None listed
Conditions
Brief summary
Aims: - To determine whether the Integrated Cognitive & Sensory Program (ICSP) can reduce behavioural and psychological symptoms experienced by residents living in a nursing home. - To explore care staffs’ experience during the program, including changes in knowledge and behaviour used to address behavioural and psychological symptoms of residents. Hypotheses: For residents: 1. The ICSP will reduce the levels of agitation, anxiety, irritability, apathy and occupational disruptiveness. 2. The ICSP will reduce the levels of total behavioural and psychological symptoms. These will be demonstrated by the change in mean scores of the Neuropsychiatric Inventory-Nursing Home Version completed before and after intervention. For care staff: 1. Care staff will demonstrate an increase in knowledge of the cognitive, sensory and trauma-related needs of residents. 2. Care staff will demonstrate positive changes in their ability to identify, anticipate and address resident's behavioural and psychological symptoms. These will be demonstrated by a pre and post intervention knowledge questionnaire, as well as group interviews/ focus groups and auditing care files.
Interventions
Arm 1- residents:
- detailed assessment of cognitive abilities, sensory preferences and life and trauma history. Cognitive abilities assessed with Large Allen’s Cognitive Level Screen (LACLS); sensory preferences and life and trauma history by questionnaire.
- tailored care planning using the information from above assessments, with the objective of providing strategies for staff to use to prevent and manage behavioural and psychological symptoms during activities of daily living.
- duration o
Arm 1- residents: - detailed assessment of cognitive abilities, sensory preferences and life and trauma history. Cognitive abilities assessed with Large Allen’s Cognitive Level Screen (LACLS); sensory preferences and life and trauma history by questionnaire. - tailored care planning using the information from above assessments, with the objective of providing strategies for staff to use to prevent and manage behavioural and psychological symptoms during activities of daily living. - duration of intervention: 4 months. - mode of administration: one-on-one consultation. - person administering intervention: occupational therapist. Arm 2- paid caregivers: - education program which aims to increase their understanding of functional cognition according to the Allen’s Cognitive Disability Model; sensory modulation principles and interventions; and how to adjust caregiving according to individual residents’ life and trauma experiences. - weekly micro training sessions where information from resident assessments is shared and strategies developed for issues in care. The objective of this is to provide strategies for staff to use to prevent and manage behavioural and psychological symptoms during activities of daily living. - duration of intervention: 4 months. - mode of administration: one-on-one consultation. - person administering intervention: occupational therapist. Only staff intervention will require monitoring for adherence. Descriptive counts will be kept of the training sessions, durations, and topics covered, and staff attendance at training. Staff will be invited to participate in group interviews and a care file audit will also be conducted to explore other behaviour changes and the frequency and type of interventions offered by staff to residents.
Sponsors
Associate Professor Lee-Fay Low
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Residents: live in the Randwick Nursing Home of SMMJH; they or their person responsible are able to read and communicate in the English language; consent to participate. Caregivers: work in the Randwick Nursing Home of SMMJH; are able to read, write and communicate in the English language; consent to participate.
Exclusion criteria
Residents: refusal to participate/withdrawal from study; death. Caregivers: refusal to participate/withdrawal from study; cease employment in the Nursing Home.
Outcome results
None listed