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Enriching opportunities for people living with dementia in nursing homes: An evaluation of a multi-level activity based model of care.

By Dawn J.R. Brooker, Rosemary J. Woolley and David Lee

Abstract

NoThis paper reports on the evaluation of the Enriched Opportunities Programme in improving well-being, diversity of activity, health, and staff practice in for people with dementia. Participants were 127 residents with a diagnosis of dementia or enduring mental health problems in three specialist nursing homes in the UK. A repeated measures within-subjects design was employed, collecting quantitative and qualitative data at three points over a twelve-month period in each facility with follow-up 7 to 14 months later. Two-way ANOVAs revealed a statistically significant increase in levels of observed well-being and in diversity of activity following the intervention. There was a statistically significant increase in the number of positive staff interventions but no change in the number of negative staff interventions overall. There was a significant reduction in levels of depression. No significant changes in anxiety, health status, hospitalisations, or psychotropic medication usage were observed. The Enriched Opportunities Programme demonstrated a positive impact on the lives of people with dementia in nursing homes already offering a relatively good standard of care, in a short period of time. The refined programme requires further evaluation to establish its portability

Topics: Dementia, Dementia & Alzheimer's Disease, Nursing home care, Enduring mental health problems, activities, Enriched Opportunities Programme
Year: 2007
DOI identifier: 10.1080/13607860600963679
OAI identifier: oai:bradscholars.brad.ac.uk:10454/3783
Provided by: Bradford Scholars
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