Feasibility study of an optimised person-centred intervention to improve mental health and reduce antipsychotics amongst people with dementia in care homes: study protocol for a randomised controlled trial

Rhiannon Whitaker; Clive Ballard; Jane Stafford; Martin Orrell; Esme Moniz-Cook; Robert T. Woods; Joanna Murray; Martin Knapp; Barbara Woodward Carlton; Jane Fossey

doi:10.1186/1745-6215-14-13

Feasibility study of an optimised person-centred intervention to improve mental health and reduce antipsychotics amongst people with dementia in care homes: study protocol for a randomised controlled trial

Rhiannon Whitaker, Clive Ballard, Jane Stafford^*, Martin Orrell, Esme Moniz-Cook, Robert T. Woods, Joanna Murray, Martin Knapp, Barbara Woodward Carlton, Jane Fossey

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

Background: People living in care homes often have complex mental and physical health problems, disabilities and social needs which are compounded by the use of psychiatric and other drugs. In the UK dementia care is a national priority with a vast impact on services. WHELD combines the most effective elements of existing approaches to develop a comprehensive but practical intervention. This will be achieved by training care staff to provide care that is focused on an understanding of the individual and their needs; and by using additional components such as exercise, activities and social interaction to improve mental health and quality of life (QoL) and reduce the use of sedative drugs.

Design: Work Package 3 (WP3) is the pilot randomised trial and qualitative evaluation to help develop a future definitive randomised controlled clinical trial. The study design is a cluster randomised 2x2x2 factorial design with two replications in 16 care homes. Each care home is randomized to receive one of the eight possible permutations of the four key interventions, with each possible combination delivered in two of the 16 homes. Each cluster includes a minimum of 12 participants (depending upon size of the care home, the number of people with dementia and the number consenting).

Discussion: The overarching goal of the programme is to provide an effective, simple and practical intervention which improves the mental health of, and reduces sedative drug use in, people with dementia in care homes and which can be implemented nationally in all UK care homes as an NHS intervention.

Original language	English
Article number	13
Pages (from-to)	N/A
Number of pages	10
Journal	Trials
Volume	14
Issue number	N/A
DOIs	https://doi.org/10.1186/1745-6215-14-13
Publication status	Published - 10 Jan 2013

Keywords

Dementia
Care homes
Quality of life
Antipsychotic medication
Behavioural symptoms
Cost-effectiveness
Implementation
Person-centred care
Exercise
Social interaction
SCALE
RELIABILITY
MANAGEMENT
RESIDENTS
QUALITY

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Whitaker, R., Ballard, C., Stafford, J., Orrell, M., Moniz-Cook, E., Woods, R. T., Murray, J., Knapp, M., Carlton, B. W., & Fossey, J. (2013). Feasibility study of an optimised person-centred intervention to improve mental health and reduce antipsychotics amongst people with dementia in care homes: study protocol for a randomised controlled trial. Trials, 14(N/A), N/A. Article 13. https://doi.org/10.1186/1745-6215-14-13

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abstract = "Background: People living in care homes often have complex mental and physical health problems, disabilities and social needs which are compounded by the use of psychiatric and other drugs. In the UK dementia care is a national priority with a vast impact on services. WHELD combines the most effective elements of existing approaches to develop a comprehensive but practical intervention. This will be achieved by training care staff to provide care that is focused on an understanding of the individual and their needs; and by using additional components such as exercise, activities and social interaction to improve mental health and quality of life (QoL) and reduce the use of sedative drugs.Design: Work Package 3 (WP3) is the pilot randomised trial and qualitative evaluation to help develop a future definitive randomised controlled clinical trial. The study design is a cluster randomised 2x2x2 factorial design with two replications in 16 care homes. Each care home is randomized to receive one of the eight possible permutations of the four key interventions, with each possible combination delivered in two of the 16 homes. Each cluster includes a minimum of 12 participants (depending upon size of the care home, the number of people with dementia and the number consenting).Discussion: The overarching goal of the programme is to provide an effective, simple and practical intervention which improves the mental health of, and reduces sedative drug use in, people with dementia in care homes and which can be implemented nationally in all UK care homes as an NHS intervention.",

keywords = "Dementia, Care homes, Quality of life, Antipsychotic medication, Behavioural symptoms, Cost-effectiveness, Implementation, Person-centred care, Exercise, Social interaction, SCALE, RELIABILITY, MANAGEMENT, RESIDENTS, QUALITY",

author = "Rhiannon Whitaker and Clive Ballard and Jane Stafford and Martin Orrell and Esme Moniz-Cook and Woods, {Robert T.} and Joanna Murray and Martin Knapp and Carlton, {Barbara Woodward} and Jane Fossey",

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Whitaker, R, Ballard, C, Stafford, J, Orrell, M, Moniz-Cook, E, Woods, RT, Murray, J, Knapp, M, Carlton, BW & Fossey, J 2013, 'Feasibility study of an optimised person-centred intervention to improve mental health and reduce antipsychotics amongst people with dementia in care homes: study protocol for a randomised controlled trial', Trials, vol. 14, no. N/A, 13, pp. N/A. https://doi.org/10.1186/1745-6215-14-13

Feasibility study of an optimised person-centred intervention to improve mental health and reduce antipsychotics amongst people with dementia in care homes: study protocol for a randomised controlled trial. / Whitaker, Rhiannon; Ballard, Clive; Stafford, Jane et al.
In: Trials, Vol. 14, No. N/A, 13, 10.01.2013, p. N/A.

Research output: Contribution to journal › Article › peer-review

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T1 - Feasibility study of an optimised person-centred intervention to improve mental health and reduce antipsychotics amongst people with dementia in care homes: study protocol for a randomised controlled trial

AU - Whitaker, Rhiannon

AU - Ballard, Clive

AU - Stafford, Jane

AU - Orrell, Martin

AU - Moniz-Cook, Esme

AU - Woods, Robert T.

AU - Murray, Joanna

AU - Knapp, Martin

AU - Carlton, Barbara Woodward

AU - Fossey, Jane

PY - 2013/1/10

Y1 - 2013/1/10

N2 - Background: People living in care homes often have complex mental and physical health problems, disabilities and social needs which are compounded by the use of psychiatric and other drugs. In the UK dementia care is a national priority with a vast impact on services. WHELD combines the most effective elements of existing approaches to develop a comprehensive but practical intervention. This will be achieved by training care staff to provide care that is focused on an understanding of the individual and their needs; and by using additional components such as exercise, activities and social interaction to improve mental health and quality of life (QoL) and reduce the use of sedative drugs.Design: Work Package 3 (WP3) is the pilot randomised trial and qualitative evaluation to help develop a future definitive randomised controlled clinical trial. The study design is a cluster randomised 2x2x2 factorial design with two replications in 16 care homes. Each care home is randomized to receive one of the eight possible permutations of the four key interventions, with each possible combination delivered in two of the 16 homes. Each cluster includes a minimum of 12 participants (depending upon size of the care home, the number of people with dementia and the number consenting).Discussion: The overarching goal of the programme is to provide an effective, simple and practical intervention which improves the mental health of, and reduces sedative drug use in, people with dementia in care homes and which can be implemented nationally in all UK care homes as an NHS intervention.

AB - Background: People living in care homes often have complex mental and physical health problems, disabilities and social needs which are compounded by the use of psychiatric and other drugs. In the UK dementia care is a national priority with a vast impact on services. WHELD combines the most effective elements of existing approaches to develop a comprehensive but practical intervention. This will be achieved by training care staff to provide care that is focused on an understanding of the individual and their needs; and by using additional components such as exercise, activities and social interaction to improve mental health and quality of life (QoL) and reduce the use of sedative drugs.Design: Work Package 3 (WP3) is the pilot randomised trial and qualitative evaluation to help develop a future definitive randomised controlled clinical trial. The study design is a cluster randomised 2x2x2 factorial design with two replications in 16 care homes. Each care home is randomized to receive one of the eight possible permutations of the four key interventions, with each possible combination delivered in two of the 16 homes. Each cluster includes a minimum of 12 participants (depending upon size of the care home, the number of people with dementia and the number consenting).Discussion: The overarching goal of the programme is to provide an effective, simple and practical intervention which improves the mental health of, and reduces sedative drug use in, people with dementia in care homes and which can be implemented nationally in all UK care homes as an NHS intervention.

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KW - Care homes

KW - Quality of life

KW - Antipsychotic medication

KW - Behavioural symptoms

KW - Cost-effectiveness

KW - Implementation

KW - Person-centred care

KW - Exercise

KW - Social interaction

KW - SCALE

KW - RELIABILITY

KW - MANAGEMENT

KW - RESIDENTS

KW - QUALITY

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DO - 10.1186/1745-6215-14-13

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