The effects of dementia care mapping on nursing home residents’ quality of life and staff attitudes: design of the quasi-experimental study Leben-QD II

BMC Geriatrics

Study Protocol

Margareta Halek¹  Martin Nikolaus Dichter¹  Tina Quasdorf¹  Christine Riesner¹  Sabine Bartholomeyczik² 

[1] German Center for Neurodegenerative Diseases (DZNE), Witten, Stockumer Straße 12, 58453, Witten, Germany;School of Nursing Science, Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany;School of Nursing Science, Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany;

关键词: Dementia;    Nursing Home;    Implementation Process;    Challenging Behavior;    Statutory Health Insurance;   

DOI  :  10.1186/1471-2318-13-53

 received in 2013-03-12, accepted in 2013-05-30,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThe main objective of care for people with dementia is the maintenance and promotion of quality of life (Qol). Most of the residents in nursing homes have challenging behaviors that strongly affect their Qol. Person-centered care (PCC) is an approach that aims to achieve the best possible Qol and to reduce challenging behaviors. Dementia Care Mapping (DCM) is a method of implementing PCC that has been used in Germany for several years. However, there are no data on the effectiveness of DCM or the challenges of implementation of DCM in German nursing homes.Methods/designIn this quasi-experimental non-randomized cluster-controlled study, the effects of DCM will be compared to 2 comparison groups. 9 nursing homes will take part: 3 will implement DCM, 3 will implement a comparison intervention using an alternative Qol assessment, and 3 have already implemented DCM. The main effect outcomes are Qol, challenging behaviors, staff attitudes toward dementia, job satisfaction and burnout of caregivers. These outcomes will be measured on 3 data points. Different quantitative and qualitative data sources will be collected through the course of the study to investigate the degree of implementation as well as facilitators of and barriers to the implementation process.DiscussionThis study will provide new information about the effectiveness of DCM and the implementation process of DCM in German nursing homes. The study results will provide important information to guide the national discussion about the improvement of dementia-specific Qol, quality of care in nursing homes and allocation of resources. In addition, the study results will provide information for decision-making and implementation of complex psychosocial interventions such as DCM. The findings will also be important for the design of a subsequent randomized controlled trial (e.g. appropriateness of outcomes and measurements, inclusion criteria for participating nursing homes) and the development of a successful implementation strategy.Trial registrationCurrent Controlled Trials ISRCTN43916381.

【 授权许可】

Unknown   
© Halek et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.