Rights statement: This is the peer reviewed version of the following article: Chester, H., Beresford, R., Clarkson, P., Entwistle, C., Gillan, V., Hughes, J., Orrell, M., Pitts, R., Russell, I., Symonds, E., Challis, D. and (2021), The Dementia Early Stage Cognitive Aids New Trial (DESCANT) intervention: A goal attainment scaling approach to promote self-management. Int J Geriatr Psychiatry, 36: 784-793. https://doi.org/10.1002/gps.5479 which has been published in final form at https://onlinelibrary.wiley.com/doi/10.1002/gps.5479 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Accepted author manuscript, 353 KB, PDF document
Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License
Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - The Dementia Early Stage Cognitive Aids New Trial (DESCANT) intervention
T2 - A goal attainment scaling approach to promote self-management
AU - Chester, Helen
AU - Beresford, Rebecca
AU - Clarkson, Paul
AU - Entwistle, Charlotte
AU - Gillan, Vincent
AU - Hughes, Jane
AU - Orrell, Martin
AU - Pitts, Rosa
AU - Russell, Ian
AU - Symonds, Eileen
AU - Challis, David
AU - Members of the HoSt-D (Home Support in Dementia) Programme Management Group
N1 - This is the peer reviewed version of the following article: Chester, H., Beresford, R., Clarkson, P., Entwistle, C., Gillan, V., Hughes, J., Orrell, M., Pitts, R., Russell, I., Symonds, E., Challis, D. and (2021), The Dementia Early Stage Cognitive Aids New Trial (DESCANT) intervention: A goal attainment scaling approach to promote self-management. Int J Geriatr Psychiatry, 36: 784-793. https://doi.org/10.1002/gps.5479 which has been published in final form at https://onlinelibrary.wiley.com/doi/10.1002/gps.5479 This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
PY - 2021/5/31
Y1 - 2021/5/31
N2 - ObjectivesThis study investigated goals identified by people with dementia and their carers to promote the self‐management of symptoms and abilities; measured achievement using goal attainment scaling (GAS); and explored the reflections of Dementia Support Practitioners (DSPs) facilitating it.Methods and designWithin this pragmatic randomised trial, DSPs gave memory aids, training and support to people with mild to moderate dementia and their carers at home. Data were collected across seven NHS Trusts in England and Wales (2016–2018) and abstracted from intervention records and semi‐structured interviews with DSPs delivering the intervention, supplemented by a subset of the trial dataset. Measures were created to permit quantification and descriptive analysis and interview data thematically analysed. A GAS measure for this intervention in this client group was derived.ResultsEngagement was high across the 117 participants and 293 goals were identified. These reflected individual circumstances and needs and enabled classification and assessment of their attainment. Seventeen goal types were identified across six domains: self‐care, household tasks, daily occupation, orientation, communication, and well‐being and safety. On average participants achieved nominally significant improvement regarding the specified goals of 1.4 with standard deviation of 0.6. Five interviews suggested that DSPs' experiences of goal setting were also positive.ConclusionsGAS is useful for assessing psychosocial interventions for people with early‐stage dementia. It has a utility in identifying goals, promoting self‐management and providing a personalised outcome measure. There is a strong case for exploring whether these clear benefits translate to other interventions in other populations in other places.
AB - ObjectivesThis study investigated goals identified by people with dementia and their carers to promote the self‐management of symptoms and abilities; measured achievement using goal attainment scaling (GAS); and explored the reflections of Dementia Support Practitioners (DSPs) facilitating it.Methods and designWithin this pragmatic randomised trial, DSPs gave memory aids, training and support to people with mild to moderate dementia and their carers at home. Data were collected across seven NHS Trusts in England and Wales (2016–2018) and abstracted from intervention records and semi‐structured interviews with DSPs delivering the intervention, supplemented by a subset of the trial dataset. Measures were created to permit quantification and descriptive analysis and interview data thematically analysed. A GAS measure for this intervention in this client group was derived.ResultsEngagement was high across the 117 participants and 293 goals were identified. These reflected individual circumstances and needs and enabled classification and assessment of their attainment. Seventeen goal types were identified across six domains: self‐care, household tasks, daily occupation, orientation, communication, and well‐being and safety. On average participants achieved nominally significant improvement regarding the specified goals of 1.4 with standard deviation of 0.6. Five interviews suggested that DSPs' experiences of goal setting were also positive.ConclusionsGAS is useful for assessing psychosocial interventions for people with early‐stage dementia. It has a utility in identifying goals, promoting self‐management and providing a personalised outcome measure. There is a strong case for exploring whether these clear benefits translate to other interventions in other populations in other places.
U2 - 10.1002/gps.5479
DO - 10.1002/gps.5479
M3 - Journal article
VL - 36
SP - 784
EP - 793
JO - International Journal of Geriatric Psychiatry
JF - International Journal of Geriatric Psychiatry
SN - 0885-6230
IS - 5
ER -