Engagement in activity, quality of life and quality of care for older people in residential care homes in the UK. Signs and Symptoms
Conditions
Interventions
ARCH is programme designed to increase opportunities for residents in care homes to engage in meaningful activities. It takes a whole systems approach addressing environmental, organisational and indi
organisational structure
staff approach and social environment
and physical environment ? with the overall aim of increasing opportunities for residents to engage in activity.
A bespoke training programme, based on the findings from the macro ass
Sponsors
St George's, University of London and St George's Healthcare NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Residential care homes: 1. Supports individuals aged over 65 2. Has a dementia specific unit or includes persons with dementia 3. Located a minimum of 1.5 hrs travel time from the St John?s Therapy Centre, Clapham Junction Care home residents: 1. Be living in a residential care home taking part in the study 2. Aged over 65 3. Willing to participate in the study Care home staff: 1. Should have been employed at the care home for a minimum of three months at the time of recruitment in a careworker role 2. Willing to participate Family members: 1. Relative of a resident participating in the study and willing to participate.
Exclusion criteria
Exclusion criteria: Care homes: 1. Has onsite nursing, physiotherapy or occupational therapy provision 2. Is undergoing any enforcement actions by the Care Quality Commission (CQC) as detailed in their most recent inspection report 3. Is under current investigation by the CQC or embargo from social services 4. Is involved in other research activities Care home residents: 1. Are unable to be cared for out of bed 2. Unable to maintain a seated upright position 3. Are unable to follow simple commands due to severe cognitive impairment Care home staff: 1. Staff members not engaged in care worker role
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Dementia Care Mapping (Brooker, 2005): an observational technique developed by the Bradford Dementia Group which evaluates quality of care and quality of life from the perspective of the person with dementia. It also captures information about levels of activity. 2. Pool Activity Level Checklist (Pool, 2012): measures the ability of residents to engage in activity and is completed by carers/care home staff. 3. Assessment of Physical Activity in Frail Older People (Hauer, Lord, Lindemann, Lamb, & Aminian, 2011): an interview administered subjective assessment of physical activity, mobility and function, designed and validated specifically for frail older people with and without mild to moderate cognitive impairment. 4. EQ-5D-5L (Dolan, Gudex, Kind, & Williams, 1995): measures of health related quality of life and can be administered as a self completion questionnaire or via interview. Information collected by this measure is used to inform the evaluation of cost-effectiveness also. 5. Review of care home records in order to document: any adverse events arising from the programme e.g. falls or injuries;residents? health service utilisation e.g. number of ambulance service call outs, GP appointments and hospital admissions,any changes in medication usage. | — |
Secondary
| Measure | Time frame |
|---|---|
| Semi-structured interviews with residents, staff and family members to explore their experiences, opinions and perceptions of the programme. | — |
Countries
United Kingdom
Outcome results
None listed