Management of distress for people with dementia on NHS mental health wards Mental and Behavioural Disorders
Conditions
Interventions
A co-designed, standardised music therapy protocol (MELODIC) will be developed in the first 8 months of the project. This will be tested and refined through a feasibility study on two wards with diffe
Sponsors
Anglia Ruskin University
Cambridgeshire and Peterborough NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for the qualitative study are: 1. Direct or indirect (through family and close friends) experience of inpatient mental health dementia wards in the last five years to capture current experiences 2. The ward was part of the NHS, with private care excluded 3. The ward came under NHS mental health provision, with wards situated within general health hospitals excluded 4. The ward was for people with dementia (sometimes called organic) only, with wards caring for people with other mental health illnesses and dementia together excluded 5. The participant must be able to speak English 6. No geographical restrictions within the UK Inclusion criteria for the feasibility study are: The mental health dementia ward will be purposively sampled. It must meet the above criteria for dementia wards. All patients, staff and families on the ward are eligible to participate.
Exclusion criteria
Exclusion criteria: Exclusion criteria related to the setting the participant had experience of: 1. Mental health ward not in the NHS 2. Dementia ward within an acute NHS Trust 3. Dementia ward in community nursing or residential care home
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The feasibility of intervention delivery and the research methods will be measured by: 1. Intervention adherence measured through interventionist diaries completed during the intervention period, collected post-intervention 2. Recruitment rate recorded as the number of eligible participants who consent to participate in the study by 4 months 3. Data completeness for quantitative outcome measures across all four timepoints (4 weeks before, baseline, endpoint, 4 weeks follow-up) 4. Training needs and requirements assessed through interviews conducted post-intervention 5. Costs of intervention delivery calculated post-intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Initial impact of MELODIC for patients, staff, families and the ward measured by: 1.1. Realist interviews post-intervention 1.2. Patient standardised questionnaires (4 weeks before, baseline, endpoint, 4 weeks follow-up): 1.2.1. Distress measured by the Neuropsychiatric Inventory and the Cohen-Mansfield Agitation Inventory 1.2.2. Quality of life measured by Quality of Life in Alzheimer’s Disease 1.3. Staff standardised questionnaires (4 weeks before, baseline, endpoint, 4 weeks follow-up): 1.3.1. Job satisfaction measured by Job Satisfaction Index 1.3.2. Burnout measured by the Maslach Burnout Inventory 1.3.3. Attitudes of hope and personhood in dementia measured by the Approaches to Dementia Questionnaire 1.4. Family standardised questionnaires (4 weeks before, baseline, endpoint, 4 weeks follow-up): 1.4.1. Attitudes of hope and personhood in dementia measured by Approaches to Dementia Questionnaire 1.4.2. Mental health measured by the General Health Questionnaire 1.5. Ward level outcomes (4 weeks before, 4 weeks during, 4 weeks after intervention): psychotropic medication use; physical assaults, seclusion, mortality, restraint, staff absence, number of bank/agency staff, patient length of stay, discharge destination 2. Refinement of the MELODIC Music therapy intervention protocol | — |
Countries
England, United Kingdom
Contacts
Public ContactNaomi Thompson
Outcome results
None listed