Dementia, psychogeriatrics Mental and Behavioural Disorders Unspecified dementia
Conditions
Interventions
Intervention:
Dutch Model Care plan and integrated emotion-oriented care, partly based on the validation approach, partly based on elements of other psychosocial care strategies/approaches in dementia
n = 32 caregivers per ward of 30 residents) and some of them also an advanced course (7 days
one out of 4 caregivers who passed the basic course).
The pre-experimental period was 6 months, the intervention period (actual implementation of integrated emotion-oriented care) was 7 months. Pre-
Sponsors
The Dutch Health Care Insurance Board (CVZ) (Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients: 1.1. Persons older than 65 years of age, either sex 1.2. Probable diagnosis of dementia of the alzheimer-type (DAT), mixed diagnosis of DAT and vascular dementia, amnestic syndrome and dementia syndrome not otherwise specified 1.3. In need of assistance or care 1.4. Living in nursing homes for at least one month before the start of the baseline measurement 2. Professional caregivers in the experimental group: 2.1. Certified nursing assistants that followed the course Validation-worker 2.2. First responsible nurse assistants 3. Professional caregivers in the control group: 3.1. Nurse assistants that were matched with the experimental group on education, age and work experience 3.2. Did not participate in any course of Validation-worker 4. Relatives: frequence of visiting the resident with dementia at least ones a month
Exclusion criteria
Exclusion criteria: 1. Patients: refusal to participate in the study 2. People who did not fullfil the inclusion criteria 3. People with severe physical disabilities (such as total blindness or muteness), that made adequate data collection for the effect study impossible 4. Professional caregivers: 4.1. Did not fulfil the inclusion criteria 4.2. Were not prepared to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Behaviour and mood problems as symptoms of difficulties with the cognitive, emotional and social adaptation to the consequences of the disease and nursing home admittance 2. Positive behaviour, affect and institutionalisation All measurements of this implementation effectiveness study took place at baseline and after 7 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| General health of professional caregivers: 1. Stress experience 2. Stress reactions 3. Illness 4. Sense of competence All measurements of this implementation effectiveness study took place at baseline and after 7 months. | — |
Countries
Netherlands
Outcome results
None listed