slide1 l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
1998-2009 EOP Research & Development PowerPoint Presentation
Download Presentation
1998-2009 EOP Research & Development

Loading in 2 Seconds...

play fullscreen
1 / 24

1998-2009 EOP Research & Development - PowerPoint PPT Presentation


  • 229 Views
  • Uploaded on

The Enriched Opportunities Programme for people with dementia living in extra care housing: A randomised cluster controlled trial of a complex psycho-social intervention Dawn Brooker, Association for Dementia Studies University of Worcester

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '1998-2009 EOP Research & Development' - Gabriel


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

The Enriched Opportunities Programme for people with dementia living in extra care housing: A randomised cluster controlled trial of a complex psycho-social intervention

Dawn Brooker, Association for Dementia Studies

University of Worcester

Elaine Argyle, David Clancy, Andy Scally, University of Bradford.

Guy Page ExtraCare Charitable Trust

Hazel May Gloucester 2gether NHS Foundation Trust

1998 2009 eop research development
1998-2009 EOP Research & Development

1998- 2000

Between group comparison of nursing home residents participating in an activity challenge holiday and a matched control group.

2001-2003

The development of the EOP programme using qualitative enquiry and within group quantitative evaluation in four study sites

2005- 2009

Random cluster controlled trial in ten extra care housing schemes

University of Worcester Association for Dementia Studies

bringing together expertise
Kate Allen

Paul Batson

Ann Childs

Richard Coaten

Tina Free

Penny Garner

Margaret Goodall

John Killick

Sally Nocker

Pam Schweitzer

Rebecca Leech

Clive Ballard

Karen Bryan

Errollyn Bruce

Jan Oyebode

Martin Orrell

Ann Netten

John Keady

James Lindsay

Hazel May

Esme Moniz-Cook

Claire Surr

Sheila Cheyney

Jim Ellis

Jim O’Hagen

Peter Andrew

Margaret Hardware

Carole Dinshaw

Jane Fossey

Jeremy Porteus

Graham Stokes

Kate Read

Denise Westwood

Dawn Brooker

Rosie Woolley

David Lee

Elaine Argyle

David Clancy

Andy Scally

Caron Alder

David Campey

Graham Carter

Jenny Falconer

Phil Hall

Melanie Howard

Steve Burnell

Lorraine Haining

Guy Page

Helen Kavanagh

Angela McCann

Emmett McNamee

Jane Mitchell

Janet Moorhouse

Nick Stephens

Paul Sykes

Liz Taylor

Karen Woolrich

Annette Platek

Mike Hill

Patricia Hayward

Trudy Kovacs

Joanne Taylor

Norma Mather

Spencer Crowe

April Harper

Marion Cooper

Kate Trevis

Balbir Gill

Therapeutic

Academic

Service user

Expert Practice

ECCT

Research team

Bringing together expertise

University of Worcester Association for Dementia Studies

extra care housing features
Extra Care Housing features
  • Tenancy rights and your own front door
  • Restaurant, bar, shop, library, IT, gym, hair salon and community facilities
  • People empowerment, ambassadors, awards, user feedback
  • Physical environment high spec
  • Mixed age & dependency levels
  • Care and assistance programmes

University of Worcester Association for Dementia Studies

people with dementia a home for life
People with dementia – a home for life?

University of Worcester Association for Dementia Studies

cluster randomised controlled trial
Cluster randomised controlled trial

Evaluation of the Enriched Opportunities Programme in extra care housing compared to an attention placebo intervention by means of a Randomized Cluster Controlled Trial (RCT) in 10 ExtraCare housing schemes over a period of eighteen months.

Study focussed on the lives of the 20-30 most vulnerable people living in each scheme.

University of Worcester Association for Dementia Studies

eop the 5 components
EOP: The 5 Components
  • Specialist Expertise – the Locksmith – unlocks potential, unpicks issues
  • Individual Assessment and case work -applies ‘Enriched Model’ - proactive liaison with community & resources
  • Activity, Occupation and interventions
  • Training – enables whole team approach
  • Management and Leadership – sustains over time
attention placebo
Attention placebo

Employment of an extra senior member of staff (Project Support Worker Coach) to generally assist with promoting activities within the housing scheme.

study sites
Study sites

10 extra care housing schemes & villages in the Midlands and North West of England ranging in size from 45 to 320 residents

Randomised at site level 5 schemes Enriched Opportunities Programme, 5 schemes attention placebo

35 residents per site selected according to their vulnerability to exclusion from the community

inclusion criteria
Inclusion Criteria
  • Dementia or confusion
  • Communication difficulties
  • Social isolation
  • Challenging behaviour
  • Depression or low mood
significant improvement eop
Significant improvement EOP
  • Rated Quality of Life more positively
  • Reported decreased symptoms of depression

University of Worcester Association for Dementia Studies

significant improvement eop16
Significant improvement EOP
  • Half as likely to have to move out into a care home
  • Spent significantly less time in hospital
  • More likely to have a GP visit
  • More likely to access community health resources
  • More likely to have a mental health diagnoses

University of Worcester Association for Dementia Studies

gp visits community ot physio and chiropody costs
GP visits, community OT, Physio and chiropody costs
  • EOP rose from £26,643 (6 month costs) at baseline to £35,877 for the same time period at the end of the intervention.
  • In comparison the Placebo costs fell from £30,269 to £24,702 for the same time period.
in patient hospital costs
In-patient hospital Costs
  • Costs for the EOP residents fell from £58,794 (6 month costs) to £34, 177 over the course of the intervention.
  • Costs for the Placebo residents rose from £56,646 to £117,589 for the same period of time.
changes observed over time in eop and pswc sites
Changes observed over-time in EOP and PSWC sites
  • Greater opportunity to be active
  • Greater use of community facilities
  • More fun
  • Greater variety of things to do
  • Improved well-being observed
  • Dependency generally increased over time

University of Worcester Association for Dementia Studies

things that didn t change in 18 months
Things that didn’t change in 18 months
  • People remained satisfied with their level of support
  • Staff attitudes were positive to begin with and remained so

University of Worcester Association for Dementia Studies

references
References

Brooker D., Argyle, E., Clancy, D. & Scally A. (2009) Enriched Opportunities Programme: 

A cluster randomised controlled trial of a new approach to living with dementia and other mental health issues in ExtraCare housing schemes and villages. University of Bradford.

May, H., Edwards, P. and Brooker, D. (2009). Enriched Care Planning for People with Dementia: A Good Practice Guide to Delivering Person-Centred Care. London, Jessica Kingsley Publications

Brooker D., Argyle, E. & Clancy, D. (2009) Mental Health Needs of people living in extra care housing. Journal of Care Services Management, Vol 3.3 March/April

 Brooker, D. & Woolley, R. (2007) Enriching Opportunities for People living with Dementia: The Development of a Blueprint for a Sustainable Activity-Based Model of Care. Aging and Mental Health, 11(4): 371-383

Brooker, D., Woolley, R. & Lee, D. (2007) Enriching Opportunities for People living with Dementia in Nursing Homes: An evaluation of a multi-level activity-based model of care. Aging and Mental Health 11(4): 361-370

Brooker, D. (2001) Enriching Lives: evaluation of the ExtraCare Activity Challenge. Journal of Dementia Care. (Research Focus) 9 (3), 33-37.

University of Worcester Association for Dementia Studies

next steps
Next steps
  • Writing up for peer-review
  • Roll-out across ExtraCare Charitable Trust villages and schemes
  • Dissemination plan for Dept of Health
  • Development of leadership, “Locksmith” and general dementia awareness training and education materials

University of Worcester Association for Dementia Studies

slide24

Thank you for listening!

Prof Dawn Brooker

Association for Dementia Studies

d.brooker@worc.ac.uk

http://ihsc.worc.ac.uk/dementia

www.extracare.org.uk

Photographs of people living with dementia taking part in

The Enriched Opportunities Programme