The impact of the Dementia ABC educational programme on competence in person‐centred dementia care and job satisfaction of care staff

Rokstad, Anne Marie Mork; Døble, Betty Sandvik; Engedal, Knut; Kirkevold, Øyvind; Benth, Jūratė Šaltytė; Selbæk, Geir

doi:10.1111/opn.12139

Cited by 18 publications

(13 citation statements)

References 22 publications

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“…Person-centred care can be taught to staff and increases job-satisfaction (602). The STAR (Staff Training in Assisted-living Residences) study was a pilot intervention with only limited evidence but initial positive results (302).…”

Section: Care Homes and Assisted Livingmentioning

confidence: 99%

Dementia prevention, intervention, and care

et al. 2017

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People with dementia are usually older, often have co-morbidities and may need help in coping with these illnesses. A third of older people now die with dementia and all professionals working in endof-life care need to make this a central part of their planning and communication. In this commission, we have detailed evidence-based approaches to dementia and its symptoms. Services should be available, scalable and give value. As there are limited resources, professionals and services need to use what works, not use what is ineffective, and be aware of the difference. Overall, there is good potential for prevention and, once someone develops dementia, for care to be high-quality, accessible, and give value to an under-served, growing population. Effective dementia prevention and care could transform the future for society and vastly improve living and dying for individuals with dementia and their families. Acting now on what we already know can make this difference happen. Key Messages 1 There are increasing numbers of people with dementia globally although incidence in some countries has decreased. 2 Be ambitious about prevention: We recommend energetically treating hypertension in middle aged and older people without dementia to reduce dementia incidence. Interventions for other risk factors, including more childhood education, exercise, maintaining social engagement, reducing smoking, and management of hearing loss, depression, diabetes and obesity; may have the potential of delaying or preventing a third of dementias. 3 Treat cognitive symptoms: To maximise cognition, people with Alzheimer's dementia or Dementia with Lewy Bodies should be offered Cholinesterase Inhibitors (ChEIs)at all stages, or memantine for severe dementia. ChEIs are not effective in Mild Cognitive Impairment. 4 Individualise dementia care: Good dementia care spans medical, social and supportive care, should be tailored to unique individual and cultural needs, preferences, priorities, and should incorporate support for the family carers 5 Care for family carers. Family carers are at high risk of depression. Effective interventions reduce the risk and treat the symptoms, include START (Strategies for Relatives) or REACH (Resources for Enhancing Alzheimer's Caregiver Health intervention) and should be made available. 6 Plan for the future. People with dementia and their families value discussions about the future and decisions about possible attorneys to make decisions. Clinicians should consider capacity to make different types of decisions at diagnosis. 7 Protect people with dementia. People with dementia and society require protection from possible risks of the condition, including self-neglect, vulnerability including to exploitation, managing money, driving or using weapons. Risk assessment and management at all stages of the disease is essential but it should be balanced against the persons' right to autonomy. 8 Manage neuropsychiatric symptoms. Management of the neuropsychiatric symptoms of dementia including agitation, low mood or psyc...

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Section: Care Homes and Assisted Livingmentioning

confidence: 99%

Dementia prevention, intervention, and care

et al. 2017

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“…Lack of dementia education impacts quality of services (Broughton et al, 2011), and hinders healthcare providers' abilities to provide care (Adler et al, 2015;Broughton et al, 2011;Cary, 2009;Gandesha, 2012;Hallberg et al, 2016). Dementia education can improve knowledge (Arnautovska, Roleda, Jackson, & Pachana, 2016;Boise et al, 1999;Broughton et al, 2011;Cody, Beck, Shue, & Pope, 2002;Eggenberger, Heimerl & Bennet, 2013;Elliot et al, 2012;Fossey et al, 2014;Gandesha, 2012;Harvey, Hovarth, Levine, & Volicer, 2006;Mitchell, Meader, & Pentzek, 2011;Spector, Revolta, & Orrell, 2016), clinical practice (Brody & Galvin, 2013;Spector, Orrell, Goyder, 2013;Zients at al., 2007;Galvin, Meuser, Boise, & Connell, 2011), increase confidence and skill (Boise et al, 1999;Broughton et al, 2011;Gandesha, 2012), encourage better coordinated care (Buhler et al, 2011), increase adherence to best practice guidelines (Galvin, Meuser, Boise, & Connell, 2011), improve attitudes (Manthorpe et al, 2003;Sizemore, Vicioso, Lothrop, & Rubin, 1998), and reduce diagnostic uncertainty (Broughton et al, 2011;Harvey, et al, 2006;Rokstad et al, 2016).…”

Section: Reviewmentioning

confidence: 99%

Digital tools for delivery of dementia education for health-care providers: a systematic review

Scerbe

O’Connell

Astell

et al. 2019

Educational Gerontology

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Continuing education on dementia for healthcare providers has been shown to have positive effects on diagnostic confidence, knowledge, and care management. Technological approaches to educational delivery have been found to have comparable effects in terms of quality and efficacy. The purpose of the systematic review was to compose and present an evidence base for technology-delivered dementia education for healthcare providers. The review used PRISMA guidelines and Cochrane methods focusing on studies with a pre-and post-intervention evaluation. Technology-based delivery of dementia education was broadly defined as any technology-based medium delivered in real time or asynchronously. Ten studies were identified and analyzed using content analysis. The review revealed positive outcomes post-intervention, for dementia knowledge, readiness to change, receptiveness to training, communication skills, and self-efficacy. Studies were rated as medium to high quality on a scale for measurement of published data in research, and there was generally an unknown risk of bias due to a lack of a control group in most studies (N = 7). The findings revealed benefits of digitally-based, asynchronous continuing education for healthcare providers, which allow schedule flexibility and the ability to deliver remotely. Findings also revealed benefits of presentations using a variety of interactive educational materials via videos, voice recordings, textual medium and online discussion groups. Suggestions for intervention improvements include tailoring training for the specific needs and knowledge levels of healthcare practitioners and using validated scales to measure outcomes.

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“…During this pandemic, several publications have shown results corroborating the effectiveness of virtual support, while others have noted their shortcomings ( 10 , 23 , 24 ). However, evidence on the socio-economic difficulties of low- and middle-income countries increasingly points to the use of strategies of this type.…”

Section: Discussionmentioning

confidence: 99%

“…Some chronic non-communicable diseases (CNCDs), such as dementia with different etiologies, require coping strategies be developed in LMICs, given the clinical course of patients and high morbidity associated with these processes ( 3 , 4 ). Virtual support programs seem promising and simple, low-cost non-pharmacological interventions have shown positive results ( 10 ). This pilot study sought to determine the utility of a virtual non-pharmacological education and support program for caregivers of dementia patients.…”

Section: Introductionmentioning

confidence: 99%

Virtual Support in Dementia: A Possible Viable Strategy for Caregivers

Ferretti

Nitrini

2021

Front. Neurol.

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Background: In the last 10 months, due to the Covid-19 pandemic, several studies have shown that health education and virtual support strategies for caregivers of patients with dementia, in the management of home care, can be viable. Low and middle income countries, in particular, have sought to use these means to reduce the daily burden of caregivers, through virtual meetings of education and support.Objectives: To present the feasibility of a pilot study on the use of a support action contemplated by the Caad Project–indirect costs of dementia–from HC-FMUSP.Methods: Observational study in which 93 caregivers were invited to participate in virtual meetings on a frequency of three times/week, lasting 1 h each.Results: Of the 93 invited family members, and after 3 months, 42 answered eight questions about the effectiveness of the action. High percentages of positive responses regarding program satisfaction ranged from 86 to 100%.Conclusion: This study showed results of a very simple intervention that suggests that it is possible to offer caregivers of patients with dementia a program that can be used in primary care, in order to understand the difficulty of caregivers in their daily care of patients with dementia, with daily management guidelines on a case-by-case basis, in addition to promoting the implementation of an education strategy about the importance of knowing, and recognizing anatomophysiological changes in the aging process and its implications for the rupture of the imaginary line that involves senescence and senility. This allows the caregiver to feel able to protect his patient and himself by preventing the emergence of common diseases in this age group. Further studies are needed to explore this type of non-pharmacological support.

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The impact of the Dementia ABC educational programme on competence in person‐centred dementia care and job satisfaction of care staff

Abstract: The results indicate that a multicomponent training programme including written material, multidisciplinary reflection groups and workshops has a positive impact on the development of person-centred care practice and the job satisfaction of care staff.

Cited by 18 publications

References 22 publications

Dementia prevention, intervention, and care

Dementia prevention, intervention, and care

Digital tools for delivery of dementia education for health-care providers: a systematic review

Virtual Support in Dementia: A Possible Viable Strategy for Caregivers

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