Evaluating the Utility of a Structured Clinical Protocol for Reducing the Impact of Behavioural and Psychological Symptoms of Dementia in Progressive Neurological Diseases: A Pilot Study
Joint Authors
Ryan, Nicholas P.
Scott, Laura
McPhee, Maryanne
Mathers, Susan
Davis, Marie-Claire
Maule, Roxanne
Fisher, Fiona
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-26
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objectives.
Behavioural and psychological symptoms of dementia (BPSD) cause significant distress to both aged care residents and staff.
Despite the high prevalence of BPSD in progressive neurological diseases (PNDs) such as multiple sclerosis, Huntington’s disease, and Parkinson’s disease, the utility of a structured clinical protocol for reducing BPSD has not been systematically evaluated in PND populations.
Method.
Staff (n=51) and individuals with a diagnosis of PND (n=13) were recruited into the study, which aimed to evaluate the efficacy of a PND-specific structured clinical protocol for reducing the impact of BPSD in residential aged care (RAC) and specialist disability accommodation (SDA) facilities.
Staff were trained in the clinical protocol through face-to-face workshops, which were followed by 9 weeks of intensive clinical supervision to a subset of staff (“behaviour champions”).
Staff and resident outcome measures were administered preintervention and immediately following the intervention.
The primary outcome was frequency and severity of BPSD, measured using the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH).
The secondary outcome was staff coping assessed using the Strain in Dementia Care Scale (SDCS).
Results.
In SDA, significant reductions in staff ratings of job-related stress were observed alongside a statistically significant decrease in BPSD from T1 to T2.
In RAC, there was no significant time effect for BPSD or staff coping; however, a medium effect size was observed for staff job stress.
Conclusions.
Staff training and clinical support in the use of a structured clinical protocol for managing BPSD were linked to reductions in staff job stress, which may in turn increase staff capacity to identify indicators of resident distress and respond accordingly.
Site variation in outcomes may relate to organisational and workforce-level barriers that may be unique to the RAC context and should be systematically addressed in future RCT studies of larger PND samples.
American Psychological Association (APA)
Ryan, Nicholas P.& Scott, Laura& McPhee, Maryanne& Mathers, Susan& Davis, Marie-Claire& Maule, Roxanne…[et al.]. 2018. Evaluating the Utility of a Structured Clinical Protocol for Reducing the Impact of Behavioural and Psychological Symptoms of Dementia in Progressive Neurological Diseases: A Pilot Study. Behavioural Neurology،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1130251
Modern Language Association (MLA)
Ryan, Nicholas P.…[et al.]. Evaluating the Utility of a Structured Clinical Protocol for Reducing the Impact of Behavioural and Psychological Symptoms of Dementia in Progressive Neurological Diseases: A Pilot Study. Behavioural Neurology No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1130251
American Medical Association (AMA)
Ryan, Nicholas P.& Scott, Laura& McPhee, Maryanne& Mathers, Susan& Davis, Marie-Claire& Maule, Roxanne…[et al.]. Evaluating the Utility of a Structured Clinical Protocol for Reducing the Impact of Behavioural and Psychological Symptoms of Dementia in Progressive Neurological Diseases: A Pilot Study. Behavioural Neurology. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1130251
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130251