Abstract
This study aimed to assess the effects of a psychoeducational intervention, designed to improve direct care workers' stress, burnout and job satisfaction, and person-centered communicative behavior in people with dementia. A pretest-posttest control group design was conducted in 4 aged-care facilities. Two experimental facilities received a psychoeducational intervention, and 2 control facilities received an education only. Data were gathered from 53 care workers at baseline, immediately, and 6 months after the intervention, through self-administrated instruments and video-recorded morning care sessions. The experimental group showed a significant decrease in care workers' burnout and a significant improvement in several communicative behaviors (e.g., involvement). Stress levels deteriorated at 6 months, and no intervention effects were found for job satisfaction. The findings highlight the importance of providing care workers with both technical competences and tools for stress management, as this might be associated with a reduction in their levels of exhaustion and improved communicative behaviors.
Highlights
People with dementia are one of the fastest growing groups of people living with long-term conditions
This study aimed to examine the immediate and the 6-month effects of a Person Centered Care based psycho-educational intervention (PCC-based PE intervention) targeted at direct care workers (DCWs) caring for people with dementia in aged-care facilities
After a decrease in personal accomplishment scores immediately after the PE intervention, at 6 months, scores had improved in the experimental group and the control group showed a decline over time in this variable (p>0.05)
Summary
People with dementia are one of the fastest growing groups of people living with long-term conditions. This study aimed to examine the immediate and the 6-month effects of a Person Centered Care based psycho-educational intervention (PCC-based PE intervention) targeted at DCWs caring for people with dementia in aged-care facilities. The experimental facilities received a PCC-based PE intervention informed by: [1] relevant literature on PE approaches, PCC and dementia 11,18; [2] findings from a previous pilot study conducted by the authors’ research team [names deleted to maintain the integrity of the review process]; and [3] interviews with DCWs and managers about instrumental and emotional needs [names deleted to maintain the integrity of the review process]. None of the differences were statistically significant at baseline (Table 4)
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