dc.contributor.author | Cooper, C | en_US |
dc.contributor.author | Zabihi, S | en_US |
dc.contributor.author | Akhtar, A | en_US |
dc.contributor.author | Lee, T | en_US |
dc.contributor.author | Isaaq, A | en_US |
dc.contributor.author | Le Novere, M | en_US |
dc.contributor.author | Barber, J | en_US |
dc.contributor.author | Lord, K | en_US |
dc.contributor.author | Rapaport, P | en_US |
dc.contributor.author | Banks, S | en_US |
dc.contributor.author | Duggan, S | en_US |
dc.contributor.author | Ogden, M | en_US |
dc.contributor.author | Walters, K | en_US |
dc.contributor.author | Orgeta, V | en_US |
dc.contributor.author | Rockwood, K | en_US |
dc.contributor.author | Butler, LT | en_US |
dc.contributor.author | Manthorpe, J | en_US |
dc.contributor.author | Dow, B | en_US |
dc.contributor.author | Hoe, J | en_US |
dc.contributor.author | Hunter, R | en_US |
dc.contributor.author | Banerjee, S | en_US |
dc.contributor.author | Budgett, J | en_US |
dc.contributor.author | Duffy, L | en_US |
dc.date.accessioned | 2024-06-21T08:12:53Z | |
dc.date.issued | 2024-04-01 | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/97577 | |
dc.description.abstract | INTRODUCTION: In the first randomised controlled trial of a dementia training and support intervention in UK homecare agencies, we aimed to assess: acceptability of our co-designed, manualised training, delivered by non-clinical facilitators; outcome completion feasibility; and costs for a future trial. METHODS: This cluster-randomised (2:1) single-blind, feasibility trial involved English homecare agencies. Intervention arm agency staff were offered group videocall sessions: 6 over 3 months, then monthly for 3 months (NIDUS-professional). Family carers (henceforth carers) and clients with dementia (dyads) were offered six to eight complementary, individual intervention sessions (NIDUS-Family). We collected potential trial measures as secondary outcomes remotely at baseline and 6 months: HCW (homecare worker) Work-related Strain Inventory (WRSI), Sense of Competence (SoC); proxy-rated Quality of Life (QOL), Disability Assessment for Dementia scale (DAD), Neuropsychiatric Inventory (NPI) and Homecare Satisfaction (HCS). RESULTS: From December 2021 to September 2022, we met agency (4 intervention, 2 control) and HCWs (n = 62) recruitment targets and recruited 16 carers and 16/60 planned clients. We met a priori progression criteria for adherence (≥4/6 sessions: 29/44 [65.9%,95% confidence interval (CI): 50.1,79.5]), HCW or carer proxy-outcome completion (15/16 (93.8% [69.8,99.8]) and proceeding with adaptation for HCWs outcome completion (46/63 (73.0% [CI: 60.3,83.4]). Delivery of NIDUS-Professional costs was £6,423 (£137 per eligible client). WRSI scores decreased and SoC increased at follow-up, with no significant between-group differences. For intervention arm proxy-rated outcomes, carer-rated QOL increased, HCW-rated was unchanged; carer and HCW-rated NPI decreased; DAD decreased (greater disability) and HCS was unchanged. CONCLUSION: A pragmatic trial is warranted; we will consider using aggregated, agency-level client outcomes, including neuropsychiatric symptoms. | en_US |
dc.language | eng | en_US |
dc.relation.ispartof | Age Ageing | en_US |
dc.rights | This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com | |
dc.subject | carers | en_US |
dc.subject | dementia | en_US |
dc.subject | feasibility randomised controlled trial (RCT) | en_US |
dc.subject | homecare | en_US |
dc.subject | older people | en_US |
dc.subject | training | en_US |
dc.subject | Humans | en_US |
dc.subject | Quality of Life | en_US |
dc.subject | Dementia | en_US |
dc.subject | Feasibility Studies | en_US |
dc.subject | Single-Blind Method | en_US |
dc.subject | Caregivers | en_US |
dc.title | Feasibility and acceptability of NIDUS-professional, a training and support intervention for homecare workers caring for clients living with dementia: a cluster-randomised feasibility trial. | en_US |
dc.type | Article | |
dc.rights.holder | © The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. | |
dc.identifier.doi | 10.1093/ageing/afae074 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/38643354 | en_US |
pubs.issue | 4 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published | en_US |
pubs.volume | 53 | en_US |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |