Miharu Nakanishi1, Kaori Endo2, Kayo Hirooka2, Taeko Nakashima3, Yuko Morimoto2, Eva Granvik4, Lennart Minthon4, Katarina Nägga4, Atsushi Nishida2. 1. a Mental Health and Nursing Research Team , Tokyo Metropolitan Institute of Medical Science , Tokyo , Japan. 2. b Mental Health Promotion Project , Tokyo Metropolitan Institute of Medical Science , Tokyo , Japan. 3. c Department of Economics , Rutgers University , The State University of New Jersey , Camden , NJ , USA. 4. d Clinical Memory Research Unit, Department of Clinical Sciences Malmö , Lund University , Malmö , Sweden.
Abstract
OBJECTIVES: Care managers and professional caregivers of home care services are sometimes unaware of the psychosocial approaches to the challenging behaviour of dementia. Therefore, we developed a Behaviour Analytics & Support Enhancement (BASE) programme. We investigated the effects of the programme on the attitudes towards dementia care among professionals. METHOD: Forty-six participants in Japan received training in August 2016. The ongoing monitoring and assessment system was introduced to the participants for repeated measures of challenging behaviour. A 1-day follow-up meeting for debriefing was also performed after two months. A baseline and follow-up questionnaire survey was administered to the participating caregivers using a Japanese version of the Approaches to Dementia Questionnaire (ADQ) and the Zarit Burden Interview (ZBI). RESULTS: A significant improvement was observed in the total ADQ score among the participating caregivers from baseline to follow-up assessment. There was no significant difference between the baseline and follow-up assessment in the ZBI scores. In the follow-up meeting, several participants reported challenges and suggested solutions in facilitating a discussion on an action plan among professionals from various organizations. CONCLUSION: The implementation of the programme resulted in enhanced attitudes towards dementia care among the participants without an increased burden of care. Future studies should examine the programme's effectiveness on the challenging behaviour of persons with dementia.
OBJECTIVES: Care managers and professional caregivers of home care services are sometimes unaware of the psychosocial approaches to the challenging behaviour of dementia. Therefore, we developed a Behaviour Analytics & Support Enhancement (BASE) programme. We investigated the effects of the programme on the attitudes towards dementia care among professionals. METHOD: Forty-six participants in Japan received training in August 2016. The ongoing monitoring and assessment system was introduced to the participants for repeated measures of challenging behaviour. A 1-day follow-up meeting for debriefing was also performed after two months. A baseline and follow-up questionnaire survey was administered to the participating caregivers using a Japanese version of the Approaches to Dementia Questionnaire (ADQ) and the Zarit Burden Interview (ZBI). RESULTS: A significant improvement was observed in the total ADQ score among the participating caregivers from baseline to follow-up assessment. There was no significant difference between the baseline and follow-up assessment in the ZBI scores. In the follow-up meeting, several participants reported challenges and suggested solutions in facilitating a discussion on an action plan among professionals from various organizations. CONCLUSION: The implementation of the programme resulted in enhanced attitudes towards dementia care among the participants without an increased burden of care. Future studies should examine the programme's effectiveness on the challenging behaviour of persons with dementia.
Entities:
Keywords:
Care managers; challenging behaviour; dementia; home care workers; palliative care
Authors: Helma M F Verstraeten; Canan Ziylan; Debby L Gerritsen; Robbert Huijsman; Miharu Nakanishi; Martin Smalbrugge; Jenny T van der Steen; Sytse U Zuidema; Wilco P Achterberg; Ton J E M Bakker Journal: JMIR Res Protoc Date: 2022-06-22
Authors: Gubing Wang; Haotian Gong; Armagan Albayrak; Tischa J M van der Cammen; Gerd Kortuem Journal: Biomed Res Int Date: 2020-07-09 Impact factor: 3.411