Hydration Care in Dementia Care Homes

NCT04281550 | Completed

• 1 other identifier: Think Drink
• Study Type: interventional
• Target: 87
• Locations: 1 country
• Sites: 1

Brief Summary

The study aimed to provide evidence of the feasibility of implementing a multi-component intervention for optimising hydration in people with dementia living in care homes. To undertake a multi method feasibility study to investigate the suitability of methods and outcome measures for future research. Objectives:

1. 1.Explore personal barriers experienced by people with dementia regarding drinking in care home contexts
2. 2.Explore professional and organisational perspectives of approaches to optimal hydration of residents with dementia and the barriers in everyday practice
3. 3.Develop a multi-component intervention to enhance hydration for residents in collaboration with care home staff, mental health and geriatric specialists, and residents' family
4. 4.Assess the feasibility of implementing the intervention in care homes, and impact on recommended daily intake of fluids
5. 5.Explore the impact of the intervention on daily fluid intake, and designing suitable secondary outcome measures - admission to hospital due to dehydration, falls, laxative use, urinary tract infection, upper respiratory tract infection and skin breakdown.

Conditions

Dementia

Outcome Measures

Primary Outcomes (2)

• Fluid intake

  Change in proportion of the resident population with higher daily fluid intake

  6 months

• Fluid intake 2

  Change in mean fluid intake of drinks that are a) offered and b) consumed

  6 months

Secondary Outcomes (8)

• Hydration care plan

  6 months

• Hospital admission

  6 months

• Death

  6 months

• Referral to GP

  6 months

• UTI

  6 months

Study Arms (1)

Think drink intervention

EXPERIMENTAL

The Think Drink multicomponent hydration intervention was introduced into the intervention group care homes through a staff workshop.

Other: Think Drink

Interventions

Think Drink OTHER

The Think Drink Guide that had three interacting components. The 'policy' component was directed at the governance of the care home, whereas 'practice' components were directed at hydration procedures and processes, and 'educational' components that provided learning resources for care home staff to develop knowledge and understanding of hydration care. Think Drink was implemented through a short awareness-raising educational programme and accompanying information booklet detailing a range of practices (including organisational, system and individual practice) designed to encourage hydration.

Think drink intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• must be a care home resident
• assent for participation is provided by their surrogate decision maker
• must be able to drink oral fluids

You may not qualify if:

• unable to drink oral fluids
• receiving end of life care

Sponsors & Collaborators

• Northumbria University: lead

Study Sites (1)

Northumbria University

Newcastle upon Tyne, Tyne and Wear, NE1 8ST, United Kingdom

Location

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

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

Study Officials

• Glenda Cook, PhD

  Northumbria University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of nursing

Model Details: This study was a three-phase multi-method design consisting of analysis of the empirical grounds for the hydration intervention, development of a multi-component hydration intervention and a feasibility cluster trial of the intervention. The first phase constituted of a survey of care homes, a systematic review-informed review of previous literature and collection of professional perspectives. Second phase was the development the intervention through five workshop events. Finally, the feasibility phase compared 6 intervention homes and 5 control homes in North East England, over a 3-month period.

Study Record Dates

• First Submitted: February 20, 2020
• First Posted: February 24, 2020
• Study Start: September 1, 2017
• Primary Completion: March 31, 2019
• Study Completion: March 31, 2019
• Last Updated: March 4, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)