Enhanced Care Home Outcomes: A Qualitative Study

NCT02703792 | Completed

• 1 other identifier: 1163
• Study Type: observational
• Target: 19
• Locations: 1 country
• Sites: 1

Brief Summary

This qualitative study uses focus group methodology and purposive sampling with the aim of obtaining views of Care Home Support Service staff and other stakeholders about their experiences of a redesigned National Health Service (NHS) Care Home Support Service. Individual stakeholder focus groups will be conducted with General Practitioners (GP), care home staff, relatives of residents in care homes, service-user representatives (Total N=32, across 4 focus groups). This study forms part of a larger evaluation of the CHSS service; service improvement workshops will be conducted with Oxford Health NHS Care Home Support Service, Community Nursing and Community Mental Health staff that are working in the 102 participating homes. Each participant who consents will take part in a focus group to explore their experiences of a redesigned NHS care home support service. Participants will be involved in the study for up to six months from gaining informed consent until last contact with the research team when a summary of the research will be sent. The data will be analysed using thematic analysis and applied with the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework.

Conditions

Staff Attitude

Outcome Measures

Primary Outcomes (1)

• Themes derived from a thematic analysis of staffs attitudes to the implementation an integrated care home in-reach team.

  1.5 hour focus group

Study Arms (4)

Care home staff

Care home staff working in the homes in the top 10% of service use of the 102 participating homes referring to the Care Home Support Service

NHS staff

GPs supporting residents living in the top 10% of service use of the 102 participating homes referring to the Care Home Support Service

Service user representatives

Service or carers of an older person with dementia attending and Age UK carers group

Relatives of residents

Relatives of residents living in the top 10% of service use of the 102 participating homes referring to the Care Home Support Service

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Staff and relatives of service users

You may qualify if:

• Care home staff working in the homes in the top 10% of service use of the 102 participating homes referring to the Care Home Support Service\*
• Relatives of residents living in the top 10% of service use of the 102 participating homes referring to the Care Home Support Service\*
• GPs supporting residents living in the top 10% of service use of the 102 participating homes referring to the Care Home Support Service\*
• Service user representatives from Age UK carer groups
• Note: \* Sampling GPs, care staff and relatives through the top 10% of care homes referring to and using services of the care home support service will ensure that they have adequate awareness of the care home support team to contribute to the focus group discussion.

You may not qualify if:

• Not fluent in English

Sponsors & Collaborators

• Oxford Health NHS Foundation Trust: lead

Study Sites (1)

Department of psychological services, Fulbrook centre

Oxford, Oxfordshire, OX37JX, United Kingdom

Location

Related Publications (5)

• Ballard C, Brown R, Fossey J, Douglas S, Bradley P, Hancock J, James IA, Juszczak E, Bentham P, Burns A, Lindesay J, Jacoby R, O'Brien J, Bullock R, Johnson T, Holmes C, Howard R. Brief psychosocial therapy for the treatment of agitation in Alzheimer disease (the CALM-AD trial). Am J Geriatr Psychiatry. 2009 Sep;17(9):726-33. doi: 10.1097/JGP.0b013e3181b0f8c0.

  PMID: 19700946 BACKGROUND

• Ballard C, Orrell M, YongZhong S, Moniz-Cook E, Stafford J, Whittaker R, Woods B, Corbett A, Garrod L, Khan Z, Woodward-Carlton B, Wenborn J, Fossey J. Impact of Antipsychotic Review and Nonpharmacological Intervention on Antipsychotic Use, Neuropsychiatric Symptoms, and Mortality in People With Dementia Living in Nursing Homes: A Factorial Cluster-Randomized Controlled Trial by the Well-Being and Health for People With Dementia (WHELD) Program. Am J Psychiatry. 2016 Mar 1;173(3):252-62. doi: 10.1176/appi.ajp.2015.15010130. Epub 2015 Nov 20.

  PMID: 26585409 BACKGROUND

• Brooker DJ, Latham I, Evans SC, Jacobson N, Perry W, Bray J, Ballard C, Fossey J, Pickett J. FITS into practice: translating research into practice in reducing the use of anti-psychotic medication for people with dementia living in care homes. Aging Ment Health. 2016 Jul;20(7):709-18. doi: 10.1080/13607863.2015.1063102. Epub 2015 Jul 13.

  PMID: 26167720 BACKGROUND

• Fossey J, Ballard C, Juszczak E, James I, Alder N, Jacoby R, Howard R. Effect of enhanced psychosocial care on antipsychotic use in nursing home residents with severe dementia: cluster randomised trial. BMJ. 2006 Apr 1;332(7544):756-61. doi: 10.1136/bmj.38782.575868.7C. Epub 2006 Mar 16.

  PMID: 16543297 BACKGROUND

• Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999 Sep;89(9):1322-7. doi: 10.2105/ajph.89.9.1322.

  PMID: 10474547 BACKGROUND

Related Links

• Alzheimer's Society (2012). Dementia 2012: A National challenge report
• Department of Health (2009). Living well with dementia: A national dementia strategy. Leeds: Author.
• Department of Health (2012). Prime Minister's challenge on dementia: Delivering major improvements in dementia care and research by 2015. Leeds: Author
• Department of Health (2015). Prime Minister's challenge on dementia 2020. Leeds: Author
• James I. A. (2011). Understanding Behaviour in Dementia that Challenges. London: Jessica Kingsley Press
• Knapp, M. Comas-Herrera, A. Somani, A. \& Banerjee, S. (2007) Dementia:International Comparisons Personal Social Services Research unit, London
• Stone, C., Fossey,J., Broad, A. (2016) The Oxfordshire Integrated Care Home Support Service : New developments to address the health and well-being of people with dementia in care homes. The Psychology of Older People: The FPOP Bulletin. 133(Jan) 58-65.

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 24, 2016
• First Posted: March 9, 2016
• Study Start: March 1, 2016
• Primary Completion: August 1, 2016
• Study Completion: August 1, 2016
• Last Updated: April 4, 2017

Record last verified: 2017-04

Locations

GB (1)