Dementia Mental and Behavioural Disorders Dementia
Conditions
Interventions
Care Homes will be randomly allocated to either receive PROCUIDA-Demencia or Treatment as Usual (TAU) using secure web access to the remote randomisation centre at Instituto Nacional de Geriatria in M
Sponsors
British Academy
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Care Home inclusion criteria will include: 1. A 20% of residents suspected with a diagnosis of neurodegenative disease (DSM-V criteria) of mild to mild stages (Clinical Dementia Rating/CDR) 2. Care Homes which are not taking similar training on Psychosocial Interventions or who are currently reviewing Antipsychotic Medication 3. Care Homes with at least one spacious and ventilated room designated for PROCUIDA-Dementia Study activities 4. Care Homes with manager and proprietor willing to be involved in the programme and allow staff to take part in the training 5. Psychologist and GP to support residents in case a crisis 6. Health and safety protocols in place Residents Inclusion Criteria: 1. Residents living permanently in the care home 2. Dementia diagnosis 3. SPPB screening measure, cut off point 10 to prevent risk of falls 4. Informed consent to take part in the study 5. Participants must speak and understand Spanish, alternative English consent forms will be given if the participant is not Spanish-native speaker 6. Preferably on current antipsychotic medication prescription Staff Inclusion Criteria: 1. Consent to participate in the PROCUIDA-Dementia study 2. Available to the three day staff training delivered by the PIs to ensure that the interventions are being implemented in the care homes 3. Commitment to support the study whether or not allocated to intervention or control group for 24 weeks. Staff willing to facilitate musical and dancing sessions do not require professional dance/musical experience, but a rhythmic response to music is required. Relatives Inclusion Criteria: 1. Consent to participate in the PROCUIDA-Dementia activities organised by the care home 2. Consent to participate in the Focus Groups targeting family members at the end of the study 3. Visit at least once a month, in order to witness the staff-resident intervention activities 4. Read/Speak Spanish
Exclusion criteria
Exclusion criteria: Care homes: 1. Without dementia patients 2. Without psychologist and GP Residents: 1. Not able to verbally communicate 2. Without consent/informed consent 3. Risk of falls (score 10 on SPPB) Staff 1. Without consent/informed consent 2. Agency staff
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Quality of Life is measured by applying the the Quality of Life-Alzheimer’s Disease (QoL-AD) questionnaire at baseline, 12 and 24 weeks 2. Cognition is measured by using the Addenbrooke’s Cognitive Examination Revised (ACE-R) at baseline, 12 and 24 weeks 3. Behaviour is measured by using the Neuropsychiatry Inventory-Nursing Home (NPI-NH) at baseline, 12 and 24 weeks 4. Burnout is measured using Maslach Burnout Inventory (MBI) at baseline, 12 and 24 weeks 5. Staff attitudes towards people with Dementia is measured by applying using the Approaches to Dementia Questionnaire (ADQ) at baseline, 12 and 24 weeks 6. Care staff’s sense of competence is measured by using the Sense of Competence in Dementia Care (SCIDS) questionnaire at baseline, 12 and 24 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures. | — |
Countries
Mexico
Contacts
Public ContactSara Torres-Castro
Outcome results
None listed