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Evaluating the capabilities model of dementia care: a non-randomized controlled trial exploring resident quality of life and care staff attitudes and experiences

Published online by Cambridge University Press:  10 March 2016

Wendy Moyle ,
Lorraine Venturato ,
Marie Cooke ,
Jenny Murfield ,
Susan Griffiths ,
Julian Hughes  and
Nathan Wolf
Wendy Moyle*
Affiliation:
School of Nursing & Midwifery, Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
Lorraine Venturato
Affiliation:
Faculty of Nursing, University of Calgary, Calgary, Canada
Marie Cooke
Affiliation:
School of Nursing & Midwifery, Centre for Health Practice Innovation, NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
Jenny Murfield
Affiliation:
Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
Susan Griffiths
Affiliation:
Executive, Pro Vice Chancellor (Health), Griffith University, Gold Coast Campus, Queensland, Australia
Julian Hughes
Affiliation:
Northumbria Healthcare NHS Foundation Trust and Policy, Ethics and Life Sciences (PEALS) Research Centre, Newcastle University, Newcastle-Upon-Tyne, UK
Nathan Wolf
Affiliation:
Centre for Health Practice Innovation, Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, Queensland, Australia
*
Correspondence should be addressed to: Professor Wendy Moyle, Centre for Health Practice Innovation, Menzies Health Institute Queensland, School of Nursing & Midwifery, Griffith University, 2.10 Health Sciences (N48), 170 Kessels Road, Nathan, Brisbane, Queensland 4111, Australia. Phone: +61 (0) 7 3735 5526; Fax: +61 (0) 7 373 55431. Email: [email protected].
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Abstract

Background:

This 12 month, Australian study sought to compare the Capabilities Model of Dementia Care (CMDC) with usual long-term care (LTC), in terms of (1) the effectiveness of the CMDC in assisting care staff to improve Quality Of Life (QOL) for older people with dementia; and (2) whether implementation of the CMDC improved staff attitudes towards, and experiences of working and caring for the person with dementia.

Methods:

A single blind, non-randomized controlled trial design, involving CMDC intervention group (three facilities) and a comparison usual LTC practice control group (one facility), was conducted from August 2010 to September 2011. Eighty-one staff members and 48 family members of a person with dementia were recruited from these four LTC facilities. At baseline, 6 and 12 months, staff completed a modified Staff Experiences of Working with Demented Residents questionnaire (SEWDR), and families completed the Quality of Life – Alzheimer's Disease questionnaire (QOL-AD).

Results:

LTC staff in the usual care group reported significantly lower SEWDR scores (i.e. less work satisfaction) than those in the CMDC intervention group at 12 months (p = 0.005). Similarly, family members in the comparison group reported significantly lower levels of perceived QOL for their relative with dementia (QOL-AD scores) than their counterparts in the CMDC intervention group at 12 months (p = 0.012).

Conclusions:

Although the study has a number of limitations the CMDC appears to be an effective model of dementia care – more so than usual LTC practice. The CMDC requires further evaluation with participants from a diverse range of LTC facilities and stages of cognitive impairment.

Keywords

dementialong-term carenursing care managementnursing modelsquality of lifequantitative evaluationwork satisfaction
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 7 , July 2016 , pp. 1091 - 1100
Copyright
Copyright © International Psychogeriatric Association 2016 

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