Organic, including symptomatic, mental disorders Mental and Behavioural Disorders
Conditions
Interventions
RESEARCH PLAN AND METHODS
Please note:
The research team will recruit one PDRA for 20 months (0.8) and 2 RA's for 12 months (0.6% to complete intervention activities in the care homes: staff training
Sponsors
University of Lincoln
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Care homes: 1. Residential or nursing home 2. Provides care to people with dementia 3. Has a minimum of 20 beds to facilitate recruitment of a sufficient number of residents in each care home Residents: 1. Consent to take part (personal or via consultation) Additional inclusion criteria for residents taking part in the COG-D assessment: 1. Can communicate well enough in English to not require an interpreter 2. Vision/hearing (with correction) adequate to participate in COG-D assessment 3. Deemed well enough by staff/researcher to complete the assessment by a member of staff or the assessor Care home staff: 1. Permanent, contracted, agency or bank member of staff at the time of data collection 2. Provide consent 3. Have sufficient proficiency in English to contribute to the data collection required for the research
Exclusion criteria
Exclusion criteria: Care homes: 1) Have already used COG-D 2) Subject to Care Quality Commission enforcement notices Local Authority quality concerns Residents: 1. Receiving end-of-life care. Care home staff: 1. Acting as a consultee for any residents participating in the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect signals of the COG-D intervention for residents will be investigated with the following (proxy) measures: 1. Quality of Life (QUALID) 2. Agitation (CMAI) 3. Independence on activities in daily living (BADLS) 4. Health Cost/resource usage (ED-5D-5L and medical records). For care staff, signals of effects will be explored for: 1. Sense of Competence in dementia care (SCIDS) 2. Burnout (CBI) 3. Understanding of COG-D and cognition (COG-D Q) All measures will be collected at baseline, and at 6 and 9 months post-randomisation. Pathways to the impact of the COG-D in care homes will be investigated in a process evaluation, exploring context and mechanisms of impact in interviews/focus groups with residents, staff, and family/relatives. Interviews will take place after the last collection of candidate outcome measures. | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
United Kingdom
Outcome results
None listed