BACKGROUND: delirium is likely to be particularly common in care homes, given the clustering of known risk factors in these settings. Preventing delirium should result in significant benefits, including better quality of care and improved outcomes for residents. OBJECTIVE: to test the feasibility of 'Stop Delirium!', an intervention to prevent delirium in care homes for older people, and to optimise parameters to inform the design of a future trial evaluation. METHOD: we delivered Stop Delirium! to six care homes over 10 months, in a mixed methods before and after study. RESULTS: Stop Delirium! was successfully implemented in the study homes. We found evidence supporting positive changes in staff attitudes and practice after the intervention. Although qualitative data suggested it was too early to expect changes in resident outcomes, we also found preliminary evidence suggesting potential improvements in a range of outcomes, including a reduction in the number of falls and prescribed medications. CONCLUSION: a complex intervention for delirium prevention in care homes is feasible and has the potential to improve staff practice and outcomes for residents. This work provides the basis for the next phase of the evaluation to establish its effectiveness and cost-effectiveness.
BACKGROUND:delirium is likely to be particularly common in care homes, given the clustering of known risk factors in these settings. Preventing delirium should result in significant benefits, including better quality of care and improved outcomes for residents. OBJECTIVE: to test the feasibility of 'Stop Delirium!', an intervention to prevent delirium in care homes for older people, and to optimise parameters to inform the design of a future trial evaluation. METHOD: we delivered Stop Delirium! to six care homes over 10 months, in a mixed methods before and after study. RESULTS:Stop Delirium! was successfully implemented in the study homes. We found evidence supporting positive changes in staff attitudes and practice after the intervention. Although qualitative data suggested it was too early to expect changes in resident outcomes, we also found preliminary evidence suggesting potential improvements in a range of outcomes, including a reduction in the number of falls and prescribed medications. CONCLUSION: a complex intervention for delirium prevention in care homes is feasible and has the potential to improve staff practice and outcomes for residents. This work provides the basis for the next phase of the evaluation to establish its effectiveness and cost-effectiveness.
Authors: P de Boissieu; R Mahmoudi; M Hentzien; S Toquet; J-L Novella; F Blanchard; D Jolly; M Dramé Journal: J Nutr Health Aging Date: 2015-06 Impact factor: 4.075
Authors: Andrea Yevchak; Melinda Steis; Theresa Diehl; Nikki Hill; Ann Kolanowski; Donna Fick Journal: Int J Older People Nurs Date: 2012-04-18 Impact factor: 2.115
Authors: Anne Heaven; Francine Cheater; Andrew Clegg; Michelle Collinson; Amanda Farrin; Anne Forster; Mary Godfrey; Liz Graham; Anne Grice; Rachel Holt; Claire Hulme; Ernie Lloyd; David Meads; Chris North; John Young; Najma Siddiqi Journal: Trials Date: 2014-02-05 Impact factor: 2.279
Authors: Najma Siddiqi; Francine Cheater; Michelle Collinson; Amanda Farrin; Anne Forster; Deepa George; Mary Godfrey; Elizabeth Graham; Jennifer Harrison; Anne Heaven; Peter Heudtlass; Claire Hulme; David Meads; Chris North; Angus Sturrock; John Young Journal: Age Ageing Date: 2016-05-20 Impact factor: 10.668
Authors: T S Wildes; A C Winter; H R Maybrier; A M Mickle; E J Lenze; S Stark; N Lin; S K Inouye; E M Schmitt; S L McKinnon; M R Muench; M R Murphy; R T Upadhyayula; B A Fritz; K E Escallier; G P Apakama; D A Emmert; T J Graetz; T W Stevens; B J Palanca; R Hueneke; S Melby; B Torres; J M Leung; E Jacobsohn; M S Avidan Journal: BMJ Open Date: 2016-06-15 Impact factor: 2.692