The impact of a structured education reminiscence-based programme for staff on the quality of life of people with memory problems living in long-stay units

ISRCTN ISRCTN99651465
DOI https://doi.org/10.1186/ISRCTN99651465
Secondary identifying numbers The DARES Study
Submission date
30/07/2010
Registration date
12/08/2010
Last edited
12/09/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Eamon O'Shea
Scientific

School of Business and Public Policy
National University of Ireland Galway
Galway
-
Ireland

Email Eamon.oshea@nuigalway.ie

Study information

Study designTwo arm single blind cluster randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use contact details below to request a patient information sheet
Scientific titleA cluster randomised trial on the effectiveness of a structured education reminiscence-based programme for staff on the quality of life of residents with dementia in long-stay units
Study acronymDARES (DementiA Education Programme Incorporating REminiscence Therapy for Staff)
Study objectivesAims:
1. To develop a comprehensive structured education reminiscence-based programme for staff (SERPS) that is specifically orientated toward incorporating reminiscence in the care of resident’s with dementia
2. To evaluate the effectiveness of the SERPS within the context of a cluster randomised trial
3. To understand participants’ (staff and people with dementia) perceptions of the SERPS, its impact on their lives and experience of care

Please note that as of 19/10/10 the primary and secondary outcomes sections of this record have been updated. Please also note that these changes have been implemented prior to any post randomisation data collection. More information can be found in the relevant field with the above update date.
Ethics approval(s)1. The Research Ethics Committee of the National University of Ireland, Galway approved on the 20th of November 2008.
2. Ethics approval was also obtained from the appropriate ethics committees responsible for trials within the selected public clinical sites
Health condition(s) or problem(s) studiedDementia
InterventionStaff participants in long-stay units randomised to the experimental arm will attend the DARES structured education reminiscence-based programme for staff (SERPS), which will be delivered over three days; starting with two consecutive days and a third day, 6 weeks later. The DARES research team will provide telephone support to staff participants during the study period (22-25 weeks post randomisation) and will conduct one support visit to each unit within this period.
The SERPS is founded on the DARES programme philosophy of empowerment of staff participants, including identifying what participants perceive to be important and what they feel they need to know. The concepts of learner-centeredness and adult learning are at the core of the programme, and those teaching the programme will adopt a facilitator-participant role, as this is considered central to modelling an empowerment philosophy. Staff participants will be trained to enable them to incorporate reminiscence in the care of residents with dementia.
Intervention typeOther
Primary outcome measureQuality of Life of residents as measured by the Quality of Life-AD (QOL-AD) instrument (Logsdon et al 1999).
Current information as of 19/10/10:
All outcomes will be assessed at baseline and at 18 to 22 weeks post randomisation.

Initial information at time of registration:
All outcomes will be measured at baseline and at 22 to 25 weeks post randomisation.
Secondary outcome measures1. Agitation, measured using the Cohen-Mansfield Agitation Inventory (CMAI)
2. Depression, measured using the Cornell Scale for Depression in Dementia
3. Staff attitudes to residents with dementia and perceived care burden will be assessed using a modified version of the Zarit Burden Interview
Current information as of 19/10/10:
All outcomes will be assessed at baseline and at 18 to 22 weeks post randomisation.

Initial information at time of registration:
All outcomes will be measured at baseline and at 22 to 25 weeks post randomisation.
Overall study start date01/12/2008
Completion date30/11/2011

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants18 residential units (clusters) each containing 17 people with dementia
Key inclusion criteriaPatients:
1. Residents who have lived in the residential unit for at least one month and are likely to be there for the duration of the study
2. Residents with dementia. Diagnosis may be determined in any of the following ways:
2.1. A formal diagnosis of dementia determined by the DSM-1V criteria for dementia (American Psychiatric Association 1995)
2.2. Any other diagnosis of dementia by a medical clinician
2.3. Resident is on anti-Alzheimer’s medications, including Aricept (donepezil), Ebixa (memantine) and Exelon (rivastigmine)
2.4. Nurses’ judgement and/or nursing records advise that the person has dementia

Study sites:
Public and private long-stay units across the Western seaboard of the Republic of Ireland who meet the eligibility criteria will be invited to participate.
1. Have 17 residents with dementia who agree to take part
2. A commitment from management of the long-stay unit and the clinical staff to participate in the study
Key exclusion criteriaPatients:
1. Has a sensory impairment that, in the judgment of the nursing staff, impairs their ability to participate
2. Has an acute physical illness that, in the judgment of the nursing staff, impairs their ability to participate
Date of first enrolment01/12/2008
Date of final enrolment30/11/2011

Locations

Countries of recruitment

  • Ireland

Study participating centre

School of Business and Public Policy
Galway
-
Ireland

Sponsor information

Health Research Board (Ireland)
Research council

73 Baggot Street
Dublin
D2
Ireland

Email hrb@hrb.ie
ROR logo "ROR" https://ror.org/003hb2249

Funders

Funder type

Research council

Health Research Board (Ireland) (RP/2008/64)
Private sector organisation / Other non-profit organizations
Alternative name(s)
HRB
Location
Ireland

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 14/02/2011 Yes No