The effect of person-centred dementia care to prevent agitation and other neuropsychiatric symptoms and enhance quality of life in nursing home patients: A 10-month randomized controlled trial

Authors

Rokstad, Anne Marie Mork, Røsvik, Janne, Kirkevold, Øyvind, Selbaek, Geir, Saltyte Benth, Jurate, Engedal, Knut

Journal

Dementia and Geriatric Cognitive Disorders, Volume: 36, No.: 5-6, Pages.: 340-353

Year of Publication

2013

Abstract

Aims: We examined whether Dementia Care Mapping (DCM) or the VIPS practice model (VPM [Valuing people with dementia and those who care for them (V); treating people as Individuals (I); looking at the world from the Perspective of the person with dementia (P); and a positive Social environment in which the person living with dementia can experience relative well being (S)]) is more effective than education of the nursing home staff about dementia (control group) in reducing agitation and other neuropsychiatric symptoms as well as in enhancing the quality of life among nursing home patients. Methods: A 10-month three-armed cluster-randomized controlled trial compared DCM and VPM with control. Of 624 nursing home patients with dementia, 446 completed follow-up assessments. The primary outcome was the change on the Brief Agitation Rating Scale (BARS). Secondary outcomes were changes on the 10-item version of the Neuropsychiatric Inventory Questionnaire (NPI-Q), the Cornell Scale for Depression in Dementia (CSDD) and the Quality of Life in Late-Stage Dementia (QUALID) scale. Results: Changes in the BARS score did not differ significantly between the DCM and the control group or between the VPM and the control group after 10 months. Positive differences were found for changes in the secondary outcomes: the NPI-Q sum score as well as the subscales NPI-Q agitation and NPI-Q psychosis were in favour of both interventions versus control, the QUALID score was in favour of DCM versus control and the CSDD score was in favour of VPM versus control. Conclusions: This study failed to find a significant effect of both interventions on the primary outcome. Positive effects on the secondary outcomes indicate that the methods merit further investigation. (PsycINFO Database Record (c) 2014 APA, all rights reserved). (journal abstract)

Bibtex Citation

@article{Rokstad_2013, doi = {10.1159/000354366}, url = {http://dx.doi.org/10.1159/000354366}, year = 2013, publisher = {S. Karger {AG}}, volume = {36}, number = {5-6}, pages = {340--353}, author = {Anne Marie Mork Rokstad and Janne R{o}svik and {O}yvind Kirkevold and Geir Selbaek and Jurate Saltyte Benth and Knut Engedal}, title = {The Effect of Person-Centred Dementia Care to Prevent Agitation and Other Neuropsychiatric Symptoms and Enhance Quality of Life in Nursing Home Patients: A 10-Month Randomized Controlled Trial}, journal = {Dementia and Geriatric Cognitive Disorders} }

Keywords

agitation, care, centred, clinical practice, comorbidity, dementia, dementia care mapping, geriatric patients, health care delivery, major depression, models, neuropsychiatric symptoms, nursing home patients, nursing homes, person, quality of life, treatment models, vips

Countries of Study

Norway

Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Behaviour, Cognition, Depression and Anxiety, Quality of Life of Person With Dementia

Settings

Nursing Homes

Type of Interventions

Non-pharmacological Treatment, Workforce oriented interventions

Non-Pharmaceutical Interventions

Other

Workforce Interventions

Professional Training / Continuing Professional Development