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Centre for Policy on Ageing | |
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PerCEN
— a cluster randomized controlled trial of person-centred residential care and environment for people with dementia | | Author(s) | Lynn Chenoweth, Ian Forbes, Richard Fleming |
| Journal title | International Psychogeriatrics, vol 26, no 7, July 2014 |
| Publisher | Cambridge University Press, July 2014 |
| Pages | pp 1147-1160 |
| Source | journals.cambridge.org/ipg |
| Keywords | Dementia ; Aggression ; Care homes ; Person-centred care ; Physical environment ; Quality of life ; Clinical surveys ; Australia. |
| Annotation | There is good evidence of the positive effects of person-centred care (PCC) on agitation in dementia. In the present study it was hypothesised that a person-centred environment (PCE) would achieve similar outcomes by focusing on positive environmental stimuli, and that there would be enhanced outcomes by combining PCC and PCE. 38 Australian residential aged care homes with scope for improvement in both PCC and PCE were stratified, then randomised to one of four intervention groups: (1) PCC; (2) PCE; (3) PCC +PCE; (4) no intervention. People with dementia, over 60 years of age and consenting were eligible to take part. Co-outcomes assessed pre and four months post-intervention and at eight months follow-up were resident agitation, emotional responses in care, quality of life and depression, and care interaction quality. From 38 homes randomised, 601 people with dementia were recruited. At follow-up the mean change for quality of life and agitation was significantly different for PCE and PCC, compared with the non-intervention group. Quality of life improved non-significantly for both PCC and PCE, but not for agitation. Improvements in care interaction quality and in emotional responses to care in PCC and PCE were not observed in the other groups. Depression scores did not change in any of the groups. Intervention compliance for PCC was 59%, for PCE 54% and for PCC and PCE 66%. The hypothesis that PCC and PCE would improve quality of life and agitation even further was not supported, even though there were improvements in the quality of care interactions and resident emotional responses to care for some of this group. (JL). |
| Accession Number | CPA-150529303 A |
| Classmark | EA: EPB: KW: PAA: R: F:59: 3G: 7YA |
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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