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Centre for Policy on Ageing | |
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Improving patient-centered care for people with dementia in medical encounters
— an educational intervention for old age psychiatrists | | Author(s) | Louise Robinson, Claire Bamford, Ruth Briel |
| Journal title | International Psychogeriatrics, vol 22, no 1, February 2010 |
| Pages | pp 129-138 |
| Source | http://www.journals.cambridge.org/ipg doi:10.1017/S1041610209990482 |
| Keywords | Dementia ; Patients ; Reasoning ; Management [care] ; Psychiatrists ; Communication ; In-service training ; Evaluation. |
| Annotation | Health care professionals are recommended to deliver patient-centred care in dementia; however, guidance and training on how to do this in practice is currently lacking. The aim of this study was to develop and evaluate pragmatically an educational intervention for old age psychiatrists to promote patient-centred care in their consultations with people with dementia and their carers. The authors used a range of methods to (i) identify the theoretical components of patient-centred care (literature review); and (ii) observe actual practice (video recording of 53 consultations between old age psychiatrists and people with dementia and their family carers). They also interviewed participants from (ii) including 7 old age psychiatrists, 25 people with dementia and 44 carers. From this, the authors developed a workshop for old age psychiatrists, which they piloted and evaluated. Pre- and post-workshop questionnaires were completed; the latter included an assessment of planned and subsequent behaviour change by participants. The educational workshop, attended by 41 old age psychiatrists, focused on how best to structure the consultation and the most effective communication skills to use in consultation with people with dementia. Three months after the workshop, 59% had made one or more changes to the structure of their consultations, 71% had used new communication skills and 56% had reflected further on their practice. The researchers developed an educational intervention with both a theoretical and empirical basis. The workshops resulted in many changes to self-reported practice; whether this was noticeable to patients and carers requires further study. (KJ/RH). |
| Accession Number | CPA-100310204 A |
| Classmark | EA: LF: DC: QA: QT9: U: QWD: 4C |
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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