Final published version
Research output: Contribution to Journal/Magazine › Meeting abstract › peer-review
Research output: Contribution to Journal/Magazine › Meeting abstract › peer-review
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TY - JOUR
T1 - P231 Overview of an Advance Care Planning (ACP) Model for Care Home Residents Living with Dementia
AU - Brazil, Kevin
AU - Carter, Gillian
AU - McLaughlin, Dorry
AU - Kernohan, George
AU - Hudson, Peter
AU - Clarke, Mike
AU - Froggatt, Katherine
AU - Passmore, Peter
AU - Cardwell, Chris
PY - 2016/12
Y1 - 2016/12
N2 - ObjectivesTo report on the feasibility and acceptability of an ACP model for individuals living with dementia in a sample of care homes in the United Kingdom.MethodAs part of a cluster randomised controlled trial including 25 Care Homes, carers of residents living with dementia in 13 of these homes were exposed to an ACP intervention. This comprised of five elements: an ACP facilitator; family education; a family meeting with a follow-up; documentation of ACP decisions; and, orientation for GPs and care home staff about the intervention.One feature of the evaluation included a detailed documentation on the delivery of the intervention, supplemented with stakeholder interviews to assess its feasibility and acceptability. The ACP Facilitator maintained both a narrative journal and a log of activities associated with tasks during the delivery of the intervention. A qualitative interview was held with the ACP Facilitator to discuss their perceptions of the implementation, challenges and benefits of the ACP model. Participating care home managers and family carers also completed a qualitative interview to determine whether they perceived such a model helped or hindered care.ResultsOn average administration of the ACP intervention took two hours to complete on an individual family basis. Care home managers (five from each study arm) and family carers in combination with the findings from the ACP facilitator highlighted the acceptability of the intervention, the importance of such a role to be fulfilled within the care home environment was stressed, however time and staff restraints were noted as key barriers. Nonetheless, the interest and motivation of staff to make such a role possible was clear.ConclusionsThis presentation identifies the feasibility and perceived acceptability of an ACP intervention suitable for dementia residents in care homes in the UK.
AB - ObjectivesTo report on the feasibility and acceptability of an ACP model for individuals living with dementia in a sample of care homes in the United Kingdom.MethodAs part of a cluster randomised controlled trial including 25 Care Homes, carers of residents living with dementia in 13 of these homes were exposed to an ACP intervention. This comprised of five elements: an ACP facilitator; family education; a family meeting with a follow-up; documentation of ACP decisions; and, orientation for GPs and care home staff about the intervention.One feature of the evaluation included a detailed documentation on the delivery of the intervention, supplemented with stakeholder interviews to assess its feasibility and acceptability. The ACP Facilitator maintained both a narrative journal and a log of activities associated with tasks during the delivery of the intervention. A qualitative interview was held with the ACP Facilitator to discuss their perceptions of the implementation, challenges and benefits of the ACP model. Participating care home managers and family carers also completed a qualitative interview to determine whether they perceived such a model helped or hindered care.ResultsOn average administration of the ACP intervention took two hours to complete on an individual family basis. Care home managers (five from each study arm) and family carers in combination with the findings from the ACP facilitator highlighted the acceptability of the intervention, the importance of such a role to be fulfilled within the care home environment was stressed, however time and staff restraints were noted as key barriers. Nonetheless, the interest and motivation of staff to make such a role possible was clear.ConclusionsThis presentation identifies the feasibility and perceived acceptability of an ACP intervention suitable for dementia residents in care homes in the UK.
U2 - 10.1016/j.jpainsymman.2016.10.277
DO - 10.1016/j.jpainsymman.2016.10.277
M3 - Meeting abstract
VL - 52
SP - e126
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
SN - 0885-3924
IS - 6
ER -