session style (Sanders et al, 2011). Both of the studies applying a behavioral approach used the assertiveness unfavorable effect,0,no effect,SWB,Int,intervention,Cont,control. training and problem-solving training by group session style (Vuori et al, 2012;Barbosa et al, 2015). Of these CB-based approaches, online-based CBT improved eudemonic well-being (positive mental health) (Bolier et al, 2014), and two behavioral approaches also increased hedonic well-being (e.g., positive affect) (Unsworth and Mason, 2012) and evaluative well-being (e.g., job satisfaction) (Sanders et al, 2011).…”

Section: Cognitive Behavioral-based Approachmentioning

confidence: 99%

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What Kind of Intervention Is Effective for Improving Subjective Well-Being Among Workers? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2020

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Objectives: This study aimed to conduct a systematic review and meta-analysis of randomized controlled trials (RCTs) to improve subjective well-being (SWB), including evaluative, hedonic, and eudemonic well-being, and the mental component of quality of life (QOL) of working population.Methods: A literature search was conducted, using PubMed, Embase, PsycINFO, and PsycARTICLES. Eligible studies included those that were RCTs of any intervention, conducted among healthy workers, measured SWB as a primary outcome, and original articles in English. Study characteristics, intervention, outcomes, and results on SWB outcomes were extracted by the investigators independently. After a brief narrative summarizing and classifying the contents of the interventions, the included outcomes were categorized into each aspect of SWB (evaluative, hedonic, and eudemonic well-being, and the mental component of QOL). Finally, the characteristics of the effective interventions for increasing each aspect were summarized, and the pooled effect of interventions on SWB was investigated by a meta-analysis. Publication bias was investigated by drawing a funnel plot and conducting Egger's test.Results: From the 5,450 articles found, 39 met the inclusion criteria for the systematic review. The interventions included in this review were classified into six categories (physical activity, ergonomics, psychological, environmental, multicomponent intervention, and others). The meta-analysis from 31 studies showed that the pooled effect of included interventions on SWB was significantly positive (standardized mean difference (SMD) = 0.51; standard error (SE) = 0.10). A funnel plot showed there were extremely large or small SMDs, and Egger's test was significant. Thus, we conducted sensitivity analysis, excluding these extreme SMDs, and confirmed that the estimated pooled effect was also significantly positive. Subgroup analyses for separate types of interventions showed the effects of psychological interventions (e.g., mindfulness, cognitive behavioral based approach, and other psychological interventions) were also significantly positive.Conclusion: The current study revealed the effectiveness of interventions for increasing SWB. Specifically, psychological interventions (e.g., mindfulness, cognitive behavioral based approach, and other psychological interventions) may be useful for improving SWB.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Cognitive Behavioral-based Approachmentioning

confidence: 99%

Section: Cognitive Behavioral-based Approachmentioning

confidence: 99%

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What Kind of Intervention Is Effective for Improving Subjective Well-Being Among Workers? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2020

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“…One systematic review (Barbosa et al 2015a), a narrative review (Lane & McGrady, 2018) and a research briefing containing a review of relevant literature (Moss & Meyer 2014) were also included. Three papers were COVID-19 specific guidance or good practice documents (British Geriatrics Society 2020; University College London 2020; World Health Organisation 2020).…”

Section: Paper Type/study Designmentioning

confidence: 99%

Supporting the resilience and retention of frontline care workers in care homes for older people: A scoping review and thematic synthesis

Johnston

Malcolm

Rambabu

et al. 2020

Preprint

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The COVID-19 pandemic has reinforced the need to ensure that strategic and operational approaches to retain high quality, resilient frontline care home workers, who are not registered nurses, are informed by context specific, high quality evidence. We therefore conducted this scoping review to address the question: What is the current evidence for best practice to support the resilience and retention of frontline care workers in care homes for older people? MEDLINE, PubMed, PsycINFO, Embase, MedRxiv, CINAHL, ASSIA, Social Science Premium were searched for literature published between 2010 and 2020. The search strategy employed combinations of search terms to target frontline care workers in care homes for older people and the key concepts relevant to resilience and retention were applied and adapted for each database. Thirty studies were included. Evidence for best practice in supporting the resilience and retention specifically of frontline care workers in care homes is extremely limited, of variable quality and lacks generalisability. At present, it is dominated by cross-sectional studies mostly from out with the UK. The small number of intervention studies are inconclusive. The review found that multiple factors are suggested as being associated with best practice in supporting resilience and retention, but few have been tested robustly. The thematic synthesis of these identified the analytical themes of - Culture of Care; Content of Work; Connectedness with Colleagues; Characteristics and Competencies of Care Home Leaders and Caring during a Crisis. The evidence base must move from its current state of implicitness. Only then can it inform intervention development, implementation strategies and meaningful indicators of success. High quality, adequately powered, co-designed intervention studies, that address the fundamentally human and interpersonal nature of the resilience and retention of frontline care workers in care homes are required.

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“…Rasmussen et al (26) find a similar trend among the same target population. Regarding the implementation concept points lacking among the users, most actions were supported by the supervisor, in line with what was "top on mind" among employees and dealt with an everyday problem (27,28). These are three highly relevant implementation concept points to cover early in an implementation process.…”

Section: Which Workplaces Use the Checklist And How?mentioning

confidence: 99%

Nation-Wide Dissemination of a Digital Checklist to Improve Work Environment in the Eldercare Sector in Denmark

Munch

Jørgensen

Højberg

et al. 2020

Front. Public Health

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In this study, we evaluated the dissemination of a digital checklist for improving implementation of work environment initiatives in the Danish eldercare sector. We evaluated the impact of the checklist using the RE-AIM framework. Initiated in 2016, researchers and relevant stakeholders were responsible for disseminating the checklist to all workplaces in the eldercare sector in Denmark through a national campaign. The checklist guided the user to define an action plan to implement, and the checklist covered 11 implementation concept points that should be addressed to reach full implementation of the action in focus. One year after the launch of the campaign almost all municipalities in Denmark had visited the website hosting the checklist (96%), 17% of individual workers within the eldercare responding to a union survey was reached, 4% (n = 199) of all eligible eldercare workplaces in Denmark and 8% of all nursing homes had adopted the checklist. Of the workplaces that used the checklist, 46% typed an action in the checklist. There were 13% of the first time users that used the checklist twice and 29% of the actions were revised (maintenance) after working with the implementation. Finally, the workplaces that had used the checklist showed a higher prioritization of work environment compared to workplaces not using the checklist both at baseline and at follow up. In conclusion, this study employing various strategies, including a 1-year national campaign to disseminate a checklist shows potential to impact implementation of work environment initiatives in the Danish eldercare sector. While dissemination is satisfactory and likely to increase further with time, more efforts is needed to ensure maintenance.

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Supporting Direct Care Workers in Dementia Care

Cited by 31 publications

References 30 publications

What Kind of Intervention Is Effective for Improving Subjective Well-Being Among Workers? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

What Kind of Intervention Is Effective for Improving Subjective Well-Being Among Workers? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Supporting the resilience and retention of frontline care workers in care homes for older people: A scoping review and thematic synthesis

Nation-Wide Dissemination of a Digital Checklist to Improve Work Environment in the Eldercare Sector in Denmark

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