Impact of Renovations in Long Term Care Living Spaces on Residents With Dementia, Their Families and Staff

NCT04054583 | Completed

• 1 other identifier: E2016:084
• Study Type: observational
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

A long-term care facility in central Canada planned to renovate their existing dementia care units. The overarching objective of this study was to examine the effects of the renovations on residents, family, and staff.

Conditions

Dementia

Keywords

Long-term care; Renovations; Residents; Family; Staff

Outcome Measures

Primary Outcomes (3)

• Satisfaction of Space on Resident Quality of Life and Family Interactions from Pre- to Post-renovation from Family Perspective Using Photovoice and Photo Elicitation

  Family member's perspective regarding whether the renovations have had an effect on the resident's quality of life and the quality of their family's interactions with the resident. This will be gathered using photovoice (participant taken photos) and photo elicitation (researcher taken photos). In this method, both photo types will be discussed in one interview at pre- and one interview at post-renovation to gather impressions of the space and its impact on resident quality of life and family interactions. This is a qualitative research method. It will assess impressions at pre-renovations and at post-renovations.

  Perspectives taken a pre- and post-renovation (approximately 2 years later or whenever renovations are complete).

• Changes in Space Utilization

  Using a floor plan/map, observers will indicate the locations of occupants with a dot on a map and an activity code that indicates the behaviour of that person. Observations will occur every hour over 18 hours and over 6 days. This will show how the space is used before and after renovations.

  Data will be collected for six months prior to and six months after the renovations (approximately 2 years later or whenever renovations are complete)

• Changes in Building Occupant Satisfaction Survey of Staff

  Staff perspective of how the space is used and functions before and after renovations. This survey measures variables such as overall environmental satisfaction, including satisfaction with acoustics, lighting, indoor air quality, and thermal comfort. Participants are also asked to provide descriptions of personal workspace, window proximity and workstation tenure, job satisfaction and demand, and method of working/time allocation. This survey has demonstrated reliability (Cronbach's alpha=0.728 to 0.873) and validity when compared with physical environment measures. There are no sub-scales. Each question will be evaluated independently.

  Perspectives taken pre- and post-renovation (approximately 2 years later or whenever renovations are complete).

Secondary Outcomes (32)

• Neuropsychiatric Symptoms of Residents from Six Months Prior to Renovation to Six Months Post-Renovation

  Measures will be collected six months prior to renovations and and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).

• Physical Restraints of Residents from Six Months Prior to Renovation to Six Months Post-Renovation

  Measures will be collected six months prior to renovations and and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).

• Anti-psychotic Medications and Sedatives with Residents from Six Months Prior to Renovation to Six Months Post-Renovation

  Measures will be collected six months prior to renovations and and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).

• Patient Safety Indicators of Residents from Six Months Prior to Renovations to Six Months Post-renovation: Frequency of medication errors and residents falls

  Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).

• Functional and Health Status of Residents: Changes in Sleep Records

  Measures will be collected six months prior to renovations and six months after renovations have been completed (approximately 2 years later or whenever renovations are complete).

Other Outcomes (1)

• Process Evaluation

  Prior to, during and after the renovation (approximately 2 years later or whenever renovations are complete)

Study Arms (3)

Residents

Residents living on a special care unit in a long-term care facility. All 60 residents residing in the unit pre- and post-renovation will be eligible, and all will have intermediate or advanced dementia.

Other: Renovation of long-term residential care living spaces

Family Members

Family members are defined as the key person who supports the resident on a regular basis. This could include a spouse, adult child, adult grandchild, niece or nephew, close friend, former neighbour, or other significant person to the resident.

Other: Renovation of long-term residential care living spaces

Staff

Staff are the people who work on the special care unit. They may work only briefly or work on the design of the renovations. Types include: managers, nurses, health care aides, recreation facilitators, social worker, occupational therapist, physiotherapist, rehabilitation assistant, speech language pathologist, physicians, designers, and cleaning staff.

Other: Renovation of long-term residential care living spaces

Interventions

Renovation of long-term residential care living spaces OTHER

Living spaces of the long term care facility will be renovated.

Family Members; Residents; Staff

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

Residents living on a special care unit for residents with intermediate to advanced dementia or cognitive impairment, their family members, and staff who care for them

You may qualify if:

• Currently living on special care unit for residents with intermediate to advanced dementia or cognitive impairment in a long-term care facility
• Must have a family member/friend/neighbour currently living on the special care unit.
• For the QUALID, the family member must have visited the resident at least three out of the last seven days

You may not qualify if:

• Must be able to participate in-person.
• Must be able to communicate in English.
• Must be cognitively able to participate.
• Must currently work on the special care unit (either full or part-time or occasional)
• For the survey, staff must be able to read and understand English.

Sponsors & Collaborators

• University of Manitoba: lead
• Riverview Health Centre Foundation: collaborator
• Mitacs: collaborator

Study Sites (1)

University of Manitoba

Winnipeg, Manitoba, R3T 2N2, Canada

Location

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Michelle M Porter, PhD

  University of Manitoba

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: July 22, 2019
• First Posted: August 13, 2019
• Study Start: May 9, 2017
• Primary Completion: August 30, 2020
• Study Completion: March 31, 2021
• Last Updated: September 22, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)