The effects of a restraint minimisation education programme on physical restraints use, staff knowledge, attitudes and perceived job strain

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN36604462

Enrollment

320

Registered

2008-06-12

Start date

2005-02-01

Completion date

Unknown

Last updated

2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Use of physical restraints in group dwellings. Mental and Behavioural Disorders Unspecified dementia

Interventions

The intervention consisted of an education programme for the nursing staff (registered nurses, licensed practical nurses and nurse aid). The content of the programme included dementia diseases, sympto

they did receive interventions after the study was completed.

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Residents (both men and women) living in group dwellings for persons with dementia, which have at least 20% of the residents restrained.

Exclusion criteria

Exclusion criteria: Units with less than 20% of the residents restrained.

Design outcomes

Primary

Measure	Time frame
Residents: 1. Physical restraints were recorded daily for each patient, for three weeks before interventions, and then until the end of interventions (6 months). The information recorded include type of physical restraints used, hours restrained and reasons for restraining. Outcomes concerning staff, measured before interventions and at 6 months: 1. Staff knowledge about current legislation, measured by a seven-item index score ranging between 0-7 (higher values indicate higher knowledge) 2. Staff subjective knowledge relating to care of people with dementia, measured by a visual analogue scale (VAS) 3. Staff attitudes, measured by the 17-item Perceptions of Restraint Use Questionnaire (PRUQ) 4. Job strain, measured by three instruments: 4.1. The Job-Demand and Social Support Questionnaire 4.2. Stress of Conscience Questionnaire 4.3. Caring climate, measured by a VAS	—

Measure

Time frame

Residents: 1. Physical restraints were recorded daily for each patient, for three weeks before interventions, and then until the end of interventions (6 months). The information recorded include type of physical restraints used, hours restrained and reasons for restraining. Outcomes concerning staff, measured before interventions and at 6 months: 1. Staff knowledge about current legislation, measured by a seven-item index score ranging between 0-7 (higher values indicate higher knowledge) 2. Staff subjective knowledge relating to care of people with dementia, measured by a visual analogue scale (VAS) 3. Staff attitudes, measured by the 17-item Perceptions of Restraint Use Questionnaire (PRUQ) 4. Job strain, measured by three instruments: 4.1. The Job-Demand and Social Support Questionnaire 4.2. Stress of Conscience Questionnaire 4.3. Caring climate, measured by a VAS

—

Secondary

Measure	Time frame
Outcomes concerning residents: 1. Fall accidents, recorded during the whole study period (8 months [1 month prior to interventions, 6 months during interventions and 1 month after interventions) 2. Psychoactive drug use, assessed before interventions and at 6 months 3. Motor function, vision, hearing and speech, assessed by the Multi-Dimensional Dementia Assessment Scale (MDDAS) before interventions and at 6 months. MDDAS included the Activity of Daily Living (ADL) functions and behavioural and psychiatric symptoms questionnaire. Gottfries cognitive level questionnaire (subscale to the MDDAS) was used for the measurement of cognitive level. Staff characteristics: 4. Demography 5. Education level 6. Years worked 7. Evaluation of the intervention, carried out within one week after the end of intervention	—

Measure

Time frame

Outcomes concerning residents: 1. Fall accidents, recorded during the whole study period (8 months [1 month prior to interventions, 6 months during interventions and 1 month after interventions) 2. Psychoactive drug use, assessed before interventions and at 6 months 3. Motor function, vision, hearing and speech, assessed by the Multi-Dimensional Dementia Assessment Scale (MDDAS) before interventions and at 6 months. MDDAS included the Activity of Daily Living (ADL) functions and behavioural and psychiatric symptoms questionnaire. Gottfries cognitive level questionnaire (subscale to the MDDAS) was used for the measurement of cognitive level. Staff characteristics: 4. Demography 5. Education level 6. Years worked 7. Evaluation of the intervention, carried out within one week after the end of intervention

—

Countries

Sweden

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026