The study protocol of a cluster-randomised controlled trial of family-mediated personalised activities for nursing home residents with dementia

Journal article


van de Ploeg, Eva, Camp, Cameron J., Eppingstall, Barbara, Runci, Susannah J. and O'Connor, Daniel William. (2012) The study protocol of a cluster-randomised controlled trial of family-mediated personalised activities for nursing home residents with dementia. BMC Geriatrics. 12(2), pp. 1 - 6. https://doi.org/10.1186/1471-2318-12-2
Authorsvan de Ploeg, Eva, Camp, Cameron J., Eppingstall, Barbara, Runci, Susannah J. and O'Connor, Daniel William
Abstract

Background: Following admission to a nursing home, the feelings of depression and burden that family carers may experience do not necessarily diminish. Additionally, they may experience feelings of guilt and grief for the loss of a previously close relationship. At the same time, individuals with dementia may develop symptoms of depression and agitation (BPSD) that may be related to changes in family relationships, social interaction and stimulation. Until now, interventions to alleviate carer stress and BPSD have treated carers and relatives separately rather than focusing on maintaining or enhancing their relationships. One-to-one structured activities have been shown to reduce BPSD and also improve the caring experience, but barriers such as a lack of resources impede the implementation of activities in aged care facilities. The current study will investigate the effect of individualised activities based on the Montessori methodology administered by family carers in residential care. Methods/Design: We will conduct a cluster-randomised trial to train family carers in conducting personalised one-to-one activities based on the Montessori methodology with their relatives. Montessori activities derive from the principles espoused by Maria Montessori and subsequent educational theorists to promote engagement in learning, namely task breakdown, guided repetition, progression in difficulty from simple to complex, and the careful matching of demands to levels of competence. Persons with dementia living in aged care facilities and frequently visiting family carers will be included in the study. Consented, willing participants will be randomly assigned by facility to a treatment condition using the Montessori approach or a control waiting list condition. We hypothesise that family carers conducting Montessori-based activities will experience improvements in quality of visits and overall relationship with the resident as well as higher self-rated mastery, fewer depressive symptoms, and a better quality of life than carers in the waiting list condition. Discussion: We hypothesise that training family carers to deliver personalised activities to their relatives in a residential setting will make visits more satisfying and may consequently improve the quality of life for carers and their relatives. These beneficial effects might also reduce nursing staff burden and thus impact positively on residential facilities. Trial Registration: Australian New Zealand Clinical Trials Registry - ACTRN12611000998943

Year2012
JournalBMC Geriatrics
Journal citation12 (2), pp. 1 - 6
PublisherBiomed Central Ltd
ISSN1471-2318
Digital Object Identifier (DOI)https://doi.org/10.1186/1471-2318-12-2
Open accessOpen access
Page range1 - 6
Research GroupInstitute for Health and Ageing
Publisher's version
Place of publicationUnited Kingdom
Permalink -

https://acuresearchbank.acu.edu.au/item/8qyvy/the-study-protocol-of-a-cluster-randomised-controlled-trial-of-family-mediated-personalised-activities-for-nursing-home-residents-with-dementia

  • 3
    total views
  • 12
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Organizational factors associated with readiness for change in residential aged care settings
von Treuer, Kathryn, Karantzas, Gery, McCabe, Marita, Mellor, David, Konis, Anastasia, Davison, Tanya and O'Connor, Daniel. (2018) Organizational factors associated with readiness for change in residential aged care settings. BMC Health Services Research. 18(77), pp. 1 - 6. https://doi.org/10.1186/s12913-018-2832-4
Organizational factors related to the confidence of workers in working with residents with dementia or depression in aged care facilities
McCabe, Marita P., Mellor, David, Karantzas, Gery, Von Treuer, Kathryn, Davison, Tanya E. and O'Connor, Daniel. (2017) Organizational factors related to the confidence of workers in working with residents with dementia or depression in aged care facilities. Aging and Mental Health. 21(5), pp. 487 - 493. https://doi.org/10.1080/13607863.2015.1118011
Behavioral symptoms of dementia that present management difficulties in nursing homes: Staff perceptions and their concordance with informant scales
Davison, Tanya E., McCabe, Marita P., Bird, Michael, Mellor, David, MacPherson, Sarah, Hallford, David, Seedy, Melissa and O'Connor, Daniel W.. (2017) Behavioral symptoms of dementia that present management difficulties in nursing homes: Staff perceptions and their concordance with informant scales. Journal of Gerontological Nursing. 43(1), pp. 34 - 43. https://doi.org/10.3928/00989134-20160928-01
A personalized multimedia device to treat agitated behavior and improve mood in people with dementia: A pilot study
Davison, Tanya Ellen, Nayer, Kanvar, Coxon, Selby, de Bono, Arthur, Eppingstall, Barbara, Jeon, Yun-Hee, van der Ploeg, Eva S. and O'Connor, Daniel William. (2016) A personalized multimedia device to treat agitated behavior and improve mood in people with dementia: A pilot study. Geriatric Nursing. 37(1), pp. 25 - 29. https://doi.org/10.1016/j.gerinurse.2015.08.013
Organizational climate and self-efficacy as predictors of staff strain in caring for dementia residents: A mediation model
Karantzas, Gery, McCabe, Marita Patricia, Mellor, David, von Treuer, Kathryn, Davison, Tanya Ellen, O'Connor, Daniel William, Haselden, Rachel and Konis, Anstasia. (2016) Organizational climate and self-efficacy as predictors of staff strain in caring for dementia residents: A mediation model. Archives of Gerontology and Geriatrics. 66, pp. 89 - 94. https://doi.org/10.1016/j.archger.2016.05.006
Development and validation of a short version of the Cornell scale for depression in dementia for screening residents in nursing homes
Jeon, Yun-Hee, Liu, Zhixin, Li, Zhicheng, Low, Lee-Fay, External, Lynn C., O'Connor, Daniel, Beattie, Elizabeth, Davison, Tanya and Brodaty, Henry. (2016) Development and validation of a short version of the Cornell scale for depression in dementia for screening residents in nursing homes. American Journal of Geriatric Psychiatry. 24(11), pp. 1007 - 1016. https://doi.org/10.1016/j.jagp.2016.05.012
The language needs of residents from linguistically diverse backgrounds in Victorian aged care facilities
Runci, Susannah, Eppingstall, Barbara, van der Ploeg, Eva, Graham, Georgia and O'Connor, Daniel. (2015) The language needs of residents from linguistically diverse backgrounds in Victorian aged care facilities. Australasian Journal on Ageing. 34(3), pp. 195 - 198. https://doi.org/10.1111/ajag.12200
Deprescribing psychotropic medications in aged care facilities : The potential role of family members
Plakiotis, Chris, Bell, Simon, Jeon, Yun-Hee, Pond, Dimity and O'Connor, Daniel. (2015) Deprescribing psychotropic medications in aged care facilities : The potential role of family members. In GeNeDiS 2014 : Geriatrics pp. 29 - 43 https://doi.org/10.1007/978-3-319-08939-3_8
Validity of the geriatric depression scale and the collateral source version of the geriatric depression scale in nursing homes
Li, Zhicheng, Jeon, Yun-Hee, Low, Lee-Fay, Chenoweth, Lynn, O'Connor, Daniel, Beattie, Elizabeth and Brodaty, Henry. (2015) Validity of the geriatric depression scale and the collateral source version of the geriatric depression scale in nursing homes. International Psychogeriatrics. 27(9), pp. 1495 - 1504. https://doi.org/10.1017/S1041610215000721
Using spaced retrieval training to teach people with dementia to independently use their walking aids: Two case studies
Creighton, Alexandra S., Davison, Tanya Ellen, van der Ploeg, Eva, Camp, Cameron and O'Connor, Daniel William. (2015) Using spaced retrieval training to teach people with dementia to independently use their walking aids: Two case studies. Clinical Gerontologist. 38(2), pp. 170 - 178. https://doi.org/10.1080/07317115.2014.988899
Personalized one-to-one intervention in agitated individuals with dementia : Responders versus non-responders
van der Ploeg, Eva, Eppingstall, Barbara, Camp, Cameron, Runci, Susannah and O'Connor, Daniel. (2015) Personalized one-to-one intervention in agitated individuals with dementia : Responders versus non-responders. Journal of Gerontological Nursing. 41(3), pp. 22 - 29. https://doi.org/10.3928/00989134-20141008-01
Methodological challenges in studies of bright light therapy to treat sleep disorders in nursing home residents with dementia
van der Ploeg, Eva S. and O'Connor, Daniel William. (2014) Methodological challenges in studies of bright light therapy to treat sleep disorders in nursing home residents with dementia. Psychiatry and Clinical Neurosciences. 68(11), pp. 777 - 784. https://doi.org/10.1111/pcn.12192
Comparison of family satisfaction in Australian ethno-specific and mainstream aged care facilities
Runci, Susannah J., Eppingstall, Barbara J., van der Ploeg, Eva S. and O'Connor, Daniel William. (2014) Comparison of family satisfaction in Australian ethno-specific and mainstream aged care facilities. Journal of Gerontological Nursing. 40(4), pp. 54 - 63. https://doi.org/10.3928/00989134-20131219-01
Is the frequent death of residents in aged care facilities a significant cause of grief for residents with mild dementia?
O'Connor, Margaret, Tan, Heather Margaret, O'Connor, Daniel and Workman, Barbara. (2013) Is the frequent death of residents in aged care facilities a significant cause of grief for residents with mild dementia? Progress in Palliative Care. https://doi.org/10.1179/1743291X12Y.0000000031
Care planning practices for behavioural and psychological symptoms of dementia in residential aged care: A pilot of an education toolkit informed by the Aged Care Funding Instrument
Jeon, Yun-Hee, Govett, Janelle, Low, Lee-Fay, Chenoweth, Lynn, McNeill, Georgene, Hoolahan, Anne, Brodaty, Henry and O'Connor, Daniel William. (2013) Care planning practices for behavioural and psychological symptoms of dementia in residential aged care: A pilot of an education toolkit informed by the Aged Care Funding Instrument. Contemporary Nurse. 44(2), pp. 156 - 169. https://doi.org/10.5172/conu.2013.44.2.156
A randomized, controlled cross-over trial of dermally-applied lavender (lavandula angustifolia) oil as a treatment of agitated behaviour in dementia
O'Connor, Daniel W., Eppingstall, Barbara, Taffe, John and van der Ploeg, Eva S.. (2013) A randomized, controlled cross-over trial of dermally-applied lavender (lavandula angustifolia) oil as a treatment of agitated behaviour in dementia. BMC Complementary and Alternative Medicine. 13(315), pp. 1 - 7. https://doi.org/10.1186/1472-6882-13-315
Balance and gait in older electroconvulsive therapy recipients: A pilot study
Plakiotis, Chris, Barson, Fay, Vengadasalam, Bharathi, Haines, Terry P. and O'Connor, Daniel William. (2013) Balance and gait in older electroconvulsive therapy recipients: A pilot study. Neuropsychiatric Disease and Treatment. 9(June), pp. 805 - 812. https://doi.org/10.2147/NDT.S42628
A randomized crossover trial to study the effect of personalized, one-to-one interaction using Montessori-based activities on agitation, affect, and engagement in nursing home residents with dementia
van de Ploeg, Eva, Eppingstall, Barbara, Camp, Cameron J., Runci, Susannah J., Taffe, John and O'Connor, Daniel William. (2013) A randomized crossover trial to study the effect of personalized, one-to-one interaction using Montessori-based activities on agitation, affect, and engagement in nursing home residents with dementia. International Psychogeriatrics. 25(4), pp. 565 - 575. https://doi.org/10.1017/S1041610212002128
Responding to the death of a resident in aged care facilities : Perspectives of staff and residents
Tan, Heather Margaret, O'Connor, Margaret, Howard, Teresa, Workman, Barbara and O'Connor, Daniel. (2013) Responding to the death of a resident in aged care facilities : Perspectives of staff and residents. Geriatric Nursing. https://doi.org/10.1016/j.gerinurse.2012.08.001
Individualized guidelines for the management of aggression in dementia - Part 1: Key concepts
Vickland, Victor, Chilko, Natalie, Draper, Brian, Low, Lee-Fay, O'Connor, Daniel William and Brodaty, Henry. (2012) Individualized guidelines for the management of aggression in dementia - Part 1: Key concepts. International Psychogeriatrics. 24(7), pp. 1112 - 1124. https://doi.org/10.1017/S1041610212000014
Specialist mental health consultation for depression in Australian aged care residents with dementia: A cluster randomized trial
McSweeney, Kate, Jeffreys, Aimee, Griffith, Joanne, Plakiotis, Chris, Kharsas, Renee and O'Connor, Daniel William. (2012) Specialist mental health consultation for depression in Australian aged care residents with dementia: A cluster randomized trial. International Journal of Geriatric Psychiatry. 27(11), pp. 1163 - 1171. https://doi.org/10.1002/gps.3762
Individualized guidelines for the management of aggression in dementia - Part 2: Appraisal of current guidelines
Vickland, Victor, Chilko, Natalie, Draper, Brian, Low, Lee-Fay, O'Connor, Daniel William and Brodaty, Henry. (2012) Individualized guidelines for the management of aggression in dementia - Part 2: Appraisal of current guidelines. International Psychogeriatrics. 24(7), pp. 1125 - 1132. https://doi.org/10.1017/S104161021200004X
A comparison of verbal communication and psychiatric medication use by Greek and Italian residents with dementia in Australian ethno-specific and mainstream aged care facilities
Runci, Susannah J., Eppingstall, Barbara J. and O'Connor, Daniel William. (2011) A comparison of verbal communication and psychiatric medication use by Greek and Italian residents with dementia in Australian ethno-specific and mainstream aged care facilities. International Psychogeriatrics. 24(5), pp. 733 - 741. https://doi.org/10.1017/S1041610211002134