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Centre for Policy on Ageing | |
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The disconnect between evidence and practice
— a systematic review of person-centred interventions and training manuals for care home staff working with people with dementia | | Author(s) | Jane Fossey, Sarah Masson, Jane Stafford |
| Journal title | International Journal of Geriatric Psychiatry, vol 29, no 8, August 2014 |
| Publisher | Wiley Blackwell, August 2014 |
| Pages | pp 797-807 |
| Source | www.orangejournal.org |
| Keywords | Dementia ; Care homes ; Person-centred care ; Training [welfare work] ; Evaluation ; Clinical surveys. |
| Annotation | The objective of the present study was to determine the availability of person-centred intervention and training manuals for dementia care staff with clinical trial evidence of efficacy. Interventions were identified using a search of electronic databases, augmented by mainstream search engines, reference lists, hand searching for resources and consultation with an expert panel. The specific search for published manuals was complemented by a search for randomised controlled trials focusing on training and activity-based interventions for people with dementia in care homes. Manuals were screened for eligibility and rated to assess their quality, relevance and feasibility. A meta-analysis of randomised controlled trials indicated that person-centred training interventions conferred significant benefits in improving agitation and reducing the use of antipsychotics. Each of the efficacious packages included a sustained period of joint working and supervision with a trained mental health professional in addition to an educational element. However of the 170 manuals that were identified, 30 met the quality criteria and only four had been evaluated in clinical trials. Despite the availability of a small number of evidence-based training manuals, there is a widespread use of person-centred intervention and training manuals that are not evidence-based. Clearer guidance is needed to ensure that commissioned training and interventions are based on robust evidence. (JL). |
| Accession Number | CPA-150529257 A |
| Classmark | EA: KW: PAA: QW: 4C: 3G |
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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