This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

Staff outcomes from the caring for aged dementia care resident study (CADRES): a cluster randomised trial


Jeon, Yun-Hee, Luscombe, Georgina, Chenoweth, Lynn, Stein-Parbury, Jane, Brodaty, Henry, King, Madeleine, Haas, Marion


International Journal Of Nursing Studies, Volume: 49, No.: 5, Pages.: 508-518

Year of Publication



Background: Dementia care mapping and person centred care are well-accepted as processes for improving care and well-being for persons with dementia living in the residential setting. However, the impact of dementia care mapping and person centred care on staff has not been well researched.; Objectives: The impact of person centred care and dementia care mapping compared to each other and to usual dementia care on staff outcomes was examined in terms of staff burnout, general well-being, attitudes and reactions towards resident behavioural disturbances, perceived managerial support, and quality of care interactions.; Design: A cluster-randomised, controlled trial.; Settings: The study was conducted between 2005 and 2007 in 15 residential aged care sites in the Sydney metropolitan area, Australia, with comparable management structures, staffing mix and ratios, and standards of care.; Participants: 194 consenting managers, nurses, therapists and nurse assistants working in the participating sites.; Methods: Intervention care sites received training and support in either person centred care (n=5) or dementia care mapping (n=5); control sites continued with usual dementia care (n=5). Staff outcomes of those three groups were assessed before, directly after the four month intervention (post) and after a further four months (follow-up). The primary outcome measures were the Maslach Burnout Inventory-Human Services Survey and the 12-item General Health Questionnaire. Analysis involved repeated measures analyses of variance for each of the outcome measures and adjustment for potential confounders to limit bias.; Results: The Maslach Burnout Inventory-Human Services Survey results showed that change over time in emotional exhaustion scores differed between the three groups. Post-hoc analyses for each group separately revealed that the only significant time effect was in the dementia care mapping group (p=0.006), with emotional exhaustion scores declining over time. At baseline, more perceived support from management was associated with less emotional exhaustion (r(s)=0.26, p=0.004, n=122) and less depersonalisation (r(s)=0.21, p=0.023, n=122), but not for any of the other outcome measures.; Conclusions: This study has shown that person centred approaches of care, in particular with dementia care mapping, may contribute to reducing staff job related burnout. The findings also highlight a potentially important role of managerial support and a whole of system approach.; Copyright © 2011 Elsevier Ltd. All rights reserved.

Bibtex Citation

@article{Jeon_2012, doi = {10.1016/j.ijnurstu.2011.10.020}, url = {}, year = 2012, month = {may}, publisher = {Elsevier {BV}}, volume = {49}, number = {5}, pages = {508--518}, author = {Yun-Hee Jeon and Georgina Luscombe and Lynn Chenoweth and Jane Stein-Parbury and Henry Brodaty and Madeleine King and Marion Haas}, title = {Staff outcomes from the Caring for Aged Dementia Care {REsident} Study ({CADRES}): A cluster randomised trial}, journal = {International Journal of Nursing Studies} }


aged, and, burnout, care, centred, cluster analysis, dementia, humans, mapping, nursing, outcome assessment (health care), patientcentered care, person, quality of health care, staff, training

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cluster RCT

Type of Outcomes

Other, Quality of Life of Carer


Long Term Residential Care without medically trained staff

Type of Interventions

Workforce oriented interventions

Workforce Interventions

Professional Training / Continuing Professional Development