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Centre for Policy on Ageing | |
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| A cluster randomised controlled trial to reduce the unmet needs of people with dementia living in residential care | | Author(s) | Martin Orrell, Geraldine Hancock, Juanita Hoe |
| Journal title | International Journal of Geriatric Psychiatry, vol 22, no 11, November 2007 |
| Pages | pp 1127-1134 |
| Source | http://www.interscience.wiley.com |
| Keywords | Dementia ; Residents [care homes] ; Needs [elderly] ; Cluster analysis ; Clinical surveys ; London ; Wales ; Manchester. |
| Annotation | Older people with dementia living in residential care have complex unmet needs and decreased quality of life. A single blind, multicentre, cluster randomised controlled trial recruited 238 people aged 60+ with dementia living in 24 residential homes from three areas (10 London, 8 North Wales, and 6 Manchester). Unmet needs were measured by the Camberwell Assessment of Needs for the Elderly (CANE) and quality of life using the Quality of Life in Alzheimer's Disease (QoL-AD). Homes were randomised to the control (care as usual) or the intervention, 1 hour per week liaison input per home to deliver a personalised intervention package over 20 weeks to meet the unmet needs. A single blind follow-up included 192 (61%) available participants. At follow-up, the total number of unmet needs was reduced in both groups, but analysing the groups by clusters there were no significant differences in either unmet needs or quality of life. The CANE can identify unmet needs; and while the assessment may have led to unmet needs being reduced at follow-up, the liaison intervention did not significantly reduce unmet needs relative to the control group. Unmet needs such as sensory problems, mobility, drugs, and psychological distress were especially reduced in the intervention group at follow-up. (RH). |
| Accession Number | CPA-071206222 A |
| Classmark | EA: KX: IK: 3YB: 3G: 82L: 9: 83E |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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