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The biopsychosocial (BPS) model of dementia as a tool for clinical practice. A pilot study

Published online by Cambridge University Press:  22 January 2016

Catherine Revolta ,
Martin Orrell  and
Aimee Spector
Catherine Revolta
Affiliation:
Department of Clinical, Educational and Health Psychology, University College London, London, UK
Martin Orrell
Affiliation:
Institute of Mental Health, University of Nottingham, Nottingham, UK
Aimee Spector*
Affiliation:
Department of Clinical, Educational and Health Psychology, University College London, London, UK
*
Correspondence should be addressed to: Dr. Aimee Spector, Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK. Phone: 0207 679 1897. Email address: [email protected].
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Abstract

Background:

Equipping staff with the skills to provide high quality care in dementia is essential. The Biopsychosocial (BPS) model of dementia (Spector and Orrell, 2010) is a practical tool designed to encourage staff to develop personalized interventions and treatment plans for people with dementia. This feasibility study aimed to examine the impact of training staff to use the BPS model on skills of formulation, attitude towards dementia and sense of role competence.

Method:

A within-subjects design was used. Thirty-seven staff working in dementia care across a community mental health team (CMHT), inpatient wards, and residential care homes were trained to use the BPS model. Outcomes were measured at baseline, post-training, and four week follow-up.

Results:

The ability of staff to understand, formulate, and develop interventions for people with dementia increased significantly following training. There were small, non-significant improvements in positive attitudes, and sense of competence following training. Staff also reported that training improved their understanding of biological and psychosocial factors in dementia.

Conclusions:

This study provides preliminary evidence that training staff to use the BPS model can lead to improvements in their ability to understand and develop interventions for people with dementia. Further research would be required to draw firm conclusions about its effectiveness.

Keywords

dementiamodeltrainingbiopsychosocialcarepractice
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 7 , July 2016 , pp. 1079 - 1089
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi:10.1191/1478088706qp063oa.CrossRefGoogle Scholar
Brody, E. M., Kleban, M. H., Lawton, M. P. and Silverman, H. A. (1971). Excess disabilities of mentally impaired aged: impact of individualized treatment. The Gerontologist, 11 (2 Part 1), 124–133. doi:10.1093/geront/11.2_Part_1.124.CrossRefGoogle ScholarPubMed
Broughton, M. et al. (2011). Evaluation of a caregiver education program to support memory and communication in dementia: a controlled pretest-posttest study with nursing home staff. International Journal of Nursing Studies, 48, 1436–1444. doi:10.1016/j.ijnurstu.2011.05.007.CrossRefGoogle ScholarPubMed
Care Quality Commission (2013). Care quality commission. Available from http://www.cqc.org.uk/; Last accessed 2nd May 2013.Google Scholar
Chapman, A. and Law, S. (2009). Bridging the gap: an innovative dementia learning program for healthcare assistants in hospital wards using facilitator-led discussions. International Psychogeriatric s, 21 (S1), S58–S63. doi:10.1017/S1041610209008680.CrossRefGoogle Scholar
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. doi:10.1037/0033-2909.112.1.155.CrossRefGoogle ScholarPubMed
Coogle, C. L., Head, C. A. and Parham, I. A. (2006). The long-term care workforce crisis: dementia-care training influences on job satisfaction and career commitment. Educational Gerontology, 32, 611–631. doi:10.1080/03601270500494147.CrossRefGoogle Scholar
Davison, T. E., McCabe, M. P., Visser, S., Hudgson, C., Buchanan, G. and George, K. (2007). Controlled trial of dementia training with a peer support group for aged care staff. International Journal of Geriatric Psychiatry. 22, 868–873. doi:10.1002/gps.1754.CrossRefGoogle ScholarPubMed
Dexter-Smith, S. (2010). Integrating psychological formulations into older people's services – three years on. PSIGE Newsletter, 112, 8–22.Google Scholar
Edvardsson, D., Fetherstonhaugh, D., McAuliffe, L., Nay, R. and Chenco, C. (2011). Job satisfaction amongst aged care staff: exploring the influence of person-centered care provision. International Psychogeriatrics, 23, 1205–1212. doi:10.1017/S1041610211000159.CrossRefGoogle ScholarPubMed
Elliott, K. E. J., Scott, J. L., Stirling, C., Martin, A. J. and Robinson, A. (2012). Building capacity and resilience in the dementia care workforce: a systematic review of interventions targeting worker and organizational outcomes. International Psychogeriatrics, 24, 882–894. doi:10.1017/S1041610211002651.CrossRefGoogle ScholarPubMed
Ford, J. and Weissbein, D. (2008). Transfer of training: an updated review and analysis. Performance Improvement Quarterly, 10, 22–41.CrossRefGoogle Scholar
Goyder, J., Orrell, M., Wenborn, J. and Spector, A. (2012). Staff training using STAR: a pilot study in UK care homes. International Psychogeriatrics, 24, 911–920. doi:10.1017/S1041610211002559.CrossRefGoogle Scholar
Ingham, B., Clarke, L. and James, I. A. (2008). Biopsychosocial case formulation for people with intellectual disabilities and mental health problems: a pilot study of a training workshop for direct care staff. The British Journal of Developmental Disabilities, 54, 41–54. doi:10.1179/096979508799103323.CrossRefGoogle Scholar
Ivey, G. (2006). A method of teaching psychodynamic case formulation. Psychotherapy: Theory, Research, Practice, Training, 43, 322–336. doi:10.1037/0033-3204.43.3.322.CrossRefGoogle ScholarPubMed
Kendjelic, E. M. and Eells, T. D. (2007). Generic psychotherapy case formulation training improves formulation quality. Psychotherapy: Theory, Research, Practice, Training, 44, 66. doi:10.1037/0033-3204.44.1.66.CrossRefGoogle ScholarPubMed
Lintern, T., Woods, B. and Phair, L. (2000). Before and after training: a case study of intervention. Journal of Dementia Care, 8, 15–17.Google Scholar
Onyett, S. (2007). Working Psychologically in Teams. Leicester: The British Psychological Society.Google Scholar
Pitfield, C., Shahriyarmolki, K. and Livingston, G. (2011). A systematic review of stress in staff caring for people with dementia living in 24-hour care settings. International Psychogeriatrics, 23, 4–9. doi:10.1017/S1041610210000542.CrossRefGoogle ScholarPubMed
Rainforxsth, M. and Laurenson, M. (2014). A literature review of case formulation to inform mental health practice. Journal of Psychiatric and Mental Health Nursing, 21, 206–213. doi:10.1111/jpm.12069.CrossRefGoogle Scholar
Restifo, S. (2010). An empirical categorization of psychosocial factors for clinical case formulation and treatment planning. Australasian Psychiatry, 18, 210–213. doi:10.3109/10398561003681335.CrossRefGoogle ScholarPubMed
Schepers, A., Orrell, M., Shanahan, N. and Spector, A. (2012). Sense of competence in dementia care staff (SCIDS) scale: development, reliability and validity. International Psychogeriatrics, 24, 1153–1162. doi:10.1017/S104161021100247X.CrossRefGoogle ScholarPubMed
Spector, A. and Orrell, M. (2010). Using a biopsychosocial model of dementia as a tool to guide clinical practice. International Psychogeriatrics, 22, 957–965. doi:10.1017/S1041610210000840.CrossRefGoogle ScholarPubMed
Spector, A., Orrell, M. and Goyder, J. (2013). A systematic review of staff training interventions to reduce the behavioural and psychological symptoms of dementia. Ageing Research Reviews, 12, 354–364. doi:10.1016/j.arr.2012.06.005.CrossRefGoogle ScholarPubMed
Teri, L., Huda, P., Gibbons, L., Young, H. and van Leynseele, J. (2005). STAR: a dementia-specific training program for staff in assisted living residences. The Gerontologist, 45, 686–693. doi:10.1093/geront/45.5.686.CrossRefGoogle Scholar