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.

The enriched opportunities programme for people with dementia: a cluster-randomised controlled trial in 10 extra care housing schemes


Brooker, Dawn J., Argyle, Elaine, Scally, Andrew J., Clancy, David


Aging & Mental Health, Volume: 15, No.: 8, Pages.: 1008-1017

Year of Publication



Objectives: The Enriched Opportunities Programme (EOP) is a multi-level intervention focussing on improved quality of life for people with dementia. This study compared the experience of people living with dementia and other mental health problems in extra care housing schemes that utilised EOP with schemes that employed an active control intervention.; Method: Ten extra care housing schemes were cluster randomised to receive either the EOP intervention or an active control intervention for an 18-month period. Residents with dementia or other significant mental health problems (20-30 per scheme) were assessed on a number of outcome measures at baseline, six months, one year and 18 months. The primary outcome measure was quality of life. Self-reported depression was an important secondary outcome.; Results: The EOP-participating residents rated their quality of life more positively over time (4.0 (SE 0.6) units; 14% p < 0.001) than the active control (1.3 (SE 0.6) units; 4% p = 0.003). There was also a significant group-time interaction for depressive symptoms (p = 0.003). The EOP-participating residents reported a reduction of 25% at both six and 12 months and a 37% reduction at 18 months (all p's < 0.001). EOP residents were less likely than residents in the active control sites to move to a care home or to be admitted to a hospital inpatient bed. They were more likely to be seen by a range of community health professionals.; Conclusion: The EOP had a positive impact on the quality of life of people with dementia in well-staffed extra care housing schemes.;

Bibtex Citation

@article{Brooker_2011, doi = {10.1080/13607863.2011.583628}, url = {}, year = 2011, month = {nov}, publisher = {Informa {UK} Limited}, volume = {15}, number = {8}, pages = {1008--1017}, author = {Dawn J. Brooker and Elaine Argyle and Andrew J. Scally and David Clancy}, title = {The Enriched Opportunities Programme for people with dementia: A cluster-randomised controlled trial in 10 extra care housing schemes}, journal = {Aging {&} Mental Health} }


aged, aged, 80 and over, assisted living facilities, cluster analysis, dementia, england, female, humans, inservice training, male, methods, opportunities, patient care, programme, psychology, quality of life, therapy

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Cluster RCT

Type of Outcomes

Depression and Anxiety, Quality of Life of Person With Dementia, Service use or cost reductions (incl. hospital use reduction, care home admission delay)


Extra Care Housing

Type of Interventions

Non-pharmacological Treatment

Non-Pharmaceutical Interventions