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An RCT to evaluate the utility of a clinical protocol for staff in the management of behavioral and psychological symptoms of dementia in residential aged-care settings

McCabe, Marita P., Bird, Michael, Davison, Tanya E., Mellor, David, MacPherson, Sarah, Hallford, David and Seedy, Melissa 2015, An RCT to evaluate the utility of a clinical protocol for staff in the management of behavioral and psychological symptoms of dementia in residential aged-care settings, Aging and mental health, vol. 19, no. 9, pp. 799-807, doi: 10.1080/13607863.2014.967659.

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Title An RCT to evaluate the utility of a clinical protocol for staff in the management of behavioral and psychological symptoms of dementia in residential aged-care settings
Author(s) McCabe, Marita P.
Bird, Michael
Davison, Tanya E.
Mellor, DavidORCID iD for Mellor, David orcid.org/0000-0001-5007-5906
MacPherson, Sarah
Hallford, David
Seedy, Melissa
Journal name Aging and mental health
Volume number 19
Issue number 9
Start page 799
End page 807
Total pages 10
Publisher Taylor and Francis
Place of publication London, Eng.
Publication date 2015
ISSN 1364-6915
1360-7863
Keyword(s) BPSD
effectiveness of intervention
role of clinical support
staff training program
Summary Objectives: Behavioral and psychological symptoms of dementia (BPSD) cause significant stress and distress to both aged-care residents and staff. This study evaluated a training program to assist staff to manage BPSD in residential care. Method: A randomised controlled trial (RCT) was employed. The study was included in the Australian and New Zealand Clinical Trial Register residential care facilities. Staff (n = 204) and residents (n = 187) were from 16 residential care facilities. Facilities were recruited and randomly assigned to four staff training conditions: (1) training in the use of a BPSD-structured clinical protocol, plus external clinical support, (2) a workshop on BPSD, plus external clinical support, (3) training in the use of the structured clinical protocol alone, and (4) care as usual. Staff and resident outcome measures were obtained pre-intervention, three months and six months post-intervention. The primary outcome was changes in BPSD, measured using the Cohen-Mansfield Agitation Inventory (CMAI) as well as frequency and duration of challenging behaviors. Secondary outcomes were changes in staff adjustment. Results: There were improvements in challenging behaviors for both intervention conditions that included training in the BPSD instrument, but these were not maintained in the condition without clinical support. The training/support condition resulted in sustained improvements in both staff and resident variables, whereas the other conditions only led to improvement in some of the measured variables. Conclusion: These results demonstrate the effectiveness of the BPSD protocol in reducing BPSD and improving staff self-efficacy and stress.
Language eng
DOI 10.1080/13607863.2014.967659
Field of Research 170199 Psychology not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©20.14, Taylor & Francis
Persistent URL http://hdl.handle.net/10536/DRO/DU:30071747

Document type: Journal Article
Collection: School of Psychology
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Created: Tue, 24 Mar 2015, 13:57:52 EST

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