Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-19T03:33:32.796Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluating the capabilities model of dementia care: a non-randomized controlled trial exploring resident quality of life and care staff attitudes and experiences

Published online by Cambridge University Press:  10 March 2016

Wendy Moyle ,
Lorraine Venturato ,
Marie Cooke ,
Jenny Murfield ,
Susan Griffiths ,
Julian Hughes  and
Nathan Wolf
Wendy Moyle*
Affiliation:
School of Nursing & Midwifery, Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
Lorraine Venturato
Affiliation:
Faculty of Nursing, University of Calgary, Calgary, Canada
Marie Cooke
Affiliation:
School of Nursing & Midwifery, Centre for Health Practice Innovation, NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
Jenny Murfield
Affiliation:
Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
Susan Griffiths
Affiliation:
Executive, Pro Vice Chancellor (Health), Griffith University, Gold Coast Campus, Queensland, Australia
Julian Hughes
Affiliation:
Northumbria Healthcare NHS Foundation Trust and Policy, Ethics and Life Sciences (PEALS) Research Centre, Newcastle University, Newcastle-Upon-Tyne, UK
Nathan Wolf
Affiliation:
Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
*
Correspondence should be addressed to: Professor Wendy Moyle, Centre for Health Practice Innovation, Menzies Health Institute Queensland, School of Nursing & Midwifery, Griffith University, 2.10 Health Sciences (N48), 170 Kessels Road, Nathan, Brisbane, Queensland 4111, Australia. Phone: +61 (0) 7 3735 5526; Fax: +61 (0) 7 373 55431. Email: w.moyle@griffith.edu.au.
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

This 12 month, Australian study sought to compare the Capabilities Model of Dementia Care (CMDC) with usual long-term care (LTC), in terms of (1) the effectiveness of the CMDC in assisting care staff to improve Quality Of Life (QOL) for older people with dementia; and (2) whether implementation of the CMDC improved staff attitudes towards, and experiences of working and caring for the person with dementia.

Methods:

A single blind, non-randomized controlled trial design, involving CMDC intervention group (three facilities) and a comparison usual LTC practice control group (one facility), was conducted from August 2010 to September 2011. Eighty-one staff members and 48 family members of a person with dementia were recruited from these four LTC facilities. At baseline, 6 and 12 months, staff completed a modified Staff Experiences of Working with Demented Residents questionnaire (SEWDR), and families completed the Quality of Life – Alzheimer's Disease questionnaire (QOL-AD).

Results:

LTC staff in the usual care group reported significantly lower SEWDR scores (i.e. less work satisfaction) than those in the CMDC intervention group at 12 months (p = 0.005). Similarly, family members in the comparison group reported significantly lower levels of perceived QOL for their relative with dementia (QOL-AD scores) than their counterparts in the CMDC intervention group at 12 months (p = 0.012).

Conclusions:

Although the study has a number of limitations the CMDC appears to be an effective model of dementia care – more so than usual LTC practice. The CMDC requires further evaluation with participants from a diverse range of LTC facilities and stages of cognitive impairment.

Keywords

dementialong-term carenursing care managementnursing modelsquality of lifequantitative evaluationwork satisfaction
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 7 , July 2016 , pp. 1091 - 1100
Copyright
Copyright © International Psychogeriatric Association 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Astrom, S., Nilsson, M., Norberg, A., Sandman, P. O. and Winblad, B. (1991). Staff burnout in dementia care - relations to empathy and attitudes. International Journal of Nursing Studies, 28, 65–75.CrossRefGoogle ScholarPubMed
Boyle, G. (2014). Recognising the agency of people with dementia. Disability & Society, 29, 1130–1144.CrossRefGoogle Scholar
Bramble, M., Moyle, W. and Shum, D. (2011). A quasi-experimental design trial exploring the effect of a partnership intervention on family and staff well-being in long-term dementia care. Aging & Mental Health, 15, 995–1007. doi: 10.1080/13607863.2011.583625.CrossRefGoogle ScholarPubMed
Brooker, D. (2003). What is person-centred care in dementia? Reviews in Clinical Gerontology, 13, 215–222. doi: 10.1017/S095925980400108X.CrossRefGoogle Scholar
Chenoweth, L. et al. (2014). PerCEN: a cluster ranomized controlled trial of person-centred residential care and environment for people with dementia. International Psychogeriatrics, 26, 1147–1160.Google Scholar
Cooke, M., Moyle, W., Venturato, L., Walters, C. and Kinnane, J. (2014). Evaluation of an education intervention to implement a capability model of dementia care. Dementia the International Journal of Social Research and Practice, 13, 613–625. doi: 10.1177/1471301213480.Google Scholar
Clissett, P., Porock, D., Harwood, R. H., Gladman, J. R. F. (2013). The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families. International Journal of Nursing Studies, 50, 1495–1503.CrossRefGoogle ScholarPubMed
Edelman, P., Fulton, B. R., Kuhn, D. and Chang, C. H. (2005). A comparison of three methods of measuring dementia-specific quality of life: perspectives of residents, staff, and observers. The Gerontologist, 45, (Suppl. 1), 27–36. doi: 10.1093/geront/45.suppl_1.27.Google Scholar
Edvardsson, D., Fetherstonhaugh, D., McAuliffe, L., Nay, R. and Chenco, C. (2011). Job satisfaction amongst aged care staff: exploring the influence of person-centered care provision. International Psychogeriatrics, 23, 1205–1212. doi: 10.1017/s1041610211000159.CrossRefGoogle ScholarPubMed
Edvardsson, D., Sandman, P. O., Nay, R. and Karlsson, S. (2009). Predictors of job strain in residential dementia care nursing staff. Journal of Nursing Management, 17, 59–65. 10.1111/j.1365-2834.2008.00891.x.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). ‘Mini-mental state.’ A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Jorm, A. F. et al. (1995). The psychogeriatric assessment scales: A multi-dimensional alternative to categorical diagnoses of dementia and depression in the elderly. Psychological Medicine, 25, 447–460.Google Scholar
Kirkley, C., Bamford, C., Poole, M., Arksey, H., Hughes, J. and Bond, J. (2011). The imapact of organisational culture on the delivery of person-centred care in services providing respite care and short breaks for people with dementia. Health and Social Care in the Community, 19, 438–448.Google Scholar
Logsdon, R., Gibbons, L., McCurry, S. and Teri, L. (1999). Quality of life in Alzheimer's disease: patient and caregiver reports. Journal of Mental Health and Aging, 5, 21–32.Google Scholar
Logsdon, R., Gibbons, L., McCurry, S. and Teri, L. (2002). Assessing quality of life in older adults with cognitive impairment. Psychosomatic Medicine, 64, 510–519. doi: 10.1097/00006842-200205000-00016.Google Scholar
McCormack, B. (2004). Person-centredness in gerontological nursing: an overview of the literature. Journal of Clinical Nursing, 13, 31–38. doi: 10.1111/j.1365-2702.2004.00924.x.CrossRefGoogle ScholarPubMed
McCormack, B. et al. (2010). Developing person-centred practice: nursing outcomes arising from changes to the care environment in residential settings for older people. International Journal of Older People Nursing, 5, 93–107. 10.1111/j.1748-3743.2010.00216.x.Google Scholar
Moyle, W., Cooke, M., O'Dwyer, S. T., Murfield, J., Johnston, A. and Sung, B. (2013a). The effect of foot massage on long-term care staff working with older people with dementia: a pilot, parallel group, randomized controlled trial. BMC Nursing, 12, 5. doi: 10.1186/1472-6955-12-5.Google Scholar
Moyle, W., Fetherstonhaugh, D., Greben, M., Beattie, E. and the AusQoL group. (2015). Influencers on quality of life as reported by people living with dementia in long-term care: a descriptive exploratory approach. BMC Geriatrics, 15:50. doi 10.1186/s12877-015-0050-z.Google Scholar
Moyle, W., Gracia, N., Murfield, J. E., Griffiths, S. G. and Venturato, L. (2012a). Assessing quality of life of older people with dementia in long-term care: a comparison of two self-report measures. Journal of Clinical Nursing, 21, 1632–1640. doi: 10.1111/j.1365-2702.2011.03688.x.CrossRefGoogle ScholarPubMed
Moyle, W. et al. (2014). Dementia and its influence on quality of life and what it means to be valued: family members' perceptions. Dementia (London), 13, 412–425. doi: 10.1177/1471301212474147.Google Scholar
Moyle, W., Murfield, J. E., Griffiths, S. G. and Venturato, L. (2011a). Care staff attitudes and experiences of working with older people with dementia. Australasian Journal on Ageing, 30, 186–190. doi: 10.1111/j.1741-6612.2010.00470.x.Google Scholar
Moyle, W., Murfield, J. E., Griffiths, S. G. and Venturato, L. (2012b). Assessing quality of life of older people with dementia: a comparison of quantitative self-report and proxy accounts. Journal of Advanced Nursing, 68, 2237–2246. doi: 10.1111/j.1365-2648.2011.05912.x.Google Scholar
Moyle, W., Venturato, L., Cooke, M., Hughes, J., van Wyk, S. and Marshall, J. (2013b). Promoting value in dementia care: staff, resident and family experience of the capabilities model of dementia care. Aging & Mental Health, 17, 587–594. doi: 10.1080/13607863.2012.758233.Google Scholar
Moyle, W. et al. (2011b). Factors influencing quality of life for people with dementia: a qualitative perspective. Aging & Mental Health, 15, 970–977. doi: 10.1080/13607863.2011.583620.Google Scholar
Nussbaum, M. C. (2000). Women and Human Development: The Capabilities Approach. New York: Cambridge University Press.CrossRefGoogle Scholar
Pashby, P., Hann, J. and Sunico, M. E. (2009). Dementia care planning: shared experience and collaboration. Journal of Gerontological Social Work, 52, 837–848. doi: 10.1080/01634370903088051.Google Scholar
Robertson, A., Gilloran, A., McGlew, T., McKee, K., McKinley, A. and Wight, D. (1995). Nurses' job satisfaction and the quality of care received by patients in psychogeriatric wards. International Journal of Geriatric Psychiatry, 10, 575–584. doi: 10.1002/gps.930100708.CrossRefGoogle Scholar
Vernooij-Dassen, M., Vasse, E., Zuidema, S., Cohen-Mansfield, J. and Moyle, W. (2010). Psychosocial interventions for dementia patients in long-term care. International Psychogeriatrics, 22, 1121–1128. doi: 10.1017/s1041610210001365.Google Scholar
Zimmerman, S. et al. (2005). Attitudes, stress, and satisfaction of staff who care for residents with dementia. Gerontologist, 45 (Suppl. 1), 96–105.Google Scholar