Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Caring for Aged Dementia Care Resident Study (CADRES) of Person-Centred Care, Dementia-Care Mapping, and Usual Care in Dementia: a Cluster-Randomised Trial

    Access Status
    Fulltext not available
    Authors
    Chenoweth, L.
    King, M.
    Jeon, Y.
    Brodaty, H.
    Stein-Parbury, J.
    Norman, Richard
    Haas, M.
    Luscombe, G.
    Date
    2009
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Chenoweth, L. and King, M. and Jeon, Y. and Brodaty, H. and Stein-Parbury, J. and Norman, R. and Haas, M. et al. 2009. Caring for Aged Dementia Care Resident Study (CADRES) of Person-Centred Care, Dementia-Care Mapping, and Usual Care in Dementia: a Cluster-Randomised Trial. The Lancet Neurology. 8: pp. 317-325.
    Source Title
    The Lancet Neurology
    DOI
    10.1016/S1474-4422(09)70045-6
    ISSN
    1474-4422
    URI
    http://hdl.handle.net/20.500.11937/48360
    Collection
    • Curtin Research Publications
    Abstract

    Background. Evidence for improved outcomes for people with dementia through provision of person-centred care and dementia-care mapping is largely observational. We aimed to do a large, randomised comparison of person-centred care, dementia-care mapping, and usual care.Methods. In a cluster randomised controlled trial, urban residential sites were randomly assigned to person-centred care, dementia-care mapping, or usual care. Carers received training and support in either intervention or continued usual care. Treatment allocation was masked to assessors. The primary outcome was agitation measured with the Cohen-Mansfi eld agitation inventory (CMAI). Secondary outcomes included psychiatric symptoms including hallucinations, neuropsychological status, quality of life, falls, and cost of treatment. Outcome measures were assessed before and directly after 4 months of intervention, and at 4 months of follow-up. Hierarchical linear modelswere used to test treatment and time eff ects. Analysis was by intention to treat. This trial is registered with the Australia and New Zealand Clinical Trials Registry, number ACTRN12608000084381.Findings. 15 care sites with 289 residents were randomly assigned. Pairwise contrasts revealed that at follow-up, and relative to usual care, CMAI score was lower in sites providing mapping (mean difference 10·9, 95% CI 0·7–21·1; p=0·04) and person-centred care (13·6, 3·3–23·9; p=0·01). Compared with usual care, fewer falls were recorded in sites that used mapping (0·24, 0·08–0·40; p=0·02) but there were more falls with person-centred care (0·15, 0·02–0·28; p=0·03). There were no other significant effects.Interpretation. Person-centred care and dementia-care mapping both seem to reduce agitation in people with dementia in residential care.

    Related items

    Showing items related by title, author, creator and subject.

    • Person- and relationship-centred care in dementia
      Hughes, Jeff; Hoti, K. (2015)
      Person-centred care is gaining more ground in dementia care and has evolved to become a synonym for good dementia care practice. The UK’s National Institute for Health and Care Excellence (NICE) clinical guidelines highlight ...
    • Evaluating the Clinical Impact of National Dementia Behaviour Support Programs on Neuropsychiatric Outcomes in Australia
      Macfarlane, S.; Atee, Mustafa ; Morris, T.; Whiting, D.; Healy, M.; Alford, M.; Cunningham, C. (2021)
      Background/Objective: People living with dementia (PLWD) in residential aged care homes (RACHs) are frequently prescribed psychotropic medications due to the high prevalence of neuropsychiatric symptoms, also known as ...
    • Development and pilot testing of the “focus on the person” form: Supporting care transitions for people with dementia
      Burton, Elissa; Slatyer, Susan; Bronson, M.; Nichols, Pam; Quested, Eleanor; Hill, A. (2019)
      When people with dementia are hospitalised, their capacity to communicate with the staff may be limited, compounding risks of distress and other adverse outcomes. Opportunities for carers to share relevant information to ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.