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Morris L, Innes A, Williamson T, Wyatt M, Smith E, McEvoy P. Experiences of a communication-skills course for care partners of people living with dementia, empowered conversations: A qualitative framework analysis. Br J Clin Psychol 2024; 63:227-243. [PMID: 38288632 DOI: 10.1111/bjc.12447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 11/02/2023] [Accepted: 11/22/2023] [Indexed: 04/26/2024]
Abstract
OBJECTIVES Our aims were to examine whether an experiential course for care partners of people living with dementia, Empowered Conversations (EC), was acceptable to participants and to explore participants' perceptions of the impact of the course upon their communicative interactions. EC is based on an integrative model derived from psychological and linguistic theory and empirical evidence. EC is based on mentalisation theory, perceptual control theory and linguistic theory (The Communicative Impact Model). METHODS Qualitative data were collected via 28 semistructured interviews. Framework analysis was used to analyse data. RESULTS Three superordinate themes, 'improved communication', 'improved well-being' and 'support through others' were identified. Twenty-seven out of the 28 participants described feeling that they were able to better connect with the person living with dementia that they were supporting through attending EC. CONCLUSIONS The findings indicated that EC was acceptable and beneficial to care partners. Care partners developed a range of strategies and understandings that enabled them to communicate better with the person they were supporting, enhanced well-being and relationships, as well as developing social networks. This is the first qualitative study to examine a psychosocial intervention for care partners of people living with dementia using a non-CBT framework and indicates that perceived control could influence how care partners respond to stress and difficulties.
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Affiliation(s)
- Lydia Morris
- Institute of Dementia, School of Health and Society, University of Salford, Salford, UK
| | - Anthea Innes
- Institute of Dementia, School of Health and Society, University of Salford, Salford, UK
| | - Tracey Williamson
- Association for Dementia Studies, University of Worcester, Worcester, UK
| | - Megan Wyatt
- Institute of Dementia, School of Health and Society, University of Salford, Salford, UK
| | - Emma Smith
- Six Degrees Social Enterprise, Salford, UK
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Barbosa A, Ferreira AR, Smits C, Hegerath FM, Vollmar HC, Fernandes L, Craven MP, Innes A, Casey D, Sezgin D, Hopper L, Øksnebjerg L. Use and uptake of technology by people with dementia and their supporters during the COVID-19 pandemic. Aging Ment Health 2024; 28:83-94. [PMID: 36650751 DOI: 10.1080/13607863.2022.2163375] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 12/19/2022] [Indexed: 01/19/2023]
Abstract
OBJECTIVE This rapid review aims to identify the types of technologies used by people with dementia and their supporters during the COVID-19 pandemic, and the issues which influenced technology adoption within their usual care routines. METHODS PubMed, PsychInfo, Scopus, and Cochrane COVID reviews were searched to identify peer-review studies published since 2020. A total of 18 studies were included and synthesised thematically. RESULTS Of these, most were conducted in the community (n = 15) with people with dementia only (n = 11) and involved qualitative methods (n = 11). The majority (n = 12) focused on digital off-the-shelf and low-cost solutions, such as free video conferencing platforms, to access care, socialise or take part in interventions. Whilst often well-accepted and associated with positive outcomes (such as improved social connectedness), lack of digital literacy or support to use technologies, limited access to appropriate technology, individuals' physical, cognitive, or sensory difficulties, were highlighted and likely to threaten the adoption of these solutions. The quality of the evidence was mixed, neither very robust nor easily generalisable which may be attributed to the challenges of conducting research during the pandemic or the need to rapidly adapt to a new reality. CONCLUSION While COVID-19 has fast-tracked the adoption of technology, its use is likely to continue beyond the pandemic. We need to ensure this technology can leverage dementia support and care and that people with dementia are enabled and empowered to use it.
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Affiliation(s)
- Ana Barbosa
- Centre for Applied Dementia Studies, University of Bradford, Bradford, UK
| | - Ana Rita Ferreira
- CINTESIS@RISE, Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Carolien Smits
- Dutch Centre of Expertise on Health Disparities, Pharos Expertise Centre on Health Disparities, Utrecht, Netherlands
| | - Flora-Marie Hegerath
- Institute of General Practice and Family Medicine, Medical Faculty, Ruhr University Bochum, Bochum, Germany
| | - Horst Christian Vollmar
- Institute of General Practice and Family Medicine, Medical Faculty, Ruhr University Bochum, Bochum, Germany
| | - Lia Fernandes
- CINTESIS@RISE, Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Michael P Craven
- Human Factors Research Group, Faculty of Engineering, University of Nottingham, Nottingham, UK
- NIHR MindTech MedTech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, UK
| | - Anthea Innes
- Department Health, Aging and Society, Faculty of Social Science, McMaster University, Hamilton, Canada
| | - Dympna Casey
- School of Nursing and Midwifery, College of Medicine, Nursing, and Health Sciences, National University of Ireland, Galway, Ireland
| | - Duygu Sezgin
- School of Nursing and Midwifery, College of Medicine, Nursing, and Health Sciences, National University of Ireland, Galway, Ireland
| | - Louise Hopper
- School of Psychology, Dublin City University, Dublin, Ireland
| | - Laila Øksnebjerg
- Department of Neurology, Danish Dementia Research Centre, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
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Scerri A, Innes A, Scerri C. Healthcare professionals' perceived challenges and solutions when providing rehabilitation to persons living with dementia-A scoping review. J Clin Nurs 2023; 32:5493-5513. [PMID: 36710398 DOI: 10.1111/jocn.16635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 01/04/2023] [Accepted: 01/10/2023] [Indexed: 01/31/2023]
Abstract
AIM This review aimed to map studies related to healthcare professionals' perceptions and attitudes towards the rehabilitation for persons living with dementia and extract what they perceive are the barriers and solutions. BACKGROUND Rehabilitation can improve the quality of life and integration of persons living with dementia into society. However, there are several barriers to accessing rehabilitation services. Healthcare professionals are a source of information to understand the challenges and provide solutions to improve these services. DESIGN Arksey and O' Malley (International Journal of Social Research Methodology, 8, 2005 and 19) five-step framework for scoping reviews and the PRISMA-ScR checklist was used. The PAGER (Patterns, Advances, Gaps, Evidence for practice and Research recommendations) framework was used to identify research and practice recommendations. METHOD Seven databases including Medline Complete, Academic Search Ultimate, Ageline, CINAHL, PsycInfo, Pubmed and Google Scholar were searched. The healthcare professionals' perceived challenges and solutions were categorised using Braun & Clarke (Qualitative Research in Psychology, 3, 2006 and 77) thematic analysis. RESULTS Fifteen articles were selected for review. The challenges and solutions were organised according to their association with three stakeholders; the persons living with dementia/informal caregivers, healthcare professionals and the organisation providing the service. Nine of the studies focused on persons living with dementia following a fall or a hip fracture. Most of the studies focused on the perceptions of allied healthcare professionals, with nurses working in rehabilitation settings being underrepresented. CONCLUSION Healthcare professionals have to consider the complexity of rehabilitating persons living with dementia irrespective of the rehabilitation speciality. Moreover, more studies are needed that focus on the views of rehabilitation nurses. RELEVANCE TO CLINICAL PRACTICE This review provides further evidence of the healthcare professionals' misconceptions about the rehabilitation potential of persons living with dementia. There is a need to educate healthcare professionals about the societal, attitudinal and environmental barriers faced by persons living with dementia and their caregivers. PATIENT CONTRIBUTION No Patient or Public Contribution-scoping review.
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Affiliation(s)
- Anthony Scerri
- Department of Nursing, Faculty of Health Sciences, University of Malta, Msida, Malta
| | - Anthea Innes
- Gilbrea Chair Aging and Mental Health (Health, Aging and Society), McMaster University, Hamilton, Ontario, Canada
| | - Charles Scerri
- Department of Pathology, Faculty of Medicine and Surgery, University of Malta, Msida, Malta
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Higgins R, Spacey A, Innes A. Optimising care and the patient experience for people living with dementia: The perceptions of radiography practitioners. Radiography (Lond) 2023; 29 Suppl 1:S52-S58. [PMID: 36759222 DOI: 10.1016/j.radi.2023.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 12/23/2022] [Accepted: 01/20/2023] [Indexed: 02/10/2023]
Abstract
INTRODUCTION Despite abundant literature on the diagnosis of dementia, limited research has explored the lived experiences by radiography practitioners when delivering care to people living with dementia (PLWD). This study explored the perceptions and compatibility of current professional guidance by both radiography practitioners and key stakeholders involved in developing the Society and College of Radiographers clinical practice guideline document for caring for people with dementia. METHODS This was a two-stage qualitative multi-method study. Fifteen diagnostic and two therapeutic radiography practitioners from across the UK participated with three asynchronous online discussion forums. One core member and three members from the key stakeholder group participated with individual semi-structured interviews. Data analysis included narrative and thematic analysis. RESULTS Participants from both stages identified enablers and barriers to providing person-centred care (PCC) to PLWD. Three superordinate themes were identified linked to (1) Challenges in delivering person-centred care to people living with dementia, (2) The need for role specific education and training, and (3) Partnership working with carers. Challenges in delivering care included time and resource pressures. The lack of dementia specific education compounded these difficulties. Care partners were seen as an asset to providing care. CONCLUSION Providing PCC to meet the individual needs of PLWD can be challenging in practice. This is often due to time and resource implications. There were also issues with the identification of PLWD prior to their attendance in the department. Carers could help to alleviate some challenges. There is a need for profession specific education and dementia awareness training to support the provision of PCC to PLWD. IMPLICATIONS FOR PRACTICE Dementia training needs to be specifically tailored for radiography practitioners to bridge the gap between guidelines and clinical practice rather than being generalised from other disciplines.
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Affiliation(s)
- R Higgins
- School of Health and Society, University of Salford, Salford, UK.
| | - A Spacey
- School of Health and Society, University of Salford, Salford, UK
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Kelly S, Bushell S, Innes A. 'I want every minute to be worthwhile now': The views and experiences of people living with dementia and their care partners about returning to in-person group meetings after COVID-19 lockdown restrictions. Dementia (London) 2022; 21:2442-2457. [PMID: 35971884 PMCID: PMC9382575 DOI: 10.1177/14713012221118768] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
COVID-19 and the resulting limitations on freedom of movement has been difficult
for many, including individuals living with dementia and those who provide
support and care. In the summer of 2021, England’s national lockdown measures
eased, and regulations were amended to allow indoor social gatherings. With this
enabling a return to in-person meetings, this study explored the experiences of
people living with dementia and current and former care partners who had
previously attended groups at Salford Institute for Dementia (UK). Two phases of
research were conducted. In the first phase, during the summer of 2020,
telephone interviews were utilised to ask participants (n = 13)
about their views of re-engagement and how the in-person groups might be best
reintroduced. Phase two began in the summer of 2021, where mood questionnaires
(n = 10) were administered and observations conducted to
explore how participants experienced the return to in-person meetings. Thematic
analysis resulted in the construction of three overarching themes: planning for
and the reality of transitioning; safety versus autonomy; and tensions and
complexities of life in the ‘new normal’. Despite initial concerns about their
reintegration into the community, participants all enjoyed resuming in-person
meetings. An inclusive and consultative approach to re-engagement allowed all
participants to feel valued, safe, and informed about their return to campus.
However, individuals living with dementia and care partners experienced the
transition to re-engagement in different ways and their perceptions shifted over
time. We therefore highlight the complexities of responding to different
perceptions of risk and safety, while also promoting engagement and inclusivity
after a period of social isolation. In this paper, we consider implications for
the re-integration of individuals with dementia and their care partners into
in-person social groups and propose further avenues for research.
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Affiliation(s)
- Siobhán Kelly
- School of Health and Society, 7046University of Salford, Salford, UK
| | - Sophie Bushell
- Salford Institute for Dementia, 7046University of Salford, Salford, UK
| | - Anthea Innes
- Salford Institute for Dementia, 13995University of Salford, Salford, UK
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Innes A, Chesterton L, Morris L, Smith SK, Bushell S. Perspectives of people living with dementia and their care partners about the impact on social health when participating in a co-designed Dementia café. Health Soc Care Community 2022; 30:e1375-e1383. [PMID: 34407284 DOI: 10.1111/hsc.13545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 06/29/2021] [Accepted: 07/11/2021] [Indexed: 06/13/2023]
Abstract
Those diagnosed with dementia and those who provide care and support often feel socially isolated with limited opportunities for social engagement, increasing the potential for loneliness and further isolation that is detrimental to social health. This study examined how a co-designed dementia café impacted on the self-reported social health of community dwelling people with dementia and their care partners in the North-West of England. Semi-structured interviews were conducted at two time periods (summer of 2019 and spring of 2020), with five people living with dementia and eight care partners. The key finding was that participating in the cafés led to a sense of belonging and purpose that was beneficial to well-being and social health for all participants. Community-based initiatives that provide opportunities for peer support for the person with the diagnosis and the care partner are essential so that people living with dementia may rebuild their confidence as well as retaining opportunities to socialise.
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Affiliation(s)
- Anthea Innes
- Salford Institute for Dementia and Ageing, University of Salford, Salford, UK
| | - Lorna Chesterton
- Salford Institute for Dementia and Ageing, University of Salford, Salford, UK
- Social Ageing Cluster, Manchester Metropolitan University, Manchester, UK
| | - Lydia Morris
- Salford Institute for Dementia and Ageing, University of Salford, Salford, UK
- Division of Population Health, Health Services Research & Primary Care, School of Health Sciences, University of Manchester, Manchester, UK
| | - Sarah K Smith
- Enterprise and Education Specialist in Ageing and Dementia, Salford Institute for Dementia & Ageing, University of Salford, Manchester, UK
| | - Sophie Bushell
- Salford Institute for Dementia & Ageing, University of Salford, Manchester, UK
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Smith SK, Innes A, Bushell S. Music-making in the community with people living with dementia and care-partners - 'I'm leaving feeling on top of the world'. Health Soc Care Community 2022; 30:114-123. [PMID: 33825264 DOI: 10.1111/hsc.13378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 02/06/2021] [Accepted: 03/03/2021] [Indexed: 06/12/2023]
Abstract
Evidence exists relating to music-based initiatives and positive health outcomes for people living with dementia who can access them. Yet, knowledge about the impact of 'music-making' on the well-being of community-dwelling people with dementia is limited. Much of the existing evidence about the benefits of music is focused on care home settings where initiatives can be readily applied as part of a weekly schedule of activities. Therefore, this initiative aimed to provide opportunities to participate in music-making, to increase social interaction and ultimately well-being in a community environment. Ten music-making session were scheduled for community-dwelling people living with dementia and care-partners, once a month between September 2019 and March 2020. Three sessions did not take place due to Covid19. Eighteen participants consented to take part including seven people living with dementia, five care-partners and six former care-partners. Baseline semi-structured interviews explored the lived experience of music and expectations of the upcoming music-making cafes. Self-report questionnaires captured 'in the moment' experiences of each music-making cafe. Follow-up semi-structured interviews explored the impact of music-making on participants' self-reported well-being. Interviews were transcribed verbatim and analysed thematically. The findings demonstrate that participating in the music-making café benefitted the self-reported well-being of participants in three ways: first, a sense of camaraderie that enabled the facilitation of connections with others; second, creating opportunities to 'level the playing field' by always assuming a person's strengths and abilities; and third, group participation in music-making meets a need for meaningful musical experiences. We conclude that participating in music-making is a powerful medium to promote well-being for community-dwelling people living with dementia and care-partners.
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Affiliation(s)
- Sarah K Smith
- Salford Institute for Dementia and Ageing, School of Health & Society, University of Salford, Manchester, UK
| | - Anthea Innes
- Salford Institute for Dementia and Ageing, School of Health & Society, University of Salford, Manchester, UK
| | - Sophie Bushell
- Salford Institute for Dementia and Ageing, School of Health & Society, University of Salford, Manchester, UK
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Innes A, Smith SK, Wyatt M, Bushell S. "It's just so important that people's voices are heard": The dementia associate panel. J Aging Stud 2021; 59:100958. [PMID: 34794726 DOI: 10.1016/j.jaging.2021.100958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 08/10/2021] [Accepted: 08/13/2021] [Indexed: 11/18/2022]
Abstract
Including the views and experiences of people living with dementia in research and wider decision making is vital. The impact for the subjective wellbeing of its members of an approach known as The Dementia Associate Panel (DAP) is explored. The panel, based on a social citizenship model, aimed to provide a platform to work with and hear the voices of people living with dementia in a region of England. A mixed method approach using semi-structured interviews, self-report questionnaires, and focus groups was adopted. There were 16 participants; six people living with dementia and ten care partners. Participant motivations to join the panel were based on a desire for individuals' voices and experiences to be heard. Following participation in the panel, participants reported experiencing belonging and purpose. Collective and personal contributions to the development of local health and care policies, education provision, research studies, and to raising general public awareness about dementia was beneficial to reported participant wellbeing. The DAP model has the potential to be developed and adapted when working with people living with dementia in different settings; at national or regional levels across the globe.
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Affiliation(s)
| | | | - Megan Wyatt
- University of Salford, Salford, United Kingdom
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Innes A, Smith SK, Bushell S. Dementia Friendly Care: Methods to Improve Stakeholder Engagement and Decision Making. J Healthc Leadersh 2021; 13:183-197. [PMID: 34429678 PMCID: PMC8379145 DOI: 10.2147/jhl.s292939] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 08/05/2021] [Indexed: 12/18/2022] Open
Abstract
Dementia friendly (DF) is a term that has been increasingly used in the international literature to describe approaches that include and involve people living with dementia within their communities and wider society. How to support the involvement of people living with dementia to achieve dementia friendly care or support outcomes is an area that has begun to receive attention. We begin by introducing the concept of dementia friendly, the policy context and what has already been evidenced via prior reviews and conceptual discussions. We conducted a systematic review following PRISMA guidelines, resulting in the inclusion of nineteen papers that reported on the methods and approaches used to involve people living with dementia in achieving dementia friendly or supportive care outcomes. Five primary themes were identified: the potential of group-based activities to facilitate inclusion and engagement; achieving engagement in decision making; the value of developing tools to help service providers to engage those living with dementia in care decisions; the role of awareness raising and education to support the inclusion of a range of stakeholders in achieving DF support and care outcomes; the need for cultural and contextual sensitivity when seeking to engage stakeholders to achieve positive care outcomes. We conclude by considering how both the underpinning ethos of social citizenship and social inclusion need to be in place alongside a range of approaches that are adapted to fit local contexts and needs to enable the involvement of people living with dementia in achieving dementia friendly care outcomes.
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Affiliation(s)
- Anthea Innes
- Salford Institute for Dementia and Ageing, School of Health and Society, University of Salford, Salford, UK
| | - Sarah Kate Smith
- Salford Institute for Dementia and Ageing, School of Health and Society, University of Salford, Salford, UK
| | - Sophie Bushell
- Salford Institute for Dementia and Ageing, School of Health and Society, University of Salford, Salford, UK
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Morris L, Innes A, Smith E, Williamson T, McEvoy P. A feasibility study of the impact of a communication-skills course, 'Empowered Conversations', for care partners of people living with dementia. Dementia (London) 2021; 20:2838-2850. [PMID: 33998912 PMCID: PMC8671646 DOI: 10.1177/14713012211018929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Objectives To examine the feasibility, acceptability and impact of an experiential course for family care partners of people living with dementia, Empowered Conversations (EC). This study aimed to assess the impact of participation in an EC course on care partner stress levels, communication and mentalization (a form of relational-based empathy). Method This study uses an uncontrolled pre–post-follow-up design. Follow-up was at 4-months after the initial EC session where baseline data were collected. One hundred and fifty-nine care partners were recruited. EC is a training course that has been designed to improve care partner communication, well-being and relationships. It is based on an integrative framework that targets the specific psychological, relationship and communication needs of carers. This framework informs targeted strategies and interactive exercises that facilitate carers to consider the goals and emotions of those they are caring for, alongside their own goals and emotions, and to use this to maximize good communication. Results Stress was significantly reduced across the three time points. Communication significantly improved across time. There were no significant changes in reflective functioning (mentalization). Discussion This study provides preliminary evidence that a communication-skills training course for care partners of people living with dementia is an acceptable and feasible intervention and has an impact both post-intervention and at follow-up. These findings require validation in a rigorous, randomized study.
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Affiliation(s)
- Lydia Morris
- Institute of Dementia, School of Health and Society, 7046University of Salford, UK; Division of Population Health, Health Services Research and Primary Care, University of Manchester, UK
| | - Anthea Innes
- Institute of Dementia, School of Health and Society, 7046University of Salford, UK
| | - Emma Smith
- Six Degrees Social Enterprise, Salford, UK
| | | | - Phil McEvoy
- Six Degrees Social Enterprise, Salford, UK; Age UK Salford, Eccles, Manchester, UK
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Morris L, Innes A, Smith S, Wilson J, Bushell S, Wyatt M. A qualitative evaluation of the impact of a Good Life Club on people living with dementia and care partners. Dementia (London) 2021; 20:2478-2493. [PMID: 33745346 PMCID: PMC8564258 DOI: 10.1177/1471301221998897] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Research suggests there is a lack of post-diagnostic support to enable people living with dementia to fulfil social and active lives throughout their dementia journey. Gardening has been found to have many benefits for people living with dementia. Although such research is important, most research frames people with dementia as passive recipients of stimulation. Research into the impact of a community-based gardening group, where people living with dementia are active in the development of an outdoor space, is underdeveloped. Knowledge about the impact of participating in such groups is also sparse. The Good Life Club (GLC) was co-developed and evaluated to respond to these gaps. OBJECTIVES The primary aim of this article is to present the findings regarding the impact of attending the GLC on the self-reported well-being for people living with dementia and care partners. METHODS Qualitative data were collected via 22 semi-structured interviews. Fourteen interviews were conducted before the GLC and eight after the GLC. Thematic analysis was used to analyse data. Dementia Care Mapping data were collected to supplement the interview data. FINDINGS Four key themes were identified. The first was that participants considered having active participation in social life to be a key aspect of living a good life. The second was that the way that the GLC was set up and delivered gave the participants ownership of the GLC and within this they felt able to contribute. The third was the importance of social connectedness and peer support to the well-being of both people living with dementia and care partners. Fourth, positive mood and well-being was directly experienced through gardening. CONCLUSIONS The combination of long-term investment of time and energy to the GLC, ongoing friendships and in-session autonomy act as key ingredients in creating a group that is relaxed, full of humour and highly valued.
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Affiliation(s)
- Lydia Morris
- School of Health and Society, Institute of Dementia, 5292University of Salford, UK
| | - Anthea Innes
- School of Health and Society, Institute of Dementia, 5292University of Salford, UK
| | - Sarah Smith
- School of Health and Society, Institute of Dementia, 5292University of Salford, UK
| | - Jack Wilson
- School of Health and Society, Institute of Dementia, 5292University of Salford, UK
| | - Sophie Bushell
- School of Health and Society, Institute of Dementia, 5292University of Salford, UK
| | - Megan Wyatt
- School of Health and Society, Institute of Dementia, 5292University of Salford, UK
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Innes A, Scholar HF, Haragalova J, Sharma M. ' You come because it is an interesting place': The impact of attending a heritage programme on the well-being of people living with dementia and their care partners. Dementia (London) 2021; 20:2133-2151. [PMID: 33522285 PMCID: PMC8369901 DOI: 10.1177/1471301220985380] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Promoting access to heritage settings has been acknowledged as a way to promote well-being in the United Kingdom for people living with dementia and their care partners. Yet there is a lack of information available internationally on the contribution of heritage sites to promote well-being and social inclusion for those living with dementia. This study addresses this gap by reporting on the impact for 48 people of participating in the ‘Sensory Palaces’ (SP) programme run by Historic Royal Palaces at Hampton Court and Kew Palaces in the United Kingdom. Two primary data sources were used; post-session interviews involving 30 participants (the person living with dementia and/or their care partners), and 131 sets of self-complete pre- and post-session mood questionnaires administered directly before and after SP session attendance. Analysis of the data sets is presented under three themes: enjoyment and engagement; connecting and learning and place, space and time. The findings demonstrate that participants highly valued the heritage sessions and reported positively on the impact this had for their individual well-being and their relationships with one another. This study highlights the opportunity for heritage sites to contribute to promoting well-being for people living with dementia.
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Affiliation(s)
- Anthea Innes
- Salford Institute for Dementia and Ageing, University of Salford, Salford, UK
| | | | | | - Monika Sharma
- Salford Institute for Dementia and Ageing, School of the Built Environment, University of Salford, Salford, UK
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Innes A, Calvert L, Bowker G. Conclusion. Dementia 2020. [DOI: 10.4324/9781315709000-12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. Care need Transitions in the Journey with Dementia. Dementia 2020. [DOI: 10.4324/9781315709000-10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. Introduction. Dementia 2020. [DOI: 10.4324/9781315709000-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. Pre-Diagnosis. Dementia 2020. [DOI: 10.4324/9781315709000-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. Post-Diagnostic Support for the Person Living with Dementia. Dementia 2020. [DOI: 10.4324/9781315709000-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. Supporting the Person Living with Dementia and their Care Supporter Together. Dementia 2020. [DOI: 10.4324/9781315709000-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. Diagnosis of Dementia. Dementia 2020. [DOI: 10.4324/9781315709000-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. The Post-Diagnostic Support needs of Family Members and Friends who Provide Care and Support. Dementia 2020. [DOI: 10.4324/9781315709000-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Innes A, Calvert L, Bowker G. End of Life Care. Dementia 2020. [DOI: 10.4324/9781315709000-11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Higginson R, MacConville S, Innes A, Kelly B. The effectiveness of a multi-disciplinary designed intervention to promote self-management of joint pain performed by non-clinicians: s service evaluation. Physiotherapy 2020. [DOI: 10.1016/j.physio.2020.03.192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Scerri A, Innes A, Scerri C. Dementia care in acute hospitals-A qualitative study on nurse managers' perceived challenges and solutions. J Nurs Manag 2020; 28:399-406. [PMID: 31891204 DOI: 10.1111/jonm.12941] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 12/16/2019] [Accepted: 12/20/2019] [Indexed: 11/29/2022]
Abstract
AIM The aim of this study was to explore the perceived challenges of nurse managers when caring for patients with dementia in acute hospitals and identify possible solutions to address these challenges. BACKGROUND Although dementia care in acute hospitals is suboptimal, few solutions have been identified. Multi-level factors need to be considered to promote changes in practice. METHOD Two focus groups were held with sixteen nurse managers responsible for eleven acute medical wards in Malta. Deductive qualitative analysis using an adapted version of McKinsey 7-S model was used as an a priori framework to categorize the perceived challenges and solutions. RESULTS The nursing managers identified a number of organizational challenges that have a direct impact on the quality of care of patients with dementia. They also suggested a number of solutions such as realigning the hospital strategy, improving training and care coordination, redesigning the ward environment and changing leadership styles. CONCLUSION This study highlight the complexity of improving dementia care in hospitals and continues to show that a system-wide approach is needed. IMPLICATIONS FOR NURSING MANAGEMENT Understanding the challenges and identifying possible solutions can help hospital staff provide better person-centred dementia care.
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Affiliation(s)
- Anthony Scerri
- Department of Nursing, Faculty of Health Sciences, University of Malta, Msida, Malta
| | - Anthea Innes
- Salford Institute for Dementia, University of Salford, Manchester, UK
| | - Charles Scerri
- Department of Pathology, Faculty of Medicine and Surgery, University of Malta, Msida, Malta
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Bowker R, Calvert L, Allcroft F, Bowker G, Foy P, Gandy J, Jones S, Bushell S, Clark A, Innes A. ' Our voice started off as a whisper and now it is a great big roar': The Salford Dementia Associate Panel as a model of involvement in research activities. Dementia (London) 2019; 19:18-26. [PMID: 31875709 DOI: 10.1177/1471301219874225] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper presents the work of the ‘Salford Dementia Associate Panel’, based at the Salford Institute for Dementia, Salford University (UK). We discuss the roles of the Dementia Associates, in particular around the areas of engagement and research. The panel is made up of people living with dementia, and current and former care partners. It highlights the development of this group over a four-year period and demonstrates over time how the role of a Dementia Associate member has evolved. The panel is involved in research, education and public engagement activities conducted by staff and students within the Institute. The motivations for becoming involved are clearly articulated and demonstrate how the personal backgrounds of individuals have driven the collective involvement and desire to bring about change. The benefits and challenges associated with working as part of a panel are discussed. We conclude by bringing together our experiences as a set of suggestions for others who may wish to create a similar forum to promote the involvement of people living with dementia and former and current care partners.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Anthea Innes
- Salford Institute for Dementia, Salford University, Salford, UK
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Hicks B, Innes A, Nyman SR. Experiences of rural life among community-dwelling older men with dementia and their implications for social inclusion. Dementia (London) 2019; 20:444-463. [PMID: 31718267 DOI: 10.1177/1471301219887586] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Current international dementia care policies focus on creating 'dementia-friendly' communities that aim to support the social inclusion of people with dementia. Although it is known that the geo-socio-cultural rural environment can impact on the experiences of people living with dementia, this can be overlooked when exploring and implementing social inclusion policies. This paper addresses an important gap in the literature by exploring the perceptions of daily life for older men (65+ years) living with dementia in three rural areas of England. Open interviews were conducted with 17 rural-dwelling older men with dementia and the data elicited were analysed thematically to construct two higher order themes. The first focussed on 'Cracking on with life in a rural idyll' and highlighted the benefits of rural living including the pleasant, natural environment, supportive informal networks and some accessible formal dementia support. The second presented 'A challenge to the idyll' and outlined difficulties the men faced including a lack of dementia awareness amongst their family and the wider rural community as well as the physical and internal motivational barriers associated with the rural landscape and their dementia. The findings were interpreted through a lens of social inclusion and demonstrated how the geo-socio-cultural rural environment both enabled and inhibited facets of the men's experiences of life in their communities. Based on these findings, the paper offers recommendations for practitioners, researchers and policy makers wishing to promote social inclusion in rural-dwelling older men living with dementia.
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Affiliation(s)
- Ben Hicks
- Centre for Dementia Studies, Brighton and Sussex Medical School, University of Sussex, Brighton, UK
| | - Anthea Innes
- Salford Institute for Dementia, The Dementia Hub, Allerton Courtyard, Salford, UK
| | - Samuel R Nyman
- Interim Deputy Head, Department of Medical Science and Public Health,and Ageing & Dementia Research Centre, Bournemouth University, Bournemouth, UK
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Scerri A, Innes A, Scerri C. Person-centered dementia care in acute hospital wards-The influence of staff knowledge and attitudes. Geriatr Nurs 2019; 41:215-221. [PMID: 31630871 DOI: 10.1016/j.gerinurse.2019.09.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2019] [Revised: 09/06/2019] [Accepted: 09/10/2019] [Indexed: 10/25/2022]
Abstract
Person-centered dementia care practices in acute hospital wards are suboptimal and not commonly measured. Although previous research has indicated that the work environment of staff influences their perceptions of person-centeredness, few studies have examined how their personal attributes, such as their level of dementia knowledge and attitudes, influence their person-centered dementia care practices. A questionnaire was distributed to test the relationship between staff perceptions of person-centered dementia care and their dementia knowledge and attitudes in general medical wards. The results showed that staff with better dementia knowledge were significantly more critical about the extent they were using evidence-based guidelines and external expertise. Staff with better attitudes perceived themselves as using more individualized care practices. The findings demonstrate that to enhance person-centered dementia care in acute hospitals, staff training programs should develop both their intellectual and interpersonal skills to improve their knowledge and attitudes.
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Affiliation(s)
- Anthony Scerri
- Department of Nursing, Faculty of Health Sciences, University of Malta, Msida MSD 2090, Malta.
| | - Anthea Innes
- Faculty of Social Sciences, University of Stirling, Salford Institute for Dementia, University of Salford, Manchester, United Kingdom.
| | - Charles Scerri
- Department of Pathology, Faculty of Medicine and Surgery, University of Malta, Msida MSD 2080, Malta.
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Scholar H, Innes A, Sharma M, Haragalova J. 'Unlocking the door to being there': The contribution of creative facilitators in supporting people living with dementia to engage with heritage settings. Dementia (London) 2019; 20:213-230. [PMID: 31505949 DOI: 10.1177/1471301219871388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This article reports findings from the evaluation of 'Sensory Palaces', an innovative project developed by the charity Historic Royal Palaces, which looks after six of the United Kingdom's unoccupied royal palaces. The Sensory Palaces project employs creative facilitators to support people living with dementia and their care partners in engaging with two of these sites; Hampton Court Palace and Kew Palace. This paper focusses on the role and contribution of the creative facilitators in supporting people living with dementia to connect with these heritage spaces. It reports on data collected from facilitator interviews relating to the benefits of engaging together through sensory and creative methods to explore and share experiences of the palaces, drawing out important factors from the design, content and delivery of the sessions.
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Affiliation(s)
- Helen Scholar
- School of Health and Society, University of Salford, UK
| | | | - Monika Sharma
- Salford Institute for Dementia, University of Salford, UK
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Devereux G, Bourke S, Daines C, Doe S, Dougherty R, Franco R, Innes A, Kopp B, Lascano J, Layish D, McGregor G, Murray L, Peckham D, Smith T, Lucidi V, Volpi S, Lovie E, Robertson J, Fraser-Pitt D, O'Neil D. WS12-6 Evaluating appropriate PROMs in CARE-CF-1 trial: Lynovex® (cysteamine) an oral adjunct to SOC interventions in cystic fibrosis infectious exacebations. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30191-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Tischler V, Schneider J, Morgner C, Crawford P, Dening T, Brooker D, Garabedian C, Myers T, Early F, Shaughnessy N, Innes A, Duncan K, Prashar A, McDermott O, Coaten R, Eland D, Harvey K. Stronger together: learning from an interdisciplinary dementia, arts and well-being network (DA&WN). Arts Health 2019; 11:272-277. [PMID: 31038420 DOI: 10.1080/17533015.2018.1534252] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background This paper reports on the learning from a 12-month interdisciplinary project (Dementia, Arts and Wellbeing Network- DA&WN) and its activities. These featured a series of four workshops on dance, visual art, theatre and music. The network was comprised of clinicians, academics, creative practitioners and people with lived experience of dementia and their carers. Methods The workshops were designed to draw out tacit knowledge about well-being in dementia through an action-based learning and research approach. This included, guided activities combined with reflective group discussions, visual documentation and baseline and follow-up questionnaires. Results Outcomes included new collaborations between group members, changes in creative practice for artists, and active and sustained involvement of people living with dementia and their carers in similar opportunities and participatory research. Conclusion This participatory and inclusive workshop model should be considered to develop and enhance interdisciplinary activities in dementia care.
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Grzeschik R, Conroy-Dalton R, Innes A, Shanker S, Wiener JM. The contribution of visual attention and declining verbal memory abilities to age-related route learning deficits. Cognition 2019; 187:50-61. [PMID: 30826535 DOI: 10.1016/j.cognition.2019.02.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 02/22/2019] [Accepted: 02/22/2019] [Indexed: 01/25/2023]
Abstract
Our ability to learn unfamiliar routes declines in typical and atypical ageing. The reasons for this decline, however, are not well understood. Here we used eye-tracking to investigate how ageing affects people's ability to attend to navigationally relevant information and to select unique objects as landmarks. We created short routes through a virtual environment, each comprised of four intersections with two objects each, and we systematically manipulated the saliency and uniqueness of these objects. While salient objects might be easier to memorise than non-salient objects, they cannot be used as reliable landmarks if they appear more than once along the route. As cognitive ageing affects executive functions and control of attention, we hypothesised that the process of selecting navigationally relevant objects as landmarks might be affected as well. The behavioural data showed that younger participants outperformed the older participants and the eye-movement data revealed some systematic differences between age groups. Specifically, older adults spent less time looking at the unique, and therefore navigationally relevant, landmark objects. Both young and older participants, however, effectively directed gaze towards the unique and away from the non-unique objects, even if these were more salient. These findings highlight specific age-related differences in the control of attention that could contribute to declining route learning abilities in older age. Interestingly, route-learning performance in the older age group was more variable than in the young age group with some older adults showing performance similar to the young group. These individual differences in route learning performance were strongly associated with verbal and episodic memory abilities.
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Affiliation(s)
- Ramona Grzeschik
- Department of Psychology, Ageing and Dementia Research Centre, Bournemouth University, UK; Leibniz Institute for Neurobiology, Magdeburg, Germany.
| | | | - Anthea Innes
- Salford Institute for Dementia, University of Salford, UK
| | - Shanti Shanker
- Department of Psychology, Ageing and Dementia Research Centre, Bournemouth University, UK
| | - Jan M Wiener
- Department of Psychology, Ageing and Dementia Research Centre, Bournemouth University, UK
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Abstract
It is acknowledged that the needs of persons living with dementia admitted in acute hospitals are not always met. Previous studies have focused on the perceived needs of professional caregivers or family members whilst the voices of patients with dementia in acute hospitals have not been extensively reported. This may have contributed to the under-recognition of the needs of persons living with dementia. The aim of this study was to categorise the perceived and observed needs of persons with dementia admitted in acute medical wards and to explore whether these needs are being or have been met. Thirteen people with dementia in three medical wards, who could verbally communicate with the researcher, were purposively selected as research participants. Semi-structured interviews were conducted to elicit each participant's experiences of their hospital stay and whether their needs were perceived to have been/are being met. Moreover, routine care with the same participants was observed using Dementia Care Mapping. Maslow's Hierarchy of Needs was used as a framework to categorise care needs. Our findings demonstrate that basic needs such as toileting, feeding, drinking, continence and comfort were not always met. Moreover, the largest gap between met and unmet needs was found in patients who were either under constant observation or unable to communicate. Too much emphasis was perceived and observed to be given on what staff considered as safety needs at the expense of other needs. The patients' need for social contact and self-esteem such as dignity and respect were often ignored and this led to patients feeling devalued. Hospital staff have to be more aware of the holistic needs of patients with dementia in acute settings and the way care is delivered in order to make up for these unmet needs, thus facilitating person-centred care.
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Affiliation(s)
- Anthony Scerri
- Department of Nursing, Faculty of Health Sciences, University of Malta, Malta
| | - Charles Scerri
- Department of Pathology, Faculty of Medicine and Surgery, University of Malta, Malta
| | - Anthea Innes
- Faculty of Social Sciences, University of Stirling, Salford Institute for Dementia, University of Salford, Manchester, UK
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Innes A, Barrow T, Schwalbe E, Fadhel L, Gordon S. PO-139 Investigating unusual synthetic lethalgenes in acute lymphoblastic leukaemia. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Abstract
OBJECTIVES This study explored the social care and support needs of people with dementia and visual impairment, and the barriers and facilitators for meeting these needs. METHOD Twenty-six semi-structured interviews were conducted: 21 joint and 5 individual interviews with the person with dementia and visual impairment (n=4) or their family/paid carer (n=1). Interviews were analysed thematically. RESULTS Three themes are presented. (1) Social care needs: having dementia can reduce an individual's ability to cope with their visual impairment, and lead to increased dependency and reduced daily stimulation. (2) Barriers to using technology to meet social care needs: difficulties were reported with learning to use unfamiliar technology and the cost of visual impairment aids, and for some, the presence of dementia made visual impairment aids unusable and vice versa. (3) Familiarity as a facilitator for meeting social care needs: living at home or taking furnishings and ornaments into a new home facilitated independence, and continuity of paid carers/volunteers facilitated the caring relationship between the individual and staff/volunteer. CONCLUSION Care workers will better serve older people if they are aware of the social care and support needs that arise from having both dementia and visual impairment.
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Affiliation(s)
- Samuel Robert Nyman
- a Psychology Department, Faculty of Science and Technology , Bournemouth University , Poole , UK.,b Bournemouth University Dementia Institute, Bournemouth University , Poole , UK
| | - Anthea Innes
- b Bournemouth University Dementia Institute, Bournemouth University , Poole , UK
| | - Michelle Heward
- b Bournemouth University Dementia Institute, Bournemouth University , Poole , UK
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Abstract
OBJECTIVES Although literature describing and evaluating training programmes in hospital settings increased in recent years, there are no reviews that summarise these programmes. This review sought to address this, by collecting the current evidence on dementia training programmes directed to staff working in general hospitals. METHOD Literature from five databases were searched, based on a number of inclusion criteria. The selected studies were summarised and data was extracted and compared using narrative synthesis based on a set of pre-defined categories. Methodological quality was assessed. RESULTS Fourteen peer-reviewed studies were identified with the majority being pre-test post-test investigations. No randomised controlled trials were found. Methodological quality was variable with selection bias being the major limitation. There was a great variability in the development and mode of delivery although, interdisciplinary ward based, tailor-made, short sessions using experiential and active learning were the most utilised. The majority of the studies mainly evaluated learning, with few studies evaluating changes in staff behaviour/practices and patients' outcomes. CONCLUSION This review indicates that high quality studies are needed that especially evaluate staff behaviours and patient outcomes and their sustainability over time. It also highlights measures that could be used to develop and deliver training programmes in hospital settings.
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Affiliation(s)
- Anthony Scerri
- a Department of Nursing, Faculty of Health Sciences , University of Malta , Msida , Malta
| | - Anthea Innes
- b School of Health, Nursing and Midwifery , University of the West of Scotland , Hamilton , UK
| | - Charles Scerri
- c Department of Pathology, Faculty of Medicine and Surgery , University of Malta , Msida , Malta
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Kenigsberg PA, Aquino JP, Bérard A, Brémond F, Charras K, Dening T, Droës RM, Gzil F, Hicks B, Innes A, Nguyen SM, Nygård L, Pino M, Sacco G, Salmon E, van der Roest H, Villet H, Villez M, Robert P, Manera V. Assistive Technologies to Address Capabilities of People with Dementia: From Research to Practice. Dementia (London) 2017; 18:1568-1595. [PMID: 28699364 DOI: 10.1177/1471301217714093] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Assistive technologies became pervasive and virtually present in all our life domains. They can be either an enabler or an obstacle leading to social exclusion. The Fondation Médéric Alzheimer gathered international experts of dementia care, with backgrounds in biomedical, human and social sciences, to analyze how assistive technologies can address the capabilities of people with dementia, on the basis of their needs. Discussion covered the unmet needs of people with dementia, the domains of daily life activities where assistive technologies can provide help to people with dementia, the enabling and empowering impact of technology to improve their safety and wellbeing, barriers and limits of use, technology assessment, ethical and legal issues. The capability approach (possible freedom) appears particularly relevant in person-centered dementia care and technology development. The focus is not on the solution, rather on what the person can do with it: seeing dementia as disability, with technology as an enabler to promote capabilities of the person, provides a useful framework for both research and practice. This article summarizes how these concepts took momentum in professional practice and public policies in the past 15 years (2000-2015), discusses current issues in the design, development and economic model of assistive technologies for people with dementia, and covers how these technologies are being used and assessed.
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Affiliation(s)
| | | | | | | | | | - Tom Dening
- Institute of Mental Health, University of Nottingham, UK
| | - Rose-Marie Droës
- Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands
| | | | - Ben Hicks
- Bournemouth University Dementia Institute, UK
| | - Anthea Innes
- Salford Institute for Dementia University of Salford, Salford, United Kingdom
| | - Sao-Mai Nguyen
- Lab-STICC, Institut Mines-Télécom Bretagne, Brest, France
| | - Louise Nygård
- Department of Neurobiology, Care sciences and Society, Karolinska Institute, Stockholm, Sweden
| | - Maribel Pino
- Laboratoire Lusage, Hôpital Broca, Assistance publique-Hôpitaux de Paris, France
| | - Guillaume Sacco
- Centre Mémoire de Ressources et de Recherche, CHU de Nice; Université Côte-d'Azur, CoBTeK, Nice, France
| | - Eric Salmon
- Department of Neurology, Liège University Hospital, Belgium
| | - Henriëtte van der Roest
- Department of General Practice and Elderly Care Medicine, Amsterdaù Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands
| | | | - Marion Villez
- Laboratoire LIRTES, Université Paris-Est-Val de Marne, Créteil, France
| | - Philippe Robert
- Université Côte-d'Azur, CoBTeK, & Innovation Alzheimer Association, Nice, France
| | - Valeria Manera
- Université Côte-d'Azur, INRIA STARS & CoBTeK, Nice, France
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Forbes DA, Peacock S, Blake CM, Coatsworth‐Puspoky R, Marceau R, Bayly M, Hillier K, Rajan R, Pokharel B, Strain L, Hawranik P, Morgan DG, Innes A. [P2–497]: THE ROLE OF A KNOWLEDGE BROKER IN PROMOTING THE USE OF DEMENTIA CARE EVIDENCE IN CANADIAN RURAL HOME CARE CENTRES. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.1154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Heward M, Innes A, Cutler C, Hambidge S. Dementia-friendly communities: challenges and strategies for achieving stakeholder involvement. Health Soc Care Community 2017; 25:858-867. [PMID: 27406118 DOI: 10.1111/hsc.12371] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/15/2016] [Indexed: 06/06/2023]
Abstract
Dementia-friendly communities (DFCs) are a UK policy initiative that aims to enable people with dementia to feel supported and included within their local community. Current approaches to DFC creation rely on stakeholder involvement, often requiring volunteer assistance. There is though a lack of evidence that examines the reality of achieving this. This paper critically assesses the challenges and strategies for achieving stakeholder involvement in DFCs. The evidence base is drawn from an inter-agency project funded by the National Health Service in the South of England where seven DFCs were developed by steering group partners and four part-time project workers (PWs). Data from the independent evaluation undertaken in the first year (2013-2014) of the project were analysed: 14 semi-structured interviews and a focus group examined PWs' experiences; while progress and key milestones are determined from monthly progress forms, good news stories, locality steering group minutes and press releases. Analysis was undertaken using a directed content analysis method, whereby data content for each locality was matched to the analytical framework that was drawn from Alzheimer's Society guidance. Challenges to achieving stakeholder involvement were identified as: establishing networks and including people representative of the local community; involving people affected by dementia; and gaining commitment from organisations. Strategies for achieving stakeholder involvement were recognised as: a sustainable approach; spreading the word; and sharing of ideas. By highlighting these challenges and the approaches that have been used within communities to overcome them, these findings form the foundation for the creation of DFC initiatives that will become embedded within communities. Stakeholder involvement is unpredictable and changeable; therefore, reliance on this approach questions the long-term sustainability of DFCs, and must be considered in future policies designed to enhance quality of life for people affected by dementia.
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Khoder A, Sever M, Palanicawandar R, Pello O, Loaiza S, Bray E, Bradshaw A, Uddin S, Atta M, Selvaratnam V, Sevillano B, Monsalvo S, Altaf S, Innes A, Lozano S, Pavlu J, Auner H, Apperley J, Olavarria E, Kanfer E. Plerixafor effectively rescues biosimilar G-CSF-alone-based stem cell mobilisation failures. Cytotherapy 2017. [DOI: 10.1016/j.jcyt.2017.02.123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Morgan DG, Kosteniuk JG, Stewart NJ, O'Connell ME, Kirk A, Crossley M, Dal Bello-Haas V, Forbes D, Innes A. Availability and Primary Health Care Orientation of Dementia-Related Services in Rural Saskatchewan, Canada. Home Health Care Serv Q 2017; 34:137-58. [PMID: 26496646 PMCID: PMC4706021 DOI: 10.1080/01621424.2015.1092907] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Community-based services are important for improving outcomes for individuals with dementia and their caregivers. This study examined: (a) availability of rural dementia-related services in the Canadian province of Saskatchewan, and (b) orientation of services toward six key attributes of primary health care (i.e., information/education, accessibility, population orientation, coordinated care, comprehensiveness, quality of care). Data were collected from 71 rural Home Care Assessors via cross-sectional survey. Basic health services were available in most communities (e.g., pharmacists, family physicians, palliative care, adult day programs, home care, long-term care facilities). Dementia-specific services typically were unavailable (e.g., health promotion, counseling, caregiver support groups, transportation, week-end/night respite). Mean scores on the primary health care orientation scales were low (range 12.4 to 17.5/25). Specific services to address needs of rural individuals with dementia and their caregivers are limited in availability and fit with primary health care attributes.
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Affiliation(s)
- Debra G Morgan
- a Canadian Centre for Health and Safety in Agriculture , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Julie G Kosteniuk
- a Canadian Centre for Health and Safety in Agriculture , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Norma J Stewart
- b College of Nursing , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Megan E O'Connell
- c Department of Psychology , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Andrew Kirk
- d Division of Neurology, College of Medicine , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Margaret Crossley
- e Department of Psychology (Professor Emerita) , University of Saskatchewan , Saskatoon , Saskatchewan , Canada
| | - Vanina Dal Bello-Haas
- f School of Rehabilitation Science , McMaster University , Hamilton , Ontario , Canada
| | - Dorothy Forbes
- g Faculty of Nursing , University of Alberta , Edmonton , Alberta , Canada
| | - Anthea Innes
- h University of the West of Scotland , Hamilton , Scotland
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Shapiro AD, Mahlangu JN, Perry D, Pasi J, Quon DV, Chowdary P, Tsao E, Li S, Innes A, Pierce GF, Allen GA. Treatment of bleeding episodes with recombinant factor VIII Fc fusion protein in A-LONG study subjects with severe haemophilia A. Haemophilia 2017; 23:392-399. [PMID: 28220631 DOI: 10.1111/hae.13144] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2016] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The Phase 3 A-LONG study demonstrated the safety and efficacy of rFVIIIFc for the control and prevention of bleeding episodes in severe haemophilia A. AIM To describe the treatment of bleeding episodes with rFVIIIFc in the A-LONG study. METHODS A-LONG subjects (<1 IU dL-1 endogenous FVIII) were treated with individualized prophylaxis (Arm 1), weekly prophylaxis (Arm 2) or episodic treatment (Arm 3). Information recorded for each bleeding episode included type, location and dose to treat the episode. RESULTS During A-LONG, 757 bleeding episodes occurred during the efficacy period; the majority [456 (60%)] occurred in Arm 3 (episodic treatment). Of 93 subjects in the prophylaxis arms who entered the study with target joints, 43 (60%) in Arm 1 and 11 (52%) in Arm 2 did not experience a target joint bleed. Overall, 98% of bleeding episodes (and 98% of bleeds involving a target joint) resolved with one or two infusions; the median dose per infusion to treat a bleed was 27 IU kg-1 (27 IU kg-1 for target joints). Using population pharmacokinetic simulations, FVIII activity levels were predicted to be below the upper limit of normal (150 IU dL-1 ) in most patients in the event that rFVIIIFc is used to treat a bleeding episode in close proximity to a prophylactic dose. CONCLUSIONS These findings demonstrate the efficacy of rFVIIIFc for the treatment of acute bleeding episodes in subjects with severe haemophilia A, regardless of treatment regimen.
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Affiliation(s)
- A D Shapiro
- Indiana Hemophilia and Thrombosis Center, Indianapolis, IN, USA
| | - J N Mahlangu
- Faculty of Health Sciences, University of the Witwatersrand and NHLS Hospital, Parktown, Johannesburg, South Africa
| | - D Perry
- Addenbrookes Hospital, Cambridge, UK
| | - J Pasi
- Barts and The London Comprehensive Care Center, London, UK
| | - D V Quon
- Orthopaedic Hemophilia Treatment Center, Los Angeles, CA, USA
| | - P Chowdary
- Katharine Dormandy Haemophilia Centre and Thrombosis Unit, Royal Free Hospital, London, UK
| | - E Tsao
- Biogen, Cambridge, MA, USA
| | - S Li
- Biogen, Cambridge, MA, USA
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Abstract
This article discusses the reduction of the complex experience of dementia to a dichotomised 'tragedy' or 'living well' discourse in contemporary Western society. We explore both discourses, placing them in the context of a successful ageing paradigm, highlighting the complex nature of dementia and the risks associated with the emergence of these arguably competing discourses. Specifically, we explore this dichotomy in the context of societal understandings and responses to dementia. We argue for an acceptance of the fluid nature of the dementia experience, and the importance of an understanding that recognises the multiple realities of dementia necessary for social inclusion to occur. Such an acceptance requires that, rather than defend one position over another, the current discourse on dementia is challenged and problematised so that a more nuanced understanding of dementia may emerge; one that fully accepts the paradoxical nature of this complex condition.
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Affiliation(s)
- Patricia McParland
- School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland
| | - Fiona Kelly
- Division of Nursing, Queen Margaret University, Edinburgh, UK
| | - Anthea Innes
- School of Health, Nursing and Midwifery, University of the West of Scotland, UK
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Meiland F, Innes A, Mountain G, Robinson L, van der Roest H, García-Casal JA, Gove D, Thyrian JR, Evans S, Dröes RM, Kelly F, Kurz A, Casey D, Szcześniak D, Dening T, Craven MP, Span M, Felzmann H, Tsolaki M, Franco-Martin M. Technologies to Support Community-Dwelling Persons With Dementia: A Position Paper on Issues Regarding Development, Usability, Effectiveness and Cost-Effectiveness, Deployment, and Ethics. JMIR Rehabil Assist Technol 2017; 4:e1. [PMID: 28582262 PMCID: PMC5454557 DOI: 10.2196/rehab.6376] [Citation(s) in RCA: 147] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Revised: 10/16/2016] [Accepted: 10/24/2016] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND With the expected increase in the numbers of persons with dementia, providing timely, adequate, and affordable care and support is challenging. Assistive and health technologies may be a valuable contribution in dementia care, but new challenges may emerge. OBJECTIVE The aim of our study was to review the state of the art of technologies for persons with dementia regarding issues on development, usability, effectiveness and cost-effectiveness, deployment, and ethics in 3 fields of application of technologies: (1) support with managing everyday life, (2) support with participating in pleasurable and meaningful activities, and (3) support with dementia health and social care provision. The study also aimed to identify gaps in the evidence and challenges for future research. METHODS Reviews of literature and expert opinions were used in our study. Literature searches were conducted on usability, effectiveness and cost-effectiveness, and ethics using PubMed, Embase, CINAHL, and PsycINFO databases with no time limit. Selection criteria in our selected technology fields were reviews in English for community-dwelling persons with dementia. Regarding deployment issues, searches were done in Health Technology Assessment databases. RESULTS According to our results, persons with dementia want to be included in the development of technologies; there is little research on the usability of assistive technologies; various benefits are reported but are mainly based on low-quality studies; barriers to deployment of technologies in dementia care were identified, and ethical issues were raised by researchers but often not studied. Many challenges remain such as including the target group more often in development, performing more high-quality studies on usability and effectiveness and cost-effectiveness, creating and having access to high-quality datasets on existing technologies to enable adequate deployment of technologies in dementia care, and ensuring that ethical issues are considered an important topic for researchers to include in their evaluation of assistive technologies. CONCLUSIONS Based on these findings, various actions are recommended for development, usability, effectiveness and cost-effectiveness, deployment, and ethics of assistive and health technologies across Europe. These include avoiding replication of technology development that is unhelpful or ineffective and focusing on how technologies succeed in addressing individual needs of persons with dementia. Furthermore, it is suggested to include these recommendations in national and international calls for funding and assistive technology research programs. Finally, practitioners, policy makers, care insurers, and care providers should work together with technology enterprises and researchers to prepare strategies for the implementation of assistive technologies in different care settings. This may help future generations of persons with dementia to utilize available and affordable technologies and, ultimately, to benefit from them.
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Affiliation(s)
- Franka Meiland
- Department of Psychiatry, VU University medical centre, Amsterdam, Netherlands
| | - Anthea Innes
- Universities of Salford and Stirling UK, Manchester, Stirling, United Kingdom
| | - Gail Mountain
- School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom
| | - Louise Robinson
- Institute for Ageing, Newcastle University, Newcastle, United Kingdom
| | - Henriëtte van der Roest
- Department of General Practice and Elderly Care Medicine, VU university medical centre, Amsterdam, Netherlands
| | - J Antonio García-Casal
- Iberian Research Psychosciences Institute, Psychosocial Rehabilitation Centre, Intras Foundation, Zamora, Spain
| | | | - Jochen René Thyrian
- German Center for Neurodegenerative Diseases (DZNE), Site Rostock, Greifswald, Germany
| | - Shirley Evans
- Association for Dementia Studies, University of Worcester, Worcester, United Kingdom
| | - Rose-Marie Dröes
- Department of Psychiatry, VU University medical centre, Amsterdam, Netherlands
| | - Fiona Kelly
- Centre for Person-centred Practice Research, Queen Margaret University, Edinburgh, United Kingdom
| | | | - Dympna Casey
- School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland
| | - Dorota Szcześniak
- Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
| | - Tom Dening
- Division of Psychiatry & Applied Psychology, University of Nottingham, Nottingham, United Kingdom
| | - Michael P Craven
- NIHR MindTech Healthcare Technology Co-operative, Institute of Mental Health, University of Nottingham Innovation Park, Nottingham, United Kingdom
- Bioengineering Research Group, Faculty of Engineering, University of Nottingham, Nottingham, United Kingdom
| | - Marijke Span
- Windesheim University of Applied Sciences, Zwolle, Netherlands
| | | | - Magda Tsolaki
- Memory and dementia outpatient clinic, 3rd Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Manuel Franco-Martin
- Iberian Research Psychosciences Institute, Psychiatric Department in Zamora Hospital, Salamanca University, Zamora, Spain
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Abstract
The quality of care of persons with dementia in hospitals is not optimal and can be challenging. Moreover, staff may find difficulty in translating what they have learned during training into practice. This paper report the development and evaluation of a set of workshops using an appreciative inquiry approach to implement person-centred dementia care in two hospital wards. Staff worked collaboratively to develop a ward vision and to implement a number of action plans. Using appreciative inquiry approach, staff attitudes towards persons with dementia improved, inter-professional collaboration was enhanced and small changes in staff practices were noted. Dementia care in hospitals can be enhanced by empowering staff to take small but concrete actions after they engage in appreciative inquiry workshops, during which they are listened to and appreciated for what they can contribute.
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Affiliation(s)
- Anthony Scerri
- Department of Nursing, Faculty of Health Sciences, University of Malta, Malta
| | - Anthea Innes
- Faculty of Social Sciences, University of Stirling, UK; Salford Institute for Dementia, University of Salford, Manchester, UK
| | - Charles Scerri
- Department of Pathology, Faculty of Medicine and Surgery, University of Malta, Malta
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Cutler C, Palma P, Innes A. Tales of The Sea: Connecting people with dementia to the UK heritage through maritime archaeology: Innovative practice. Dementia (London) 2016; 18:771-775. [PMID: 27651422 DOI: 10.1177/1471301216666171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This paper reports on a pilot study evaluating the impact of a series of interactive and educational maritime archaeological sessions for people with dementia. A typical archaeological approach was adopted including excavations, recovery and reconstruction of artefacts. Findings from this study demonstrate the importance of providing information, delivering alternative activities, enabling educational opportunities and offering support to and for people living with dementia. Our findings further illustrate that people with dementia can be included in maritime archaeology and that including people with dementia in heritage-based initiatives is possible.
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O'Malley M, Innes A, Wiener JM. Decreasing spatial disorientation in care-home settings: How psychology can guide the development of dementia friendly design guidelines. Dementia (London) 2016; 16:315-328. [PMID: 26112167 DOI: 10.1177/1471301215591334] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Alzheimer's disease results in marked declines in navigation skills that are particularly pronounced in unfamiliar environments. However, many people with Alzheimer's disease eventually face the challenge of having to learn their way around unfamiliar environments when moving into assisted living or care-homes. People with Alzheimer's disease would have an easier transition moving to new residences if these larger, and often more institutional, environments were designed to compensate for decreasing orientation skills. However, few existing dementia friendly design guidelines specifically address orientation and wayfinding. Those that do are often based on custom, practice or intuition and not well integrated with psychological and neuroscientific knowledge or navigation research, therefore often remaining unspecific. This paper discusses current dementia friendly design guidelines, reports findings from psychological and neuropsychological experiments on navigation and evaluates their potential for informing design guidelines that decrease spatial disorientation for people with dementia.
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Affiliation(s)
- Mary O'Malley
- Department of Psychology, Bournemouth University, Poole, UK
| | - Anthea Innes
- Dementia Institute, Bournemouth University, Poole, UK
| | - Jan M Wiener
- Department of Psychology, Bournemouth University, Poole, UK
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Reynolds L, Innes A, Poyner C, Hambidge S. ‘The stigma attached isn’t true of real life’: Challenging public perception of dementia through a participatory approach involving people with dementia (Innovative Practice). Dementia 2016; 16:219-225. [PMID: 26935835 DOI: 10.1177/1471301216635828] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper discusses the potential impact of viewing public performances of an orchestra comprising people with dementia, family members, student volunteers and professional symphony orchestra members in contributing to challenging negative perceptions of dementia. Negative perceptions of dementia abound despite recent policy attempts to challenge the stigma associated with the condition. This paper reports on the findings from the performance element of a music project for people with dementia, known as the BUDI Orchestra, designed to replicate the traditional rehearse and perform cycle of musicians. Data were collected via self-completion questionnaires from audience members ( N = 109) at three public performances. The performances exceeded the expectations of the general public, and findings suggest a positive impact on perceptions of dementia, demonstrating the power and potential of participatory approaches showcasing the achievements of those living with dementia when attempting to raise awareness of dementia and challenge negative perceptions.
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Affiliation(s)
- Laura Reynolds
- School of Health, Nursing and Midwifery, University of the West of Scotland, UK
| | - Anthea Innes
- School of Health, Nursing and Midwifery, Institute for Healthcare Policy and Practice, University of the West of Scotland, UK
| | - Christopher Poyner
- School of Health, Nursing and Midwifery, University of the West of Scotland, UK
| | - Sarah Hambidge
- Faculty of Science and Technology, Bournemouth University, UK
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Mc Parland P, Cutler C, Innes A. The challenges of implementing and evaluating a pilot music and movement intervention for people with dementia: Innovative practice. Dementia 2016; 16:1064-1068. [DOI: 10.1177/1471301216642342] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This paper reports on the challenges associated with implementing and evaluating an innovative pilot music and movement project. The evaluation documents that participants enjoyed the sessions and that they created the opportunity for social engagement although there is little to suggest this is unique to this particular type of intervention. Difficulties included matching the programme to the needs of participants, communicating effectively, and over burdensome paperwork. The paper also comments on the challenges associated with last minute, limited funding opportunities for both the organisation commissioning a project and the team evaluating it. In this case, the evaluation team found that many of the more difficult issues associated with the pilot could have been resolved with more time for planning and preparation.
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Affiliation(s)
| | | | - Anthea Innes
- University of the West of Scotland, Hamilton, Scotland
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Innes A, Kelly F, Scerri C, Abela S. Living with dementia in hospital wards: a comparative study of staff perceptions of practice and observed patient experience. Int J Older People Nurs 2016; 11:94-106. [PMID: 26786566 DOI: 10.1111/opn.12102] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2015] [Accepted: 09/14/2015] [Indexed: 12/01/2022]
Abstract
AIMS AND OBJECTIVES To ascertain the experiences, attitudes and knowledge of staff working in two Maltese hospital wards and the observed experiences of people with dementia living there. To examine the impact of recommendations made in October 2011 for improving the psychosocial and physical environments of the wards 1 year later. BACKGROUND There is an increasing policy recognition of the need for a better trained and educated dementia care workforce and of ensuring that the environmental design of care settings meets the needs of people with dementia. DESIGN AND METHODS At both time points, three established and validated data-collection methods evaluated (i) staff/patient interaction and patient experience, (ii) the extent to which the wards met dementia friendly principles and (iii) staff views about their work environment and their perceptions about their practice. Sixteen (five male and 11 female) patients with dementia and 69 staff in the two wards participated in the study. RESULTS We noted small but important changes; however, the physical and psychosocial environments of the wards did not always align to current recommendations for dementia care, with staff perceptions of care delivery not always reflecting the observed experiences of care of those living with dementia. CONCLUSIONS Comparing staff questionnaire data with observational methods offered a unique opportunity to understand multiple perspectives in a complex hospital setting. Incorporating these perspectives into staff and management feedback allowed for recommendations that recognised both patient-centred values and staff constraints.
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Affiliation(s)
- Anthea Innes
- School of Health, Nursing and Midwifery, Institute for Healthcare Policy and Practice, Hamilton Campus, Hamilton ML3 0JB, Scotland
| | - Fiona Kelly
- Bournemouth University Dementia Institute, Bournemouth University, Bournemouth, UK
| | - Charles Scerri
- National Focal Point on Dementia, Department of Pathology, University of Malta, Msida, Malta
| | - Stephen Abela
- Department for the Elderly and Community Care, St. Venera, Malta
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Noone S, Innes A, Kelly F, Mayers A. 'The nourishing soil of the soul': The role of horticultural therapy in promoting well-being in community-dwelling people with dementia. Dementia (London) 2015; 16:897-910. [PMID: 26701960 DOI: 10.1177/1471301215623889] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Two-thirds of people with dementia reside in their own homes; however, support for community-dwelling people with dementia to continue to participate in everyday activities is often lacking, resulting in feelings of depression and isolation among people living with the condition. Engagement in outdoor activities such as gardening can potentially counteract these negative experiences by enabling people with dementia to interact with nature, helping to improve their physical and psychological well-being. Additionally, the collaborative nature of community gardening may encourage the development of a sense of community, thereby enhancing social integration. Despite increasing evidence supporting its therapeutic value for people with dementia in residential care, the benefits of horticultural therapy have yet to be transposed into a community setting. This paper will examine the theoretical support for the application of horticultural therapy in dementia care, before exploring the potential of horticultural therapy as a means of facilitating improved physical and psychological well-being and social integration for people living with dementia within the community.
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Affiliation(s)
- Sarah Noone
- Bournemouth University Dementia Institute, Bournemouth University, Poole, UK
| | - Anthea Innes
- Bournemouth University Dementia Institute, Bournemouth University, Poole, UK
| | - Fiona Kelly
- Bournemouth University Dementia Institute, Bournemouth University, Poole, UK
| | - Andrew Mayers
- Department of Psychology, Bournemouth University, Poole, UK
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50
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Kosteniuk JG, Morgan DG, O'Connell ME, Kirk A, Crossley M, Teare GF, Stewart NJ, Bello-Haas VD, Forbes DA, Innes A, Quail JM. Incidence and prevalence of dementia in linked administrative health data in Saskatchewan, Canada: a retrospective cohort study. BMC Geriatr 2015; 15:73. [PMID: 26135912 PMCID: PMC4489119 DOI: 10.1186/s12877-015-0075-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Accepted: 06/16/2015] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Determining the epidemiology of dementia among the population as a whole in specific jurisdictions - including the long-term care population-is essential to providing appropriate care. The objectives of this study were to use linked administrative databases in the province of Saskatchewan to determine the 12-month incidence and prevalence of dementia for the 2012/13 period (1) among individuals aged 45 and older in the province of Saskatchewan, (2) according to age group and sex, and (3) according to diagnosis code and other case definition criteria. METHODS We used a population-based retrospective cohort study design and extracted data from 10 provincial health databases linked by a unique health services number. The cohort included individuals 45 years and older at first identification of dementia between April 1, 2001 and March 31, 2013 based on case definitions met within any one of four administrative health databases (Hospital Discharge Abstracts, Physician Service Claims, Prescription Drug, and RAI-MDS, i.e., Long-term Care). RESULTS A total of 3,270 incident cases of dementia (7.28 per 1,000 PAR) and 13,012 prevalent cases (28.16 per 1,000 PAR) were identified during 2012/13. This study found the incidence rate increased by 2.8 to 5.1 times and the prevalence rate increased by 2.6 to 4.6 times every 10 years after 45 years of age. Overall, the age-standardised incidence rate was significantly lower among females than males (7.04 vs. 7.65 per 1,000 PAR) and the age-standardised prevalence rate was significantly higher among females than males (28.92 vs. 26.53 per 1,000 PAR). Over one-quarter (28 %) of all incident cases were admitted to long-term care before a diagnosis was formally recorded in physician or hospital data, and nearly two-thirds of these cases were identified at admission with impairment at the moderate to very severe level or a disease category of Alzheimer's disease/other dementia. CONCLUSIONS Linking multiple sources of registry data contributes to our understanding of the epidemiology of dementia across multiple segments of the population, inclusive of individuals residing in long-term care. This information is foundational for public awareness and policy recommendations, health promotion and prevention strategies, appropriate health resource planning, and research priorities.
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Affiliation(s)
- Julie G Kosteniuk
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, PO Box 23, 104 Clinic Place, Saskatoon, S7N 2Z4, SK, Canada.
| | - Debra G Morgan
- Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Megan E O'Connell
- Department of Psychology, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Andrew Kirk
- Division of Neurology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Margaret Crossley
- Department of Psychology (Professor Emerita), University of Saskatchewan, Saskatoon, SK, Canada.
| | - Gary F Teare
- Saskatchewan Health Quality Council, Saskatoon, SK, Canada.
| | - Norma J Stewart
- College of Nursing, University of Saskatchewan, Saskatoon, SK, Canada.
| | | | - Dorothy A Forbes
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
| | - Anthea Innes
- Bournemouth University Dementia Institute, Bournemouth University, Dorset, UK.
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