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Development and evaluation of an educational intervention for general practitioners and staff caring for people with dementia living in residential facilities

Published online by Cambridge University Press:  18 October 2010

Christopher Beer*
Affiliation:
Western Australian Centre for Health and Ageing (M570), Centre for Medical Research, The University of Western Australia, Crawley, Western Australia, Australia School of Medicine and Pharmacology, The University of Western Australia, Crawley, Western Australia, Australia Department of Geriatric Medicine, Royal Perth Hospital, Perth, Western Australia, Australia
Rachel Lowry
Affiliation:
Western Australian Centre for Health and Ageing (M570), Centre for Medical Research, The University of Western Australia, Crawley, Western Australia, Australia
Barbara Horner
Affiliation:
Centre for Research on Ageing, Curtin University, Perth, Western Australia, Australia
Osvaldo P. Almeida
Affiliation:
Western Australian Centre for Health and Ageing (M570), Centre for Medical Research, The University of Western Australia, Crawley, Western Australia, Australia School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Crawley, Western Australia, Australia Department of Psychiatry, Royal Perth Hospital, Perth, Western Australia, Australia
Samuel Scherer
Affiliation:
Royal Freemasons Homes of Victoria, Melbourne, Victoria, Australia
Nicola T. Lautenschlager
Affiliation:
Western Australian Centre for Health and Ageing (M570), Centre for Medical Research, The University of Western Australia, Crawley, Western Australia, Australia School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Crawley, Western Australia, Australia Academic Unit for Psychiatry of Old Age, St. Vincent's Health, Department of Psychiatry, University of Melbourne, Normanby Unit, St. George's Hospital, Kew, Victoria, Australia
Nick Bretland
Affiliation:
Rowethorpe Medical Centre, Bentley, Western Australia, Australia
Penelope Flett
Affiliation:
Brightwater Care Group Inc, Osborne Park, Western Australia, Australia
Frank Schaper
Affiliation:
Alzheimer's Australia WA Ltd, Shenton Park, Western Australia, Australia
Leon Flicker
Affiliation:
Western Australian Centre for Health and Ageing (M570), Centre for Medical Research, The University of Western Australia, Crawley, Western Australia, Australia School of Medicine and Pharmacology, The University of Western Australia, Crawley, Western Australia, Australia Department of Geriatric Medicine, Royal Perth Hospital, Perth, Western Australia, Australia
*
Correspondence should be addressed to: A/Prof. Christopher Beer, WA Centre for Health & Ageing (M570), The University of Western Australia, 35 Stirling Highway, Crawley 6009, Western Australia, Australia. Phone: +61 8 9224 2750; Fax: +61 8 9224 2063. Email: [email protected].

Abstract

Background: Despite high levels of participation in dementia education, general practitioners (GPs) and residential care facility (RCF) staff report perceived learning needs. Small group education, which is flexible, individualized, practical and case-based, is sought. We aimed to develop educational interventions for GPs and RCF staff tailored to meet their perceived educational needs.

Methods: We used a consultative process to develop education programs. A flexible program for RCF staff was developed in 30-minute blocks, which could be combined in sessions of different lengths. The RCF program aimed to facilitate sustainable change by engaging local “Dementia Champions”. For GPs, face-to-face and self-directed packages were developed. We collected participant feedback to evaluate the program.

Results: GPs and RCF staff were recruited as part of a larger intervention study. Sixteen of the 27 GPs who were offered the dementia education participated. Two of the 16 GPs participated in both learning packages. A total of 45 GP feedback responses were received from 16 GPs: 28 out of 45 GPs (62%) reported that the participants' learning needs were entirely met. Eighteen of 19 facilities offered the intervention participated and 326 RCF staff attended one or more of the 94 RCF education sessions. Feedback was collected from 93 sessions: 1013 out of 1067 RCF staff feedback responses (95%) reported that the session met the participants' learning needs. Qualitative feedback was also strongly positive.

Conclusion: Participants perceived the education programs as meeting their needs. Despite explicit attempts to provide flexible delivery options, overall participation rates remained low.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Australian Institute of Health and Welfare (2006). Dementia in Australia: National Data Analysis and Development. Australian Institute of Health and Welfare Cat. No. AGE 53. Canberra: Australian Institute of Health and Welfare.Google Scholar
Beer, C. et al. (2009). Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities. BioMed Central Geriatrics, 9, 36.Google ScholarPubMed
Beer, C. D. et al. (2010). Dementia in residential care: education intervention trial (DIRECT) – protocol for a randomised controlled trial. Trials, 11, 63.CrossRefGoogle ScholarPubMed
Kuske, B., Hanns, S., Luck, T., Angermeyer, M. C., Behrens, J. and Riedel-Heller, S. G. (2007). Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics, 19, 818841.CrossRefGoogle Scholar
Mace, N. (2005). Teaching Dementia Care: Skill and Understanding. Baltimore: The Johns Hopkins University Press.CrossRefGoogle Scholar
Nolan, M. et al. (2008). The role of education and training in achieving change in care homes: a literature review. Journal of Research in Nursing, 13, 411433.CrossRefGoogle Scholar
Perry, M. et al. (2008). Can an EASYcare based dementia training programme improve diagnostic assessment and management of dementia by general practitioners and primary care nurses? The design of a randomised controlled trial. BioMed Central Health Services Research, 8, 71.CrossRefGoogle ScholarPubMed
Rosewarne, R., Opie, J., Bruce, A., Ward, S., Doyle, C. and Sach, J. (1997). Care Needs of People with Dementia and Challenging Behaviour Living in Residential Facilities: Resident Profile Survey. Canberra: Commonwealth Department of Health and Family Services.Google Scholar